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Q: Are Medicare Part B Premiums Tax-Deductible?

Asked by Anonymous on October 12, 2017

Hal Levy October 12, 2017

Yes, your monthly Medicare Part B premiums are tax-deductible.

Insurance premiums are one of many items that qualify for the medical expense deduction. Since it’s not mandatory to enroll in Part B, you can be rewarded for choosing to pay this medical expense.

You can only benefit from the medical expense deduction by following specific rules. You’ll need to file your taxes in a certain way, itemizing your deductions instead of choosing the standard deduction. Additionally, your medical expense deductions only begin to count after they surpass 10 percent or more 7.5 percent of your Adjusted Gross Income (Adjusted Gross Income, or AGI, is your total pre-tax income before certain non-itemized deductions such as health savings account spending).

The medical expense threshold was lowered to 7.5 percent for 2017 and 2018 due to a major tax law change.

Depending on the circumstances, you may be better served by not deducting medical expenses. You may only want to deduct medical expenses in one year, and not another.

However, if you’re actively self-employed, you can deduct your entire health insurance premium. You’ll have the opportunity to do so even if you don’t itemize your deductions. This deduction will be entered on your Form-1040, and not shunted along with your other medical deductions on a Form 1040-A.

A tax deduction – like the well-known medical expense deduction – won’t exactly pay your taxes directly. Instead, tax deductions reduce the amount of money that you have to pay taxes on. Choosing to take the medical expense deduction gives you a write-off that will ultimately reduce, but not erase, the taxes that you owe.

Taking the Next Steps

Keep collecting bills or receipts for your medical expenses. You can see if you’ll want to aim for a medical expense deduction by reviewing your spending and income for the current year. More importantly: this is not tax advice – speak with a qualified tax professional to learn more.

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