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Can I deduct Medicare premiums?

It depends on the type of Medicare premium:

  • Medicare A -- You can only include Medicare A premiums if both of these are true:
    • You voluntarily enrolled in Medicare A.
    • You aren’t yet eligible for Social Security.
  • Medicare B -- Supplemental insurance and is includable if you applied for it at either of these:
    • Age 65
    • After you became disabled
  • Medicare Part D -- Voluntary insurance and always includable

You can deduct the amount of your Medicare and your other medical expenses. To do so, these must be more than a certain percentage of your adjusted gross income (AGI).

Depending on your age and the tax year, this percentage is either:

  • 7.5% of your AGI
  • 10% of your AGI

Report medical expenses on Schedule A, and you must itemize to deduct them.  The payroll tax for Medicare is never a medical expense.

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