Medical premium clawback

I know health insurance premiums are deductible (if they aren’t pre-tax employer health premiums). I’m going through the exchanges. So I have to estimate next year’s income to determine any tax credit I may get. But if I’m off a bit, they claw-back some of the credits. That is, in effect, me paying higher premiums. Am I allowed to include that claw-back with the explicit premiums I paid in determining my medical expenses?

Yes. See the last sentence of this section of IRS Pub 502 2025 Publication 502

AJ

4 Likes

Thanks.

I was pulling up the completed form to see if the software automatically took care of that. When the heck did they do away with Schedule A? I usually just fill out the questions, and if it makes sense I submit electronically. But I wanted to pull up the schedule A to see if it was added to my medical expenses (i.e. the recapture/clawback), and there is no schedule A!! It’s schedules 1, 2, and then B and a few other more obscure ones (88xx something).

For the federal it almost never matters (standard deduction is larger). But for the state, they want me to attach Schedule A from the federal if I’m itemizing. I always double check the state since it usually is a toss up whether it’s better to itemize or take the state standard. Medical usually makes the difference.

They haven’t. 2025 Schedule A (Form 1040)

It’s likely that your standard deduction is higher than the itemized deductions that you documented. If you want to see Schedule A, tell the software that you want to itemize. It will protest that your itemized deductions are lower, but you should be able to force it. Then you can check to see if the claw back was included automatically (my guess is that it wasn’t).

AJ

3 Likes