You pay your own health insurance. At least make it deductible.
Freelancers can write off 100% of their premiums — medical, dental, vision, for the whole family. Here's what yours is worth.
Tax data last updated: July 2026. Sources & methodology
Your numbers
What you pay for medical, dental, and vision — yourself, spouse, dependents.
1099 income minus business expenses. The deduction can't exceed this.
At your 22% bracket, that's about $1,320 less federal tax.
- Premiums paid
- $6,000
- Deductible amount
- $6,000
- Marginal tax rate
- 22%
- Estimated federal tax saved
- $1,320
One big catch: you can't claim this for any month you were eligible for an employer-sponsored plan — yours or a spouse's — even if you didn't enroll. This deduction lowers income tax but not self-employment tax. Not tax advice.
How this is calculated
The deduction is your total premiums for the year, limited to your net self-employment income — the IRS won't let the write-off exceed what the business actually earned. It goes on Schedule 1 as an "above-the-line" deduction, which means you get it on top of the standard deduction, not instead of it.
To show what it's worth, we multiply the deductible amount by your marginal federal rate. One thing it doesn't do: reduce self-employment tax. Premiums come off your income tax only, which trips up a lot of first-year freelancers doing the math.