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Is Health Insurance Tax Deductible

    In short, you may be eligible to claim the benefits of group health insurance tax deductions in section 80D of the income tax act on your premium payments to your self and family members, but the tax implications may differ between these three. Individuals may claim a tax deduction worth Rs25,000 for insurance payments made by themselves, their spouses, and dependent children. For instance, if you buy insurance for yourself either through the Health Insurance Exchange or directly from the insurer, then money paid towards monthly premiums may qualify for the tax deduction. If you received a premium subsidy or premium tax credit for purchasing health plans in a health insurance marketplace under the Affordable Care Act, any advance-payment subsidies that reduced your health insurance premium costs cannot be claimed as a deduction.

    A self-employed taxpayer may deduct medical insurance premiums –as an above-the-line deduction, which reduces taxable income by 100% of the health insurance costs of the taxpayer, his spouse, and his dependents. Medical insurance premiums paid by a taxpayer who is not self-employed are deductible as itemized deductions for medical expenses, but only if your total medical expenses are more than 7.5 percent of adjusted gross income (AGI). Even if you are not self-employed, the IRS allows you to count health and dental premiums (and, with certain limitations, long-term care insurance premiums) as part of the 7.5 percent of your adjusted gross income (AGI) you must spend on medical care before you can deduct any out-of-pocket medical expenses. If you itemize your deductions, and do not claim 100% of the costs of your health insurance on a self-employed basis on Form 1040, you can include the remainder as all your other medical expenses on Schedule A, up to the 7.5 percent AGI limitation (for 2017-20).

    If you itemize your deductions on Schedule A (Form 1040), “Itemized Deductions,” for the taxable year, you can deduct expenses that you paid for health and dental care that year for yourself, your spouse, and your dependents. The deductibility is a change in income, not an itemized deduction, for the premiums you paid on health insurance policies covering medical care, including qualified long-term care insurance policies, for yourself, your spouse, and dependents. Expenses eligible for this deduction include premiums paid on the health insurance policy, plus any out-of-pocket expenses for things such as physician visits, surgeries, dental work, vision work, and mental health treatment. Any qualifying health and medical expenses over $7 are deductible.

    Generally, any expenses that an employer incurs related to medical coverage (for employees or for dependents) are 100% deductible as regular business expenses, both state and federal income taxes. Employer contributions toward health insurance for employees and their opposite-sex spouses and tax-dependents are 100 percent deductible as a business expense under both federal and state tax laws. If the employee pays a premium on their personal health insurance plan, or incurs a medical expense, and is reimbursed by an employer, that reimbursement is typically excluded from the employees gross income and is untaxed under federal and state tax laws. For example, if you are a federal employee participating in a conversion plan to premiums for a federal employee health benefit plan (FEHB), you cannot count premiums paid on that policy as a medical expense.

    If you own more than one business, you can keep one buying health insurance while another buys dental coverage, and deduct 100% of the premiums for each policy, as long as the income limits discussed earlier apply. The provision is especially great news for mom-and-pop businesses with two shareholders who are married to one another; if they each have an individual medical insurance policy, they can keep having the S-corporation refund their premiums, then deduct it from their 1040, according to Notice 2008-1. Then, when shareholders file their 1040s, they will be able to deduct $55 using their individual health insurance deduction (so, in the above example, they will have received $55,000 in compensation from an S-corp, but will pay only $50,000 of it on federal income taxes). Even if you are self-employed, if you, your spouse, or your dependents are covered under an employers group health plan (either yours, through an independent work arrangement, or a plan your spouse or parents have), then the premiums paid for that coverage are likely not things you can deduct on your tax return.

    You cannot take the self-employment premium deduction if you are eligible for group coverage through your spouses employer (or from your employer, if you hold a different job in addition to your self-employment). To qualify, your business income must demonstrate profit, and you cannot be also be eligible for insurance provided by an employer (such as through a side gig or your spouses employment), among other criteria. If you have insurance through an employer, the premiums you pay are typically taken from your paycheck before they are taxed. You cannot write off any of the cost your health insurance plan or employer pays if you have an employer-sponsored plan.

    Generally, employee contributions to health insurance are deducted from wages on an after-tax basis, unless an employer sets up a special arrangement in section 125 of the federal tax code. Self-employed individuals who are eligible are allowed this special individual deduction of 100% of the cost of health insurance coverage for themselves, their spouses, and dependents (including dental coverage and long-term care). The deduction — found on Schedule A of your income tax return — covers a broad array of health expenses, including the premiums you pay for medical insurance coverage (including Medicare) or qualified long-term care. The standard deduction is $12,400 for single filers, $18,650 for heads of household, and $24,800 for married taxpayers filing jointly for 2020.

    Other taxpayers may deduct health care costs as an itemized deduction only if the total amount of medical and dental expenses in 2020 is more than 7.5% of their adjusted gross income.

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