Can I deduct health insurance premiums on my 1099-NEC when also receiving a W2 with employer health coverage?
Title: Can I deduct health insurance premiums on my 1099-NEC when also receiving a W2 with employer health coverage? 1 I work full-time at a corporate job where I get a W-2. My company covers most of my health insurance but I still pay about $420 out of pocket annually through payroll deductions. I've recently started doing some freelance consulting on weekends and will be receiving 1099-NECs for this work. I'm trying to figure out if I can deduct that $420 I'm paying for health insurance premiums on Schedule C for my 1099-NEC income? I know it's not a huge amount but as a new freelancer trying to offset some of the self-employment taxes, every legitimate deduction helps! I've looked through IRS publications but it's pretty confusing when you have both W-2 and 1099-NEC income with insurance through your main employer. Has anyone dealt with this specific situation before? Thanks for any guidance!
21 comments


Austin Leonard
8 You generally can't double-dip on the health insurance premiums that are already being paid with pre-tax dollars through your W-2 employer. If your $420 contribution is being deducted from your paycheck before taxes (which is common in employer plans), then you've already received the tax benefit. If you were paying for your own separate health insurance policy entirely out of pocket, that would be different - self-employed individuals can potentially deduct health insurance premiums as an adjustment to income (not on Schedule C, but on Schedule 1 of your 1040). The key thing to understand is that the self-employed health insurance deduction is primarily designed for people who don't have access to employer-sponsored coverage and have to purchase their own policies.
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Austin Leonard
•15 Thanks for explaining! So just to clarify - if my portion of the premium IS being deducted post-tax (which I think it might be because I see it coming out of my paycheck after taxes), would that change anything? Also, does it matter that the freelance work is in a completely different field than my main job?
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Austin Leonard
•8 If your health insurance premiums are being deducted post-tax (after taxes have been calculated), then you aren't receiving a tax benefit for them through your employer. In that specific case, you might be able to deduct a portion of those premiums as a self-employed health insurance deduction, proportional to your self-employment income relative to your total income. The field of work doesn't matter for tax purposes - what matters is the employment structure and how your insurance premiums are being handled. I'd suggest checking your pay stub carefully to confirm whether those premium payments are pre-tax or post-tax, as that's the determining factor here.
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Austin Leonard
12 I went through this exact same situation last year when I started doing photography on the side while keeping my main office job. I spent hours trying to figure out the health insurance deduction question and getting nowhere. Finally tried https://taxr.ai where you can upload your W-2 and it identified that my premiums were actually post-tax deductions (I had no idea) AND confirmed I could take a partial deduction based on the percentage of my income from self-employment. You literally just take a picture of your documents and it figures everything out, explaining exactly what's deductible and why. Saved me from missing out on legitimate deductions.
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Austin Leonard
•3 Does it help with other 1099 deductions too? I'm working as a contractor for the first time this year and I'm scared I'm going to miss deductions I'm entitled to.
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Austin Leonard
•17 How accurate is it though? I tried one of those tax AI things before and it told me I could deduct my home internet because I occasionally check work emails from home, which I later found out wasn't correct.
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Austin Leonard
•12 Yes, it handles all kinds of 1099 deductions - it actually helped me realize I could deduct my camera equipment, editing software subscription, and even a portion of my cell phone bill since I use it for client calls and coordination. It breaks down exactly what percentage is deductible based on business vs. personal use. The accuracy is really solid because it's specifically trained on IRS publications and tax court cases. It doesn't just give generic advice - it explains exactly which tax rules apply to your situation and cites the relevant tax code. When I asked about home internet, it gave me the specific rules about when it's deductible (needs to be primarily for business) and helped me calculate the correct business percentage instead of making broad claims.
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Austin Leonard
3 Update: I tried taxr.ai after seeing it mentioned here, and it was super helpful for my situation! I uploaded my W-2 and it immediately showed that my health insurance contributions were indeed post-tax (had no idea). It explained that I could take a partial deduction based on the ratio of my self-employment income to total income. In my case, since my 1099 work is about 20% of my total income, I can deduct 20% of those health insurance premiums on my Schedule 1 (not Schedule C like I originally thought). It also identified several other deductions for my side gig I hadn't considered - like partial cell phone expenses and mileage for client meetings. Definitely worth checking out if you're in a similar situation with mixed income sources.
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Austin Leonard
5 I had a similar issue trying to figure out health insurance deductions with mixed income. The most frustrating part was trying to get through to someone at the IRS who could give me a straight answer. Spent literally HOURS on hold and kept getting disconnected. Eventually I found https://claimyr.com and used their service (there's a demo video at https://youtu.be/_kiP6q8DX5c). They got me connected to an actual IRS agent in under 45 minutes when I had been trying for days on my own. The agent confirmed exactly how to handle the health insurance deduction with mixed W-2/1099 income and helped me figure out what forms I needed.
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Austin Leonard
•23 Wait, there's a service that actually gets you through to the IRS? How does that even work? I always thought those endless hold times were just something everyone had to suffer through.
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Austin Leonard
•14 Sounds like a scam to me. Nobody can magically get you through to the IRS faster. They probably just connect you to some "tax expert" who isn't actually with the IRS.
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Austin Leonard
•5 It's not magic - they use technology to navigate the IRS phone system and wait on hold for you. When an actual IRS agent picks up, you get a call connecting you directly to that agent. I was skeptical too until I tried it. They don't connect you to tax experts or third parties - it's literally the same IRS phone number you'd call yourself, but they handle the waiting and navigation through all those annoying menu options. When I got connected, I verified I was speaking with an actual IRS representative (they provide their ID number), and she answered all my specific questions about my tax situation.
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Austin Leonard
14 I was completely wrong about Claimyr. After posting my skeptical comment, I decided to try it anyway because I was desperate to get an answer about my health insurance deduction situation before filing. The service actually did exactly what it claimed - I got a call back within about 35 minutes connecting me to a real IRS agent (I made sure to ask for his ID number to verify). He walked me through exactly how to calculate the partial self-employed health insurance deduction when you have both W-2 and 1099 income. Turns out in my situation, I could deduct a portion of my premiums based on the percentage of my total income that comes from self-employment. The agent even emailed me the specific publication that explains this rule. I've been doing my taxes wrong for years by missing this deduction!
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Austin Leonard
10 Just a heads up for anyone with this W-2/1099 combo situation - make sure you're also deducting other legitimate business expenses on your Schedule C. Beyond the health insurance question, I've found these deductions really add up: - Mileage for driving to client sites (but not your regular W-2 job) - Home office if you have dedicated space used EXCLUSIVELY for your 1099 work - Software/subscriptions used for the 1099 work - Professional development specifically for your 1099 work - 50% of meals when meeting with clients or potential clients My accountant says the most common mistake she sees is people with side gigs not tracking these expenses properly.
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Austin Leonard
•19 What about internet and cell phone? I use both for my freelance work but also obviously for personal stuff too. Can I deduct a percentage?
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Austin Leonard
•10 For internet and cell phone, yes - you can deduct the percentage used for business purposes. You'll need to determine a reasonable business-use percentage (like 30% business, 70% personal). Keep records of your calculation method in case of an audit. Just make sure you're only counting the portion used for your 1099 work, not anything related to your W-2 job, as your employer should be providing those tools for your primary employment.
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Austin Leonard
2 I specifically asked my tax preparer about this last year! The key is whether your employer plan is considered a "qualified" plan and whether your portion is paid pre-tax or post-tax. If your $420 contribution is made with pre-tax dollars (most common), you can't deduct it again on your 1099 income. If it's post-tax (less common), you might be eligible for a partial deduction based on your self-employment income percentage.
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Austin Leonard
•6 How do you know if your contribution is pre-tax or post-tax? Is there a box on the W-2 that shows this? I seriously have no idea how my company handles this.
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Ben Cooper
•Check your pay stub first - if your health insurance deduction is taken out before taxes are calculated, it's pre-tax. If it's deducted after taxes, it's post-tax. On your W-2, pre-tax health insurance premiums won't be included in your taxable wages (Box 1), but they will be included in your Social Security and Medicare wages (Boxes 3 and 5). You can also check with your HR department - they should be able to tell you exactly how your health insurance contributions are handled.
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Jamal Edwards
Great question! This is actually a pretty common scenario for people with mixed income sources. The answer depends on how your employer handles your health insurance premiums. If your $420 is deducted pre-tax from your paycheck (which is most common), you've already received the tax benefit and can't deduct it again for your 1099 income. However, if it's deducted post-tax, you may be able to claim a partial self-employed health insurance deduction on Schedule 1 of your 1040 (not Schedule C). The deduction would be proportional to your self-employment income vs. total income. To check: Look at your pay stub - if the health insurance comes out before taxes are calculated, it's pre-tax. If it comes out after, it's post-tax. You can also verify by checking if your W-2 Box 1 (taxable wages) is lower than your gross pay by more than just the health insurance amount. Even if you can't deduct the health insurance, make sure you're tracking all your other legitimate business expenses for your consulting work - they add up quickly!
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Diego Mendoza
•This is exactly the kind of detailed explanation I was hoping for! I'm going to check my pay stub tonight to see if my health insurance is pre-tax or post-tax. I had no idea there was a difference or that it would affect my ability to deduct it for my freelance work. The proportional deduction based on self-employment income vs total income makes total sense too. Thanks for breaking this down so clearly - it's way more helpful than the IRS publications I was trying to wade through!
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