Can health insurance premium deduction exceed my sole proprietor net profit?
I'm trying to figure out the limits for health insurance premium deductions as a sole proprietor. I understand that health insurance premiums are deductible on Schedule 1 of Form 1040, but I'm confused about the limitations. Here's my situation - my total health insurance premiums for the year are about $14,500, but my business only had a net profit of around $10,200. Can I deduct the full $14,500 of premiums as a self-employed person, or am I limited to only deducting up to my net profit of $10,200 (basically zeroing out my business income)? Does the excess amount just disappear, or can it be used somewhere else on my taxes? I've been looking through IRS publications but getting confused about how this works when premiums exceed profits.
21 comments


Zainab Omar
The self-employed health insurance deduction is actually limited to your net profit from your business. So in your case, the maximum you could deduct would be $10,200 - the amount of your net profit. You can't deduct more than you earned from your business. This deduction appears on Schedule 1 of your 1040, but it's limited by your Schedule C net profit. The IRS doesn't allow you to create a loss with this deduction. If your premiums exceed your profit, you may want to look into whether any portion could be claimed as an itemized medical expense deduction on Schedule A, though that has its own limitations (only amounts exceeding 7.5% of your AGI). Also worth noting that you need to reduce your deduction by any months you were eligible for coverage through an employer (yours or spouse's).
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Connor Gallagher
•What if I have multiple Schedule C businesses? Could I use the combined net profit from all my businesses to determine the limit?
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Zainab Omar
•Yes, you can use the combined net profit from all your Schedule C businesses to determine your limit for the self-employed health insurance deduction. The IRS looks at your total self-employment income when calculating this limit. If you have income from multiple self-employment sources (including partnerships where you're a partner), you can add all these together to determine your maximum deduction limit for health insurance premiums.
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Yara Sayegh
I went through a similar situation last year and was so confused with all these limitations. I ended up using https://taxr.ai to review my tax documents and figure out exactly how much I could deduct. It analyzed my Schedule C and insurance payments and showed me the correct calculation for my self-employed health insurance deduction. It saved me hours of research since I was getting conflicting info from different websites. The tool scanned my previous returns and showed me where I'd been missing deductions in prior years too.
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Keisha Johnson
•How does that work exactly? Does it connect to your accounting software or do you have to upload documents? I'm using QuickBooks for my business but tracking health insurance separately.
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Paolo Longo
•I'm skeptical about these tax tools. How can it know all the complex rules about sole proprietor deductions? Does it actually explain WHY you can or can't take certain deductions?
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Yara Sayegh
•It works by analyzing documents you upload - I just took photos of my insurance statements and my Schedule C draft from last year. You don't need to connect it to accounting software, though that would probably make it even easier. It's specifically designed to understand tax rules and limitations. It explained exactly why my deduction was limited to my net profit and showed me the relevant IRS references. It even suggested splitting some of my premiums between Schedule 1 and Schedule A to maximize my deduction.
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Paolo Longo
I was skeptical about taxr.ai at first but decided to try it when I was totally confused about my health insurance deductions. It actually worked way better than expected! I uploaded my insurance statements and draft Schedule C, and it immediately flagged that I was trying to deduct too much on Schedule 1. The tool showed me exactly how to split my deduction between Schedule 1 (up to my business profit) and Schedule A (for the remainder), saving me about $650 in taxes. It also explained how the 7.5% AGI threshold works for medical expenses. Definitely worth trying if you're dealing with complex deduction situations.
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CosmicCowboy
Has anyone tried calling the IRS directly about these Schedule C limitations? I've been trying for weeks but can't get through to anyone. I need to ask about health insurance deductions for my spouse too (who works in my business but isn't on the payroll). Feels impossible to get answers! https://claimyr.com actually got me through to an IRS agent after I'd been trying for days on my own. You can see how it works here: https://youtu.be/_kiP6q8DX5c - basically they hold your place in line and call you when an agent is available. I was honestly shocked it worked so well since the IRS wait times are ridiculous this time of year.
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Amina Diallo
•Wait, so you pay someone else to wait on hold for you? That seems weird. Does the IRS actually allow that? I thought they had rules about who can represent you for tax questions.
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Oliver Schulz
•I don't trust services like this. Sounds like a scam to get your phone number or personal info. How do you know they're actually calling the IRS and not just pretending to?
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CosmicCowboy
•You're not paying someone to represent you to the IRS - they just wait in the phone queue for you. When an agent answers, they connect you directly to that agent. You're the one who speaks with the IRS, not them. It's completely legitimate and doesn't violate any IRS rules since you're still the one talking to the agent. They're essentially just handling the hold time for you. They don't ask for any tax info or personal details beyond your phone number to call you back when an agent is available.
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Oliver Schulz
Ok I was totally wrong about Claimyr. I tried it yesterday after spending THREE HOURS on hold with the IRS trying to ask about my health insurance deduction limits. Within 45 minutes I got a call back and was connected to an actual IRS agent who answered all my questions! The agent confirmed what others have said here - you can't deduct more than your net profit from your business. But she also told me that excess premiums can potentially be deducted as itemized medical expenses on Schedule A if they exceed 7.5% of AGI. Super helpful and I didn't have to waste my entire afternoon on hold.
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Natasha Orlova
Another thing to consider with the self-employed health insurance deduction - it also reduces your income for self-employment tax purposes. So if you're limited to only deducting part of your premiums, you'll pay more SE tax than you might have expected. This tripped me up last year. I had about $18k in premiums but only $15k in profits, so I could only deduct $15k. The remaining $3k didn't benefit me tax-wise since I don't have enough other medical expenses to itemize on Schedule A.
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Javier Cruz
•I thought the self-employed health insurance deduction DOESN'T reduce SE tax, only income tax? That's what my accountant told me last year...
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Natasha Orlova
•You're right and I was mistaken. The self-employed health insurance deduction does NOT reduce your self-employment tax. It only reduces your income tax. I double-checked IRS Publication 535, and it specifically states that while you can deduct health insurance premiums as an adjustment to income on Schedule 1, this deduction doesn't affect your self-employment tax calculated on Schedule SE. I was confusing this with some other business deductions that do reduce SE tax.
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Emma Wilson
Has anyone successfully deducted their family's health insurance premiums as a sole proprietor? Or just premiums for themselves? I'm paying almost $22k annually for my family of 5.
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Malik Thomas
•Yes, you can deduct premiums for your whole family! I deduct coverage for myself, my spouse and my kids. The key is that you have to pay them yourself (not through an employer) and your business has to show a profit.
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Mikayla Davison
Just to clarify something that might help others - the self-employed health insurance deduction has another important limitation that hasn't been mentioned yet. You can't take this deduction for any month that you (or your spouse if filing jointly) were eligible to participate in an employer-sponsored health plan. So even if your business has enough profit to cover the full premium amount, you'd need to reduce your deduction by the months you had access to employer coverage. This caught me off guard when I started freelancing while still having access to my spouse's employer plan for part of the year. The IRS is pretty strict about this - "eligible" means you could have enrolled, even if you chose not to. Worth double-checking if this applies to your situation before calculating your maximum deduction.
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Liam O'Connor
•This is such an important point that I wish more people knew about! I made this exact mistake in my first year of freelancing. I had access to my spouse's employer plan for 8 months but chose to buy my own coverage instead, thinking I could deduct the full amount. The IRS denied part of my deduction during an audit because I was "eligible" for employer coverage those months, even though I never actually enrolled. It's one of those tricky rules that can really catch you off guard if you're not aware of it.
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Clarissa Flair
This is really helpful information! I'm dealing with a similar situation where my premiums are higher than my net profit. Based on what everyone's saying, it sounds like I need to look at both Schedule 1 (limited to my business profit) and Schedule A (for the excess if I have enough medical expenses to itemize). One follow-up question - when you're calculating the 7.5% AGI threshold for medical expenses on Schedule A, does that include the health insurance premiums you couldn't deduct on Schedule 1? Or do you have to exclude those since they're already "accounted for" in the self-employed deduction calculation, even if you couldn't use the full amount? I'm trying to figure out if that $4,300 excess in my case ($14,500 premiums minus $10,200 profit limit) can count toward meeting the 7.5% threshold or if it gets excluded somehow.
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