How to Claim Premium Tax Credit & Self-Employed Health Insurance Deduction Together
My family's in a weird tax situation and I'm hoping someone here understands this specific issue. My husband runs his own business and is currently the only income earner for our household of 5. We bought health insurance through the marketplace for 2024 without taking the advance premium tax credit, and we're planning to take the self-employed health insurance deduction. Here's where it gets complicated: After taking the self-employed health insurance deduction, our MAGI drops below the 400% threshold, which means we qualify for the premium tax credit. But if we take the full PTC, that would reduce our self-employed health insurance deduction and push our MAGI back up, potentially making us ineligible for the PTC again. I've been reading IRS publication 974 which says: "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." So my question is: Are we required to take the MAXIMUM premium tax credit amount? Or can we choose to take a smaller PTC to maintain enough of a deduction to stay eligible? Could we submit a tax return where the PTC we claim (form 8962, line 24) is different than the calculated annual PTC (line 11 column e)? Or could we just claim the PTC for some months but not others, even though our 1095-A shows coverage for all of us for the entire year? We did hire a tax preparer, but they totally missed that our second-lowest cost silver plan was missing because we didn't take the advance PTC, so they filed without even considering we could take the PTC. So I'm not sure they really understand this circular reference problem.
20 comments


Ava Thompson
You've identified what's commonly called the "circular calculation" problem with PTC and self-employed health insurance deduction. This happens because each one affects the other. The good news is that you don't have to claim the maximum PTC. The publication you quoted actually gives you flexibility in how you calculate this. The IRS understands this circular reference issue and allows you to use any reasonable method as long as the sum of your deduction and credit doesn't exceed your total premiums. You have a few options: You can claim a partial PTC that keeps your MAGI below the threshold. This is completely legitimate and you won't get flagged for an error. You can determine the "sweet spot" where your combined tax benefits are maximized while staying within eligibility. Another approach is to use the alternative calculation method described in the Instructions for Form 8962, which involves multiple iterations to find the right balance. Some tax software can handle this calculation automatically.
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Dmitry Kuznetsov
•Thank you for confirming that we can take a partial PTC! That makes sense, but our tax preparer seemed confused by this approach. Is there a specific place on Form 8962 where we would indicate we're deliberately taking less than the maximum PTC? Also, do you know if taking this approach might increase our chances of being audited since it's somewhat unusual?
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Ava Thompson
•There's no specific place on Form 8962 to indicate you're deliberately taking less than the maximum PTC. You'd calculate your figures using your chosen method and complete the form normally. The IRS doesn't require you to show your work for this circular calculation. The chance of audit isn't significantly increased by this approach. The IRS is familiar with this calculation issue for self-employed individuals. As long as your final numbers are mathematically consistent (meaning your MAGI supports your PTC eligibility and your total benefits don't exceed premiums paid), you're following the rules. Many tax professionals use iterative calculations or spreadsheets to find the optimal balance point, and this is an accepted practice.
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Miguel Ramos
After wrestling with this exact issue last year, I found an amazing tool at https://taxr.ai that made the circular calculation between PTC and SEHI deduction way easier. It was especially helpful because it has specific features for handling these interdependent calculations. I uploaded my 1095-A and other tax documents, and the system automatically detected this circular reference problem. It ran multiple calculation scenarios and showed me the optimal amount to claim for both the PTC and the self-employed health insurance deduction to maximize my benefits while staying compliant. What I really appreciated was that it explained each calculation step and even provided documentation references from IRS publications to back up the approach. Saved me hours of spreadsheet work trying to find that "sweet spot" myself.
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Zainab Ibrahim
•Does this tool actually work with the current tax year forms? I've tried other tax tools that claim to handle these complex situations but they usually haven't updated their systems for the most recent changes.
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StarSailor
•How does this compare to regular tax software? I've been using TurboTax Self-Employed but it doesn't seem to handle this circular reference very well - it keeps flipping between giving me the credit and taking it away.
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Miguel Ramos
•Yes, it works with current tax year forms! They update their system as soon as the IRS releases new forms and publications. I used it for my 2024 planning and it had everything current. It's quite different from regular tax software. While TurboTax and others are more general-purpose, this specializes in handling complex tax situations with interdependent calculations. The main difference I found is that regular tax software often applies a single calculation path, while taxr.ai runs multiple scenarios to find the optimal solution. It's like having a tax professional who specializes in marketplace insurance and self-employment issues work through all the possible approaches.
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StarSailor
I just tried taxr.ai after seeing it mentioned here and I'm honestly shocked at how well it handled this PTC/SEHI circular problem! My situation is similar - self-employed with family marketplace coverage, and my income was right on the edge of eligibility. The tool ran several calculation iterations and found a sweet spot where I could claim about 82% of the maximum PTC I was technically eligible for, which kept my MAGI low enough to remain eligible while maximizing my self-employed health insurance deduction. It showed me exactly what to enter on lines 11 and 24 of Form 8962. What I appreciated most was seeing all the different scenarios laid out with the tax implications of each. Made me feel confident in my final numbers rather than just guessing and hoping I didn't mess something up.
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Connor O'Brien
If you're still struggling with the PTC/self-employed health insurance circular calculation after trying all the spreadsheet methods, you might want to call the IRS directly for guidance. I tried for WEEKS to get through to someone who actually understood this issue - kept getting transferred, disconnected, or speaking with reps who had no clue about this specific scenario. Finally used https://claimyr.com and got through to an IRS tax law specialist in about 20 minutes (instead of the 2+ hour hold times I was experiencing before). You can see how it works in this video: https://youtu.be/_kiP6q8DX5c - basically it waits on hold for you and calls when an agent picks up. The specialist I spoke with confirmed exactly what you're asking - you can absolutely claim less than the maximum PTC to maintain eligibility. They even walked me through the calculation method they recommend for self-employed taxpayers with marketplace coverage.
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Yara Sabbagh
•How exactly does this service work? Do they actually get you to the front of the IRS queue somehow or is it just an automated hold system?
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Keisha Johnson
•Sounds too good to be true. I've been calling the IRS for WEEKS about a different issue and can never get through. I find it hard to believe any service could actually solve this problem...
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Connor O'Brien
•It doesn't put you at the front of the queue - that wouldn't be possible. What it does is call the IRS repeatedly using their automated system, navigates the phone menu options for you, and then waits on hold so you don't have to. When a human IRS agent finally answers, you get a call connecting you to them. So you still "wait" the same amount of time, but you're not physically sitting there listening to hold music for hours. The real value is that they know which IRS phone numbers and menu options are most likely to get you to the right department the first time. Plus, it keeps trying even during high call volume periods when you'd normally get the "call back later" message. I was skeptical too, but after spending countless hours trying to get through myself, it was worth it to get definitive answers on this circular calculation issue.
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Keisha Johnson
I can't believe I'm saying this but I tried the Claimyr service mentioned above and it actually worked. After being super skeptical (and failing to reach the IRS on my own for weeks), I gave it a shot. Got connected to an IRS tax law specialist who specifically handles Affordable Care Act questions. She confirmed that the IRS allows taking less than the maximum PTC to resolve the circular calculation problem. She referenced the exact publication quote you mentioned and said they see this issue frequently with self-employed taxpayers. She even explained how they review these returns - they mainly check that: 1) your final MAGI supports PTC eligibility, and 2) your combined benefits (PTC + deduction) don't exceed total premiums. As long as those two conditions are met, you're good. For anyone facing this weird circular reference problem, definitely get confirmation from an actual IRS specialist. Saved me so much stress about possibly doing this wrong.
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Paolo Rizzo
I've been a tax preparer for 10+ years and handle this circular calculation regularly. Here's my practical approach: 1. Start by calculating your taxes WITHOUT claiming any PTC. 2. See if your MAGI is below the 400% threshold after taking the self-employed health insurance deduction. 3. If yes, calculate the maximum PTC you'd be eligible for. 4. Reduce that PTC amount gradually until you find the point where claiming that PTC keeps your MAGI just below the threshold. For example, if your MAGI is $103,000 and the threshold is $106,000, you might be able to claim around $3,000 in PTC while still maintaining eligibility. The most important thing: document your calculation method! Save spreadsheets or notes showing how you arrived at your figures in case of questions later.
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QuantumQuest
•This calculation approach sounds reasonable, but isn't there some automated way to do this? Seems like it would be a pain to manually iterate through different PTC amounts.
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Paolo Rizzo
•You're right that manual iteration is tedious. Some professional tax software has built-in calculators for this, but they're not always reliable. If you're comfortable with Excel, you can set up a spreadsheet with formulas that capture the relationship between the two calculations. I usually use a "goal seek" function in Excel where I set a target (MAGI just below the threshold) and let it find the optimal PTC amount. Another option is to use the alternative calculation worksheet in the Instructions for Form 8962, which walks through an iterative process. For most clients in this situation, I find that claiming about 70-85% of the maximum eligible PTC often lands in the sweet spot, but it varies significantly based on individual circumstances.
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Amina Sy
Has anyone here actually gone through an audit with this kind of partial PTC claim? I'm concerned about taking less than the maximum amount I'm eligible for, even though it seems allowed by the rules.
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Oliver Fischer
•I had a correspondence audit last year where they questioned my PTC calculation. I submitted my worksheet showing how I determined the partial PTC amount to maintain eligibility, along with the quote from Pub 974. They accepted it without further questions. They seemed familiar with the circular reference issue.
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Chloe Taylor
This is such a complex situation that many taxpayers face! I went through something similar last year with my consulting business. One thing that helped me was creating a simple spreadsheet to model different scenarios. Here's what I learned from working through this: The key is finding that "Goldilocks zone" where your PTC claim is just right - not so high that it pushes your MAGI over the 400% threshold, but high enough to give you meaningful tax savings. I ended up claiming about 75% of my maximum eligible PTC, which kept my MAGI at around 395% of the federal poverty level. This allowed me to maintain both the self-employed health insurance deduction and a substantial premium tax credit. One tip: when you're doing the calculations, remember that the self-employed health insurance deduction goes on Schedule 1, which directly reduces your AGI, while the PTC is a refundable credit. So you want to optimize for the combination that gives you the lowest overall tax liability. The IRS really does understand this circular reference problem - it's not some obscure loophole. Publication 974 specifically addresses it because so many self-employed people with marketplace coverage face this exact scenario. Don't let your tax preparer's confusion discourage you from pursuing this legitimate approach!
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Noah Irving
•This is really helpful! I'm in a similar situation as a freelancer and was getting overwhelmed by all the calculations. Your "Goldilocks zone" analogy makes it much clearer - finding that sweet spot where everything works together. Quick question though - when you say you claimed 75% of your maximum eligible PTC, how did you determine that specific percentage? Did you just try different amounts until you found one that kept your MAGI under 400%, or is there a more systematic way to find the optimal point? Also, did you have any issues with your tax software handling this approach, or did you have to override some of the automatic calculations?
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