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Do Medicare Premiums Count as Health Insurance?

Do Medicare Premiums Count as Health Insurance?

Millions of seniors in the U.S. pay premiums for Medicare coverage. A common question is whether you can claim Medicare premiums as a health insurance deduction on your taxes. The answer depends on your tax situation.

While you can’t deduct Medicare premiums directly in most cases, they may count towards your total medical expenses. If your total medical costs exceed the qualifying threshold, you may be able to deduct part of the amount you pay for Medicare coverage to reduce your taxable income.

Understanding the tax rules related to Medicare premiums can help you maximize deductions and get clarification on what counts as health insurance for tax purposes.

Can You Deduct Medicare Premiums?

Medicare premiums cannot be deducted directly from your federal income taxes in most situations. However, they are considered part of your overall medical and dental expenses that may be deductible in certain circumstances.

The one exception is if you are self-employed. Self-employed individuals can directly deduct Medicare premiums, including:

But for most Medicare enrollees who are not self-employed, premiums cannot be directly deducted but may count toward total medical expenses.

Medicare Expenses Tax Deduction Rules

To potentially deduct any portion of what you pay for Medicare coverage, the premiums must be counted as part of your total deductible medical expenses for the year.

Medical Medicare expenses, including Medicare premiums, are only partly tax deductible if they exceed 7.5% of your adjusted gross income (AGI) for the tax year. You must also itemize deductions on Schedule A to claim this deduction.

If your total medical expenses don’t surpass the AGI threshold, then no portion of Medicare premiums or other health costs can be deducted. The premiums you pay won’t directly lower your taxable income.

Very few taxpayers end up qualifying for the medical expense tax deduction, since total costs must be high relative to income to exceed the 7.5% AGI limit. But for some, it provides partial relief for large medical bills and premiums.

Examples of Deducting Medicare Premiums

Here are some examples of how Medicare premiums can factor into the medical expense deduction calculation:

Example 1

John paid $1,500 last year in Medicare premiums. His AGI is $50,000. His total medical expenses for the year were $3,000.

7.5% of John’s AGI is $3,750 (.075 x $50,000). His total medical expenses of $3,000, including Medicare premiums, don’t exceed this limit. Therefore, he can’t claim a medical expense deduction.

Example 2

Mary paid $5,000 in Medicare and other medical insurance premiums last year. Her AGI is $60,000. Her total medical bills for the year were $9,000.

7.5% of Mary’s AGI equals $4,500. Her total medical expenses exceed this by $4,500. The $4,500 amount can potentially be deducted, and the Medicare premiums helped push her over the 7.5% AGI threshold.

Self-Employed Health Insurance Deduction

For the self-employed, Medicare premiums count differently for tax purposes. Rather than listing as medical expenses subject to the AGI limit, self-employed individuals deduct premiums above the line.

With this deduction, self-employed persons can subtract health insurance premiums from gross income when determining adjusted gross income:

  • Premium for Medicare Part B and Part D premiums
  • Medicare Advantage premiums
  • Medicare Supplement premiums
  • Long-term care insurance premiums

There is no AGI threshold for the self-employed health insurance deduction. Documentation of premiums paid is required when filing.

Should You Use a Tax Professional?

The rules on deducting medical expenses like Medicare premiums can be complex. Getting professional tax assistance ensures you claim eligible write-offs appropriately and provides confidence in your approach.

A tax preparer or accountant can help with:

  • Determining which medical expenses qualify
  • Calculating if total costs exceed the AGI limit
  • Figuring the allowable deduction amount
  • Providing the right documentation to the IRS
  • Optimizing deductions if self-employed

Using a tax pro helps avoid errors and makes sure Medicare premiums are treated correctly based on your situation.


While you can’t claim a specific deduction for Medicare premiums in most cases, they can count toward your total medical expenses that may be partly deductible. Talk to a tax professional to ensure you take advantage of any permissible health insurance deductions related to your Medicare coverage costs.

We’re Here to Help

You do not have to spend hours reading articles on the internet to get answers to your Medicare questions. Give the licensed insurance agents at Senior Health Advocates a Call at (386) 222-3030. You will get the answers you seek in a matter of minutes, with no pressure and no sales pitch. We are truly here to help.


Are Medicare premiums tax-deductible?

 Yes, Medicare premiums are tax-deductible under certain circumstances.

What does it mean for an expense to be tax deductible?

When an expense is tax deductible, it means that you can subtract the amount of that expense from your taxable income, which may potentially reduce the amount of taxes you owe.

Can I deduct my Medicare premiums on my tax return?

 Yes, you may be able to deduct your Medicare premiums on your tax return.

Are Medicare Part B premiums tax deductible?

 Yes, Medicare Part B premiums can be tax deductible.

Do I need to itemize my deductions in order to deduct my Medicare premiums?

Yes, in order to deduct your Medicare premiums, you need to itemize your deductions instead of taking the standard deduction.

Can I deduct my Medicare Part B premiums if I receive Social Security benefits?

 Yes, if you receive Social Security benefits, you can deduct your Medicare Part B premiums.

Can I deduct my Medicare Part B premium if the premium is automatically deducted from my Social Security benefits?

Yes, even if your Medicare Part B premium is automatically deducted from your Social Security benefits, you can still deduct it on your tax return.

Can I deduct my Medicare Part B premiums if I am enrolled in Medicare Advantage?

No, Medicare Part B premiums are not tax deductible if you are enrolled in Medicare Advantage. However, you may still be able to deduct other medical expenses.

Can I deduct my Medigap premiums on my tax return?

 Yes, you can deduct your Medigap premiums if you itemize your deductions.

Should I consult with a tax professional to determine if my Medicare premiums are tax deductible?

Yes, it is recommended to consult with a tax professional to determine if your specific Medicare premiums and expenses are tax deductible in your situation.


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