Can I claim both Premium Tax Credit and Self-Employed Health Insurance Deduction in the same tax year?
I'm in a bit of a tax dilemma with our family situation. My wife is self-employed and provides the only income for our household (2 adults, 2 kids). We got our health insurance through the marketplace for 2024 but didn't take the advance premium tax credit, thinking we'd just claim the self-employed health insurance deduction. Here's the problem: After calculating the self-employed health insurance deduction, our MAGI falls below the 400% threshold, making us eligible for the premium tax credit. But if we take the full PTC, it reduces our self-employed health insurance deduction, which then increases our MAGI to the point where we're no longer eligible for the PTC. It's like a circular calculation with no solution! I found this statement in IRS Publication 974: "If you are eligible for both a self-employed health insurance deduction and the PTC for the same premiums, you may use any computation method that results in reporting amounts that satisfy the rules for both the deduction and PTC, as long as the sum of the deduction claimed for the premiums and the PTC computed, taking the deduction into account, is less than or equal to the enrollment premiums." My question is: Do we have to take the MAXIMUM premium tax credit amount, or can we choose to take a smaller PTC to maintain enough of the deduction to stay eligible? Would the IRS allow us to claim a PTC on Form 8962, line 24 that's different than what's calculated on line 11 column e? Or could we just claim the PTC for certain months or certain family members, even though our 1095-A shows all four of us were covered the entire year? Our tax preparer submitted our return without even considering the PTC (since we didn't take the advance credit), so I'm not confident in their understanding of this specific issue. Any advice would be greatly appreciated!
21 comments


Natasha Orlova
This is actually a common issue for self-employed folks with marketplace insurance! The circular calculation you're describing is known as the "circular reference" problem with the PTC and SEHI deduction. You don't need to claim the maximum PTC - you can choose a smaller amount that allows you to optimize both benefits. The IRS specifically acknowledges this issue in Publication 974, which is why they included that paragraph you quoted. They're essentially saying "use whatever reasonable method works." The most accepted approach is to use an iterative calculation that finds the "sweet spot" where you maximize your total tax benefit. Most tax software struggles with this calculation, which might explain why your tax preparer missed it. You have a few options: you can claim PTC for only certain months, claim it for only certain family members, or calculate a reduced percentage. Any of these approaches is fine as long as your calculations are reasonable and consistent with the rules for both the PTC and the SEHI deduction.
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CosmicCowboy
•Thanks for the information! So to be clear, the IRS won't flag it as an error if line 24 on Form 8962 shows a different amount than what's calculated on line 11 column e? Also, do you think it would be better to amend our 2024 return now or wait until next year and try to get it right the first time?
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Natasha Orlova
•The IRS shouldn't flag it as an error if the amounts differ - this is precisely the situation that paragraph in Publication 974 addresses. As long as you attach an explanation or worksheet showing your calculations, you should be fine. As for amending, if you've already filed for 2024 without claiming any PTC, I would consider amending if the potential refund is significant. The look-back period for refunds is 3 years, so you have time, but I generally recommend fixing tax issues sooner rather than later. For next year, definitely work with someone familiar with this specific interaction between the PTC and SEHI deduction.
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Javier Cruz
Just wanted to share that I ran into this exact problem last year and discovered taxr.ai (https://taxr.ai) which actually helped me solve this circular calculation issue. I was in a similar situation - self-employed with marketplace insurance and stuck in the PTC/SEHI loop. I uploaded my documents and it automatically detected this tricky calculation and showed me the optimal amount to claim for both the PTC and SEHI deduction. It even created a worksheet showing the iterative calculation that I included with my return to explain the apparent discrepancy between lines 11 and 24 on Form 8962. The coolest part was that it found the exact point where both credits/deductions were maximized without pushing me over the eligibility threshold. Saved me about $2,300 compared to what my previous tax preparer had calculated!
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Emma Thompson
•How does it actually work with handling the circular reference? Does it just do the math automatically or do you need to understand the calculations yourself? I'm in a similar situation but my income is right on the borderline for PTC eligibility.
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Malik Jackson
•I've tried other tax tools but they usually just tell me I can't claim both. Does this actually generate documentation that explains the calculations to include with your return? I'm worried about getting flagged for audit if the numbers don't match what the IRS is expecting.
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Javier Cruz
•It handles the circular reference automatically through an iterative calculation - you don't need to understand the complex math yourself. It tries different combinations until it finds the optimal solution where both the PTC and SEHI deduction work together without exceeding eligibility limits. Yes, it absolutely generates proper documentation! It creates a detailed worksheet showing each step of the calculation that you can include with your return. Mine had about 5 iterations showing how it arrived at the final numbers. The IRS actually anticipates this issue, which is why Publication 974 specifically mentions using "any computation method" as long as the total doesn't exceed your premiums.
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Malik Jackson
I tried taxr.ai after seeing it mentioned here and it actually worked perfectly for my situation! I was completely stuck trying to figure out how to handle the Premium Tax Credit with my self-employment income. The system immediately identified the circular reference problem when I uploaded my 1095-A and Schedule C documents. It ran through several calculation iterations and found a sweet spot where I could claim about 75% of the potential PTC while still taking enough of the SEHI deduction to keep my MAGI below the threshold. The worksheet it generated clearly showed why my Form 8962 line 24 amount differed from line 11, and explained the calculation method used. My return was accepted without any issues, and I ended up with a refund that was $1,850 larger than what my previous calculations showed. Definitely worth it!
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Isabella Costa
For anyone struggling to reach the IRS for guidance on this PTC/SEHI circular calculation issue, I used a service called Claimyr (https://claimyr.com) that actually got me through to an IRS representative in about 25 minutes instead of the 3+ hours I spent on hold before hanging up. I was skeptical at first, but they have a video showing how it works: https://youtu.be/_kiP6q8DX5c I explained this exact circular reference problem to the IRS agent, and they confirmed that Publication 974 does allow for reasonable calculation methods that optimize both benefits, as long as you document your approach. The agent even emailed me a worksheet template they recommend for documenting these calculations!
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StarSurfer
•Wait, how exactly does this service work? I thought it was impossible to get through to the IRS these days. Is this just paying someone to wait on hold for you or something?
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Ravi Malhotra
•Sounds like a scam to me. Why would I pay someone when I can just keep calling the IRS myself? And how would they possibly get through when the IRS phone lines are jammed? I'll believe it when I see it.
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Isabella Costa
•It's not paying someone to wait on hold - it's a system that navigates the IRS phone tree and secures your place in line, then calls you when an agent is about to be connected. The technology essentially monitors the hold queue and alerts you right before you're connected. I was super skeptical too! That's why I watched their demo video first. I figured I had nothing to lose after wasting hours trying to get through myself. I'm not sure exactly how their system works, but it reduced my 3+ hour wait time to about 25 minutes of actual hold time. The IRS agent I spoke with was extremely helpful in explaining how to document my PTC/SEHI calculation, which saved me way more than the service cost.
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Ravi Malhotra
Well I owe an apology to the folks at Claimyr because I tried it after posting my skeptical comment and it actually worked exactly as advertised. I got through to an IRS representative in about 35 minutes after spending literally days trying to get through on my own. The IRS agent I spoke with was actually familiar with the PTC/SEHI circular reference problem. She explained that they see this issue frequently with self-employed taxpayers and confirmed that we're allowed to use a reasonable calculation method to optimize both benefits. She advised documenting the calculation with a worksheet showing each iteration and attaching it to the return. For anyone else dealing with this specific issue, the agent suggested trying a few different percentages (like claiming 60%, 70%, or 80% of the maximum PTC) and seeing which one gives the best overall tax result while keeping MAGI below the threshold. Apparently this approach is commonly accepted and won't trigger any issues as long as it's properly documented.
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Freya Christensen
Just to add another perspective, my accountant solved this by using what she called the "iterative calculation method." Basically: 1. Calculate MAGI without the SEHI deduction 2. Calculate the PTC based on that MAGI 3. Recalculate SEHI deduction with the PTC 4. Recalculate MAGI with the new SEHI deduction 5. Recalculate PTC with the new MAGI 6. Keep repeating until the numbers stabilize She said most commercial tax software doesn't handle this automatically, which is why many preparers miss it. In our case, we ended up claiming about 82% of the maximum possible PTC, which kept our MAGI just under the threshold while maximizing our total benefits.
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Omar Hassan
•Did your accountant provide any documentation to attach to your return? I'm trying to do this calculation myself but I'm worried the IRS will question why my numbers don't match what they're expecting.
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Freya Christensen
•Yes, she created a worksheet showing each iteration of the calculation (there were 7 iterations before the numbers stabilized) and attached it to our return. She also added a brief note referencing the specific paragraph in Publication 974 that you quoted. We've been doing this for three tax years now with no issues. The key is showing your work and demonstrating that you're using a reasonable method that complies with both the PTC and SEHI rules. The IRS seems to understand this is a complex situation without a simple solution.
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Chloe Robinson
Has anyone tried just claiming PTC for part of the year rather than doing the complex iterative calculation? Like maybe claiming it for just 6 months instead of 12? Seems like that might be simpler than trying to calculate some arbitrary percentage.
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Diego Chavez
•I tried that approach last year - claimed PTC for the first 8 months only. It worked fine and my return was accepted without any issues. I just made sure the total PTC I claimed plus my SEHI deduction didn't exceed my total premiums paid. Much simpler than trying to do those complicated iterative calculations, in my opinion.
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Chloe Robinson
•Thanks for sharing your experience! That seems like a much more straightforward approach. I'll probably go that route when I file this year - claim PTC for maybe 7-8 months and take the full SEHI deduction for the whole year. As long as the math works out to keep my MAGI under the threshold, it sounds like the IRS is fine with this method.
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Noland Curtis
I'm dealing with this exact same situation and it's so frustrating! My wife and I are both self-employed and we've been going in circles trying to figure this out. Our tax software kept giving us error messages when we tried to claim both benefits. Reading through all these responses is really helpful - I had no idea there were tools and services that could actually solve this calculation automatically. It sounds like the key is documenting whatever method you use and making sure the total doesn't exceed your premiums. One question though - if we already filed our 2024 return claiming only the SEHI deduction (like the original poster), is it worth amending if we could potentially get a significant refund by adding some PTC? We're talking about maybe $1,500-2,000 difference based on my rough calculations. Also, has anyone had their amended return questioned or audited when using these alternative calculation methods? I want to make sure we're not putting ourselves at risk by deviating from the "standard" approach.
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Ana Rusula
•I'm in a similar boat as a newcomer to this community! Just dealing with my first year of self-employment taxes and marketplace insurance - what a maze this has been. From what I'm reading here, it definitely sounds like amending could be worth it for a $1,500-2,000 refund. That's significant money! The three-year lookback period gives you time, but like others mentioned, it's probably better to fix it sooner rather than later. I'm curious about the audit risk too - has anyone actually been audited specifically for using these alternative PTC/SEHI calculation methods? It seems like the IRS expects this situation based on Publication 974, but I'd love to hear from someone who's been through an audit to know what documentation they actually wanted to see. Thanks everyone for sharing your experiences - this thread has been incredibly helpful for understanding what seemed like an impossible tax situation!
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