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Healthcare and Taxes

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HSA Contributions

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Contributions made pre-tax and reduce taxable income. Funds can grow tax-free and be used for qualified medical expenses tax-free.

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Flexible Spending Account (FSA)

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Funds contributed are pre-tax, reducing taxable income. Used to pay for out-of-pocket healthcare costs, but usually must be used within the plan year.

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Medical Expense Deduction

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Taxpayers can deduct unreimbursed medical expenses that exceed 7.5% of their adjusted gross income (AGI).

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Medicare Tax

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A payroll tax of 1.45% for employees and employers each, on all earned income. Additional 0.9% applies to high-income earners above certain thresholds.

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Health Insurance Premium Tax Credit

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A refundable credit to help with the cost of health insurance purchased through the Marketplace, based on income level and family size.

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Self-Employed Health Insurance Deduction

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Self-employed individuals can deduct 100% of their health insurance premiums for themselves, their spouses, and dependents.

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Health Reimbursement Arrangement (HRA) Contributions

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Employer-funded plan that reimburses employees for medical expenses and, sometimes, insurance premiums, up to a certain amount per year.

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Long-term Care Insurance Deductions

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Premiums paid for qualified long-term care insurance can be deductible within certain limits based on age and are adjusted for inflation.

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Archer Medical Savings Account (MSA) Contributions

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Tax-deductible contributions and tax-free earnings, but must be associated with high deductible health plans (HDHPs).

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Health Coverage Tax Credit (HCTC)

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A federal tax credit that covers 72.5% of qualified health insurance premiums for eligible individuals and their families.

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Premium Tax Credit Repayment

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If you received more Premium Tax Credit than you’re eligible for, you must repay the excess amount, which adds to your tax liability.

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Individual Mandate Penalty (Prior to 2019)

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If you did not have health insurance that counted as minimum essential coverage, you may have had to pay a penalty for each month without coverage.

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Itemized Deduction for Health Insurance Premiums

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Some taxpayers may itemize deductions and include health insurance premiums as a medical expense if expenses exceed 7.5% of their AGI.

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Employer-Provided Health Insurance Exclusion

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Employer-paid premiums for employees' health insurance are exempt from income and payroll taxes.

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Cafeteria Plans (Section 125 Plans)

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Employees can pay for certain health care expenses with pre-tax dollars, which lowers their taxable income.

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