Is COBRA health insurance (from 1095-B) not eligible for tax deduction?
I've had a complicated tax situation lately. After being laid off in early 2023, I continued my health insurance through COBRA all the way through December 2024 (which is allowed in my state). The frustrating part is that I've been paying the ENTIRE premium myself – not splitting it with an employer like before – and I just found out these payments might not be tax-deductible! I've been struggling financially but prioritized keeping my health insurance, spending thousands of dollars on premiums that were honestly hard to afford most months. Now I'm learning that not only might I not get any tax deduction for these payments, but I also have to pay substantial self-employment taxes despite barely making ends meet. Can anyone clarify if COBRA premiums (reported on Form 1095-B) are actually not deductible? And does anyone have advice on how to potentially reduce self-employment tax when your income is already quite low? I feel like I'm being penalized for trying to do the right thing by maintaining health coverage during a tough time.
21 comments


Raul Neal
The good news is that health insurance premiums, including COBRA, can potentially be deductible - but it depends on your specific situation and how you file. If you're self-employed, you might be able to deduct your health insurance premiums (including COBRA) as an adjustment to income on Schedule 1 of Form 1040. This is called the self-employed health insurance deduction, and it's available even if you don't itemize deductions. If you're not self-employed, health insurance premiums can only be deducted as itemized medical expenses on Schedule A, and only the amount that exceeds 7.5% of your adjusted gross income. This makes it harder to benefit from. Regarding self-employment tax, make sure you're tracking all legitimate business expenses on Schedule C to reduce your net profit, which is what self-employment tax is calculated on. Also, only pay self-employment tax on actual business income - if you received unemployment or other non-business income, that's not subject to self-employment tax.
0 coins
Jenna Sloan
•Wait, so if I'm understanding correctly, if I was let go but then did some freelance work while on COBRA, I would potentially be able to deduct those COBRA payments from my self-employment income? How would I document that? Would the 1095-B be enough or do I need additional proof?
0 coins
Raul Neal
•Yes, if you were doing freelance work, you would be considered self-employed, and you could potentially claim the self-employed health insurance deduction for your COBRA premiums. This would directly reduce your adjusted gross income rather than being an itemized deduction. For documentation, keep copies of all your COBRA premium statements showing what you paid, along with the 1095-B. The 1095-B mainly shows you had coverage, but doesn't necessarily show the premiums paid, so having those payment records is important. You don't submit these with your return, but should keep them in case of an audit.
0 coins
Christian Burns
After struggling with almost this exact situation, I discovered taxr.ai (https://taxr.ai) and it was a game-changer for understanding my health insurance deduction options. I was also on COBRA after being laid off and doing some freelance work, and was totally confused about what I could deduct. I uploaded my 1095-B and premium payment statements, and the system walked me through exactly how the self-employed health insurance deduction works with COBRA payments. It showed me which forms to use and how to properly document everything to maximize my deduction. The best part was it also identified several legitimate business expenses I hadn't even thought to deduct, which helped lower my self-employment tax quite a bit.
0 coins
Sasha Reese
•How does taxr.ai actually work? Does it just give advice or does it fill out the forms for you? I'm dealing with COBRA payments too but I'm skeptical about using online tools with my tax docs.
0 coins
Muhammad Hobbs
•I've heard mixed things about these AI tax tools. Did it actually save you more than what you'd get from just using TurboTax or talking to an accountant? And how did it help specifically with reducing self-employment tax beyond the usual advice?
0 coins
Christian Burns
•It's an AI-powered tool that analyzes your tax documents and provides personalized guidance. It doesn't fill out your forms, but it tells you exactly what to enter where, which was super helpful for me. You upload documents and it extracts the important information and explains how it applies to your situation. Compared to TurboTax, it saved me a lot more because it's specifically designed to find deductions you might miss. For self-employment tax, it helped me identify business expenses I hadn't considered (like a portion of my phone bill, some home office expenses, and certain software subscriptions) and explained how to properly document them to reduce my Schedule C net profit, which directly lowered my self-employment tax.
0 coins
Sasha Reese
Just wanted to follow up - I decided to try taxr.ai after seeing the recommendation here. I was honestly surprised by how helpful it was! I uploaded my COBRA statements and 1095-B, and it immediately clarified that I could take the self-employed health insurance deduction since I had some freelance income. The system showed me exactly where to report this on my tax forms and explained how much of my premiums would be deductible based on my self-employment income. It also flagged that I needed to reduce my deduction because I received premium tax credits for part of the year (something I hadn't even realized). Ended up saving about $1,400 in taxes that I would have missed otherwise!
0 coins
Noland Curtis
If you're having trouble getting clear answers about your COBRA deductions or self-employment taxes, trying to reach the IRS directly might help, but it's nearly impossible to get through. After waiting on hold for hours multiple times, I found Claimyr (https://claimyr.com) which got me connected to an actual IRS agent in under 15 minutes. I explained my COBRA situation and got definitive answers about how to handle the deduction with my mixed income sources. The agent walked me through exactly how to document everything properly to avoid potential audit flags. You can see how it works in this video: https://youtu.be/_kiP6q8DX5c Honestly, getting those answers directly from the IRS gave me peace of mind that I wasn't missing anything or making a mistake that would come back to haunt me later.
0 coins
Diez Ellis
•Wait, how is this even possible? The IRS phone lines are notoriously impossible to get through. Is this some kind of priority line or something? What's the catch?
0 coins
Vanessa Figueroa
•This sounds like a scam. There's no way to "skip the line" with the IRS. They're a government agency with notoriously bad phone systems. Why would they let some random service jump ahead of everyone else?
0 coins
Noland Curtis
•It's not a priority line - the service uses an automated system that navigates the IRS phone tree and waits on hold for you. When they reach a human agent, they connect the call to your phone. There's no special access or relationship with the IRS - they're just handling the most frustrating part (the waiting and navigating) so you don't have to. No catch really - they just solve the hold time problem. The IRS doesn't know or care how you got connected, they just answer your questions once you're on the line with them. It's basically like having someone else wait on hold instead of you doing it yourself, which saved me hours of frustration.
0 coins
Vanessa Figueroa
I need to eat my words here. After being super skeptical about Claimyr, I decided to try it because I was desperate for answers about my COBRA premium deductions. I was shocked when I got connected to an IRS representative in about 12 minutes. The agent confirmed that my COBRA premiums could be deducted as self-employed health insurance (since I had some 1099 income), but only up to the amount of my self-employment income. She also explained that I had been calculating my self-employment tax incorrectly - I didn't realize I could take the employer-equivalent portion as a deduction. Instead of spending hours on hold or guessing about the rules, I got clear, official answers in minutes. Definitely worth it when you need definitive information directly from the IRS.
0 coins
Abby Marshall
Something important to mention about COBRA and taxes: if you were on COBRA but also received any Advanced Premium Tax Credit during part of the year for Marketplace insurance, you need to be careful about how you report everything. I made the mistake of double-dipping by claiming both the premium tax credit AND trying to deduct the full amount of my insurance payments. Ended up with a letter from the IRS and had to pay back some of my refund plus interest.
0 coins
Sadie Benitez
•How did you figure out the correct way to handle it? I'm in a similar situation where I had COBRA for half the year then switched to a Marketplace plan with subsidies. Should I just not claim any deduction for the COBRA portion to be safe?
0 coins
Abby Marshall
•You can still take a deduction for the COBRA portion - just make sure you only claim the premium tax credit for the Marketplace plan. Keep the two separate on your return. For the COBRA portion, if you're self-employed, deduct it as self-employed health insurance on Schedule 1. If not self-employed, it would go as a medical expense on Schedule A (if you itemize and exceed the 7.5% AGI threshold). The key is not to include those COBRA premiums when calculating your Premium Tax Credit on Form 8962 - that form should only reflect your Marketplace premiums.
0 coins
Drew Hathaway
Has anyone here used the QSE HRA (Qualified Small Employer Health Reimbursement Arrangement) option instead of COBRA? When I got laid off I started my own single-person LLC and set this up. It lets you reimburse yourself tax-free for health insurance premiums up to certain limits. Might be something to look into if you're self-employed now!
0 coins
Laila Prince
•I've never heard of this! Is it complicated to set up? And does it work better than just taking the self-employed health insurance deduction? I've been doing freelance work but just deducting my premiums the regular way.
0 coins
Malik Jackson
•The QSE HRA can be more tax-efficient than the standard self-employed health insurance deduction in some cases. With a QSE HRA, you can reimburse yourself up to $6,150 per year (2024 limits) for individual coverage, and it's completely tax-free - no income tax or self-employment tax on the reimbursement. Setting it up requires formal documentation and you have to follow specific rules (like offering it to all eligible employees if you have any), but for a single-person LLC it's pretty straightforward. The reimbursements are also exempt from FICA taxes, which gives you an advantage over the regular deduction method. You'll want to consult with a tax professional to make sure you set it up correctly, but it can definitely be worth it if you're paying significant premiums. @Drew Hathaway - have you found any downsides to using the QSE HRA approach?
0 coins
Connor Byrne
I went through a very similar situation last year - laid off and maintaining COBRA while doing freelance work. The key thing I learned is that the self-employed health insurance deduction can be a real lifesaver, but there are some important limitations to be aware of. First, you can only deduct up to the amount of your self-employment income. So if you paid $8,000 in COBRA premiums but only made $5,000 in freelance income, you can only deduct $5,000. Second, you cannot take this deduction for any months you were eligible for employer-sponsored coverage elsewhere (including a spouse's plan). This caught me off guard initially. For reducing self-employment tax, make sure you're tracking every legitimate business expense - office supplies, software subscriptions, business meals, mileage for client meetings, etc. Also remember that you can deduct half of your self-employment tax as an adjustment to income, which helps reduce your overall tax burden. One thing that really helped me was keeping detailed records throughout the year rather than trying to reconstruct everything at tax time. Save all your COBRA payment confirmations and any business-related receipts.
0 coins
Amara Adebayo
•This is really helpful, especially the point about only being able to deduct up to your self-employment income amount. I'm just starting to navigate this whole situation myself after being laid off recently. Quick question - when you say "eligible for employer-sponsored coverage elsewhere," does that include if your spouse has a plan available at their job but you're not actually enrolled in it? Or only if you're actually covered by it? I'm trying to figure out if I need to worry about this limitation. Also, did you find any good apps or tools for tracking all those business expenses throughout the year? I'm terrible at keeping receipts organized and I know I'm probably missing out on deductions because of it.
0 coins