Is Health Insurance Tax Deductible When Self-Employed? (2026)

Yes

Yes. Self-employed people can deduct the premiums they pay for medical, dental, and qualifying long-term care insurance for themselves, a spouse, and dependents. It is an above-the-line adjustment (not on Schedule C), so it lowers your taxable income even if you do not itemize. You cannot claim it for any month you were eligible for an employer plan (yours or a spouse's).

Where it goes: Schedule 1 (an adjustment to income), not Schedule C

Illustration for whether health insurance is tax deductible

The self-employed health insurance deduction lets you subtract your premiums directly from income. It covers medical, dental, and qualifying long-term care premiums for you, your spouse, and dependents.

The deduction is limited to your net self-employment profit, and you cannot claim it for any month you (or your spouse) were eligible to join an employer-subsidized health plan. It reduces income tax but not self-employment tax.

Because it is an above-the-line adjustment on Schedule 1 rather than a Schedule C expense, you get it whether or not you itemize. Keep records of the premiums you paid.

When it qualifies

  • Medical, dental, and qualifying long-term care premiums for you, spouse, and dependents
  • You have net self-employment profit to support the deduction
  • You were not eligible for an employer-subsidized plan that month

When it does not

  • Any month you or your spouse could join an employer-subsidized health plan
  • Premiums beyond your net self-employment profit for the year

How much can you deduct?

The premiums you paid, up to your net self-employment profit, for months you were not eligible for an employer plan.

A worked example

Example: you pay $500 a month in premiums and had $40,000 of net self-employment profit with no access to an employer plan. You can deduct the full $6,000 for the year as an above-the-line adjustment on Schedule 1.

A deduction only counts if you can prove it. NeoReceipt captures the receipt and files it onto the right Schedule C line, so every write-off is documented at tax time.

Frequently asked questions

Can self-employed people deduct health insurance?+

Yes. You can deduct medical, dental, and qualifying long-term care premiums for yourself, spouse, and dependents as an above-the-line adjustment, as long as you were not eligible for an employer-subsidized plan that month.

Where does the self-employed health insurance deduction go?+

It is an adjustment to income on Schedule 1, not a Schedule C expense, so it lowers your taxable income whether or not you itemize.

Does it reduce self-employment tax?+

No. The self-employed health insurance deduction reduces income tax, but it does not reduce the 15.3 percent self-employment tax.

What if my spouse has an employer health plan?+

You cannot take the deduction for any month you were eligible to join a subsidized employer plan, including one offered through your spouse's job.

See the full 1099 write-off list or estimate your bill with the 1099 tax calculator.