Self-Employed Health Insurance Deduction
Above-the-line deduction for self-employed health insurance premiums — Form 1040 Schedule 1.
Full explanation
Self-employed individuals can deduct health, dental, and qualified long-term care insurance premiums for themselves, their spouses, and dependents on Form 1040 Schedule 1 (above-the-line) — no need to itemize. The deduction is capped at net self-employment income from the business that established the plan. Months when you (or your spouse) were eligible for an employer-subsidized plan don't qualify. For ACA marketplace enrollees, only the portion of premiums you actually paid (after subsidies) is deductible. The deduction interacts circularly with MAGI for ACA subsidies; healthcare.gov calculates this automatically.
📎 Primary source: official source
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