You can deduct health insurance premiums on federal taxes if you buy your own coverage, spend over 7.5% of your income on medical costs, and itemize deductions. Employer-provided insurance premiums are not deductible. Self-employed individuals can deduct premiums without itemizing. COBRA and Medicare premiums may be deductible under these rules. Long-term care insurance premiums are deductible if itemized and meeting criteria. Medical expenses ordered by a doctor are also deductible.
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