Can I Deduct My Health Insurance Premiums as a Self Employed and HSA?

Many self-employed individuals wonder about the tax benefits associated with health insurance premiums and Health Savings Accounts (HSA). The short answer is yes, you can deduct your health insurance premiums as a self-employed individual, and you can also contribute to an HSA for additional tax benefits.

Self-employed individuals can deduct their health insurance premiums as an 'above-the-line' deduction on their tax returns. This means that you can deduct the premiums from your taxable income, even if you don't itemize your deductions.

In addition to deducting health insurance premiums, self-employed individuals can also contribute to an HSA, which offers additional tax advantages. Here are some key points to consider:

  • Contributions to an HSA are tax-deductible, reducing your taxable income.
  • Withdrawals from an HSA for qualified medical expenses are tax-free.
  • HSA funds can be invested and grow tax-free over time.

When it comes to maximizing your tax benefits as a self-employed individual with an HSA, it's essential to keep detailed records of your health insurance premiums, HSA contributions, and medical expenses. This documentation will help you accurately report your deductions and ensure compliance with IRS regulations.


If you are self-employed, understanding the tax benefits related to your health insurance premiums and Health Savings Accounts (HSA) can make a significant difference in your finances. Not only can you deduct your health insurance premiums, but contributing to an HSA can further enhance your tax savings.

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