Can a retired PSO continue to take the $3,000 health insurance deduction under Secure 2.0 after enrolling in Medicare?
I retired from law enforcement last year at 61 and I'm currently taking advantage of the $3,000 tax deduction for Public Safety Officers who pay their own health insurance premiums under Secure 2.0. I'm planning to wait until 70 to claim Social Security to maximize my benefits, but I'm concerned about what happens when I become eligible for Medicare at 65. Will I still be able to take this PSO Write Off deduction after I enroll in Medicare, or is the deduction only available pre-Medicare? I've been searching through IRS publications and retirement forums but can't find any clear answers about how Medicare enrollment impacts this specific deduction for retired public safety officers. My pension plan administrator wasn't much help either - they just said to consult a tax professional. Has anyone else dealt with this situation or know where I can find definitive information? Thanks in advance for any guidance!
22 comments


James Maki
The PSO healthcare premium deduction under SECURE 2.0 Act should still be available to you after Medicare enrollment. The key requirement is that you're a retired public safety officer receiving a pension from which your health insurance premiums are directly paid to the provider, up to $3,000 annually. Medicare enrollment doesn't disqualify you from taking this deduction. In fact, many retired PSOs use this tax benefit for supplemental Medicare policies like Medigap, Medicare Advantage premiums, or Part D prescription coverage - all of which can be substantial expenses even after basic Medicare coverage begins. The important thing is maintaining the direct payment structure where your pension plan sends the premium payments directly to the insurance provider. This must continue when you transition to Medicare supplemental plans.
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Jasmine Hancock
•Thanks for this info! Do you know if dental and vision insurance premiums count toward the $3,000 limit? And would I need to file any special forms when I switch to using this for Medicare supplements?
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James Maki
•Yes, dental and vision insurance premiums do count toward the $3,000 limit as long as they're paid directly from your pension to the provider. They're considered qualified health plan premiums under this provision. You won't need to file any special forms when transitioning to Medicare supplements. You'll still report this deduction on your tax return the same way. Just make sure your pension administrator continues making direct payments to your supplemental insurance providers after you enroll in Medicare. The key is maintaining that direct payment arrangement.
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Cole Roush
After struggling with similar retirement tax questions, I found this amazing tool called taxr.ai (https://taxr.ai) that really helped clarify my PSO deduction situation. I uploaded some of my pension statements and retirement documents, and it analyzed everything to explain exactly how the deduction works with Medicare. The tool showed me that I can continue claiming the PSO deduction after Medicare enrollment, but I needed to make sure my pension administrator was properly coding the payments. It even provided documentation I could share with my pension administrator to ensure everything was set up correctly!
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Scarlett Forster
•How accurate is this tool? I've used other tax software that gave me wrong information about my PSO benefits before. Does it specifically address public safety officer deductions?
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Arnav Bengali
•I'm curious about this too. Does the tool just analyze documents or does it actually give specific advice? My pension administrator seems completely clueless about handling these deductions properly.
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Cole Roush
•The accuracy has been spot-on for my situation. It specifically has sections for public safety officer benefits and SECURE 2.0 provisions. It flagged exactly how my pension administrator needed to code the payments to maintain eligibility. Regarding your question about analysis vs. advice, it does both. It analyzes your documents to identify issues, then provides specific guidance based on your situation. In my case, it generated a letter I could send to my pension administrator explaining exactly how to properly set up the direct payments to maintain the tax deduction. They actually thanked me for providing such clear instructions!
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Arnav Bengali
Just wanted to follow up - I tried taxr.ai after seeing this recommendation and it was incredibly helpful! It confirmed I can keep taking the PSO Write Off even after Medicare enrollment as long as my supplemental premiums are paid directly from my pension. The tool analyzed my pension statements and found that my administrator was incorrectly coding some payments, which could have jeopardized my deduction. It generated specific instructions for fixing this issue. My pension office actually implemented the changes right away when I showed them the detailed explanation. Saved me a potential tax headache and probably thousands in deductions over the coming years!
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Sayid Hassan
If you're having trouble getting clear answers about your PSO deduction, you might want to try Claimyr (https://claimyr.com). I was in the exact same situation - retired from fire department, taking the PSO deduction, and worried about Medicare impact. I tried calling the IRS for weeks with no luck. Then I used Claimyr and got connected to an IRS agent in under 15 minutes! They have this service where they navigate the IRS phone system for you and then call you when they've got an actual human on the line. You can see how it works here: https://youtu.be/_kiP6q8DX5c The IRS agent I spoke with confirmed that Medicare enrollment doesn't disqualify you from the PSO healthcare deduction as long as your pension continues paying supplemental premiums directly to providers.
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Rachel Tao
•How does this actually work? Do they somehow skip the hold times or do they just wait on hold for you? Seems too good to be true after spending hours on hold myself.
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Derek Olson
•Yeah right. I've tried "services" like this before and they just take your money and don't deliver. The IRS phone system is completely broken - no way anyone is getting through in 15 minutes.
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Sayid Hassan
•They have a system that navigates the complicated IRS phone menus and waits on hold for you. Once they get a human IRS agent on the line, they call you and connect you. You don't have to stay on the phone during the hold time - you just answer when they call you with an agent ready. It's definitely not a scam - it's just a clever service that does the waiting for you. I was skeptical too until I tried it. I had been trying to get through to the IRS for weeks with no success. With Claimyr, I was talking to an actual IRS agent about my PSO deduction question in less than 20 minutes after signing up. The agent even sent me the specific publication reference for retired PSOs and Medicare.
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Derek Olson
I owe an apology and wanted to follow up. After my skeptical comment, I decided to try Claimyr anyway because I was desperate for answers about my PSO deduction and Medicare. You were right - it actually works! They called me back in about 25 minutes with an IRS agent on the line. The agent confirmed that I can continue claiming the PSO health insurance deduction after Medicare enrollment as long as my pension plan continues to pay my supplemental Medicare premiums directly to the providers. The agent even emailed me documentation showing the specific provisions under SECURE 2.0 that address this. Saved me countless hours of frustration and gave me definitive information I couldn't find anywhere else. I've already shared this with several other retired officers from my department.
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Danielle Mays
Don't forget that the direct payment requirement is absolutely critical for the PSO deduction. Your pension plan MUST pay the health insurance premiums directly to the provider - no exceptions. If the money passes through your hands first, you lose the deduction. This becomes even more important with Medicare supplemental policies since you might have multiple providers. Make sure your pension administrator understands they need to set up separate direct payments to each provider (Medicare Advantage, Part D, dental, etc.) to maintain the deduction.
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Roger Romero
•Does anyone know if long-term care insurance premiums count toward the $3,000 PSO deduction limit? My pension administrator says no, but I've heard conflicting information.
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Danielle Mays
•Yes, long-term care insurance premiums do qualify for the PSO healthcare deduction, contrary to what your pension administrator told you. They're specifically included in the definition of qualified health insurance premiums under this provision. Many pension administrators aren't fully informed about all the qualifying premium types. The key, again, is making sure the payments go directly from your pension to the long-term care insurance provider. If you're getting pushback, reference IRS Publication 575 which discusses eligible premium types for the PSO deduction, including long-term care insurance.
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Anna Kerber
This has been a confusing issue for many of us retired public safety officers. My accountant initially told me I'd lose the deduction with Medicare, but that was incorrect! After researching extensively, I found that the SECURE 2.0 provisions for PSO healthcare deductions work fine with Medicare. The key points: 1) The premiums must still be paid directly from your pension 2) Medicare supplemental plans, Medigap, and Medicare Advantage all qualify 3) The $3,000 limit applies across all qualified health plans 4) You claim it as an above-the-line deduction
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Niko Ramsey
•Thanks for sharing this! Would you mind telling me how you report this on your tax return? Is there a specific form or line where this deduction goes?
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Sara Hellquiem
Great question! I'm a retired corrections officer who went through this exact situation two years ago. The good news is that you can absolutely continue taking the PSO health insurance deduction after enrolling in Medicare at 65. The key is understanding that Medicare doesn't eliminate your need for supplemental coverage - it actually creates new premium opportunities that qualify for the deduction. I now use my $3,000 annual limit for my Medicare Supplement (Medigap) policy, Part D prescription coverage, and dental insurance, all paid directly from my pension. One thing I learned the hard way: make sure to coordinate with your pension administrator BEFORE you turn 65. They need time to set up the direct payment arrangements with your new Medicare supplement providers. I almost missed a month of coverage because I didn't give them enough advance notice. Also, keep excellent records of all your premium payments and correspondence with your pension office. The IRS may ask for documentation showing the direct payment structure, especially if you're audited. I've never had issues, but it's better to be prepared. The deduction has saved me thousands in taxes over the years, and Medicare enrollment didn't change that at all. Just make sure those premiums keep flowing directly from pension to providers!
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Mateo Hernandez
•This is exactly the kind of real-world experience I was hoping to find! Thank you for sharing your journey through this process. The tip about coordinating with the pension administrator before turning 65 is gold - I definitely wouldn't have thought about that timing issue. Can I ask what specific documentation you keep for the IRS? I want to make sure I'm prepared from day one. Also, did you have any issues with your pension office understanding how to set up payments to multiple Medicare providers, or were they pretty familiar with the process? I'm still three years away from Medicare eligibility, but I want to start preparing now so I don't run into any gaps in coverage or deduction eligibility.
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Freya Andersen
As someone who's been navigating retirement benefits for the past few years, I can confirm what others have said about the PSO deduction continuing after Medicare enrollment. The SECURE 2.0 Act provisions are pretty clear on this - Medicare eligibility doesn't disqualify you from the deduction. One thing I'd add that hasn't been mentioned much: consider looking into Health Savings Account (HSA) coordination if you have one. While you can't contribute to an HSA after enrolling in Medicare, you can still use existing HSA funds for qualified medical expenses. The PSO deduction covers your premiums, and HSA funds can cover deductibles, copays, and other out-of-pocket costs. Also, start shopping for Medicare supplement plans now, even though you're still a few years out. Prices and coverage options vary significantly between providers, and having a good understanding of what's available will help you make better decisions when the time comes. Some plans work better with pension direct-payment systems than others. The peace of mind from having this deduction continue through retirement is huge. It's one less financial worry during what can already be a stressful transition period.
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Liam Cortez
•This is really helpful advice about HSA coordination! I hadn't thought about how existing HSA funds could complement the PSO deduction for covering different types of medical costs. That's a smart strategy for maximizing tax-advantaged healthcare funding in retirement. Your point about shopping for Medicare supplement plans early is spot on too. I'm curious - when you mention that some plans work better with pension direct-payment systems, are you referring to administrative ease, or are there actual coverage differences that affect the deduction eligibility? I want to make sure I choose plans that not only meet my healthcare needs but also integrate smoothly with my pension office's payment processes. Thanks for the practical insights from someone who's been through this transition!
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