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Answered based on 2026 IRS rules

Can I deduct health insurance premiums as a freelancer?

Yes, as a freelancer (self-employed), you *may* be able to deduct health insurance premiums! Here's a breakdown:

* **Self-Employed Health Insurance Deduction:** This is the key deduction. You can deduct health insurance premiums you paid for yourself, your spouse, and your dependents.

* **Requirements to Qualify:**

* **Not Eligible for Employer-Sponsored Plan:** You (or your spouse) *cannot* be eligible to participate in an employer-sponsored health plan. If offered coverage, even if you decline it, you likely won't qualify.

* **Self-Employment Income:** You must have net profit from self-employment.

* **Tax Year:** The premiums must be for coverage during a month you were self-employed.

* **How Much Can You Deduct?** You can deduct 100% of the premiums you paid, *but* the deduction **cannot exceed your net profit from self-employment**.

* **Calculating the Deduction (Important):**

* **Example 1 (Profit > Premiums):** You had $60,000 net profit and paid $12,000 in health insurance premiums. You can deduct the full $12,000.

* **Example 2 (Profit < Premiums):** You had $8,000 net profit and paid $12,000 in health insurance premiums. You can only deduct $8,000 (your net profit). The remaining $4,000 can potentially be carried forward to the next year, but has limitations.

* **Where to Claim the Deduction:** You report this deduction on **Schedule 1 (Form 1040)**, line 1. It’s an “above-the-line” deduction meaning you can take it even if you don't itemize.

* **Long-Term Care Insurance:** Generally, long-term care insurance *isn’t* eligible for this deduction, unless it’s specifically certified as a qualified long-term care insurance contract.

* **HSA Contributions:** If you *also* have a Health Savings Account (HSA), contributions to that account are a *separate* deduction, and not impacted by this self-employed health insurance deduction.

⚠️ Disclaimer: This is for educational purposes only. Always consult a licensed CPA for personalized advice.

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