Home › Blog › Health Insurance Tax Deductions for the Self-Employed in Georgia
Health Insurance Tax Deductions for the Self-Employed in Georgia
If you're self-employed in Georgia, your health premiums are one of the best deductions you have — and most people claim it wrong or not at all.
The self-employed health insurance deduction
You can deduct 100% of premiums for medical, dental and vision coverage for yourself, your spouse and dependents, as an adjustment to income (above the line). It applies whether you buy on Georgia Access or a private plan. The limit is your net self-employment income from the business.
Georgia state taxes
Georgia has a flat state income tax, so the self-employed premium deduction helps at both levels.
The subsidy interaction
Because the deduction lowers your adjusted gross income, it can also lower the income used to calculate your marketplace subsidy — which can push you under the 400% cliff. It's circular (the deduction depends on the subsidy, which depends on the deduction); tax software handles the iteration, but it's worth planning with a CPA if you're close to the line.
Three mistakes we see
Deducting premiums the business reimbursed (double dipping). Forgetting that a spouse's employer coverage eligibility disqualifies the deduction for the months it was available. And paying premiums personally from an S-corp instead of running them through payroll, which is how S-corp owners have to do it.
HSA on top
If you choose an HSA-eligible plan — several private plans in Georgia qualify — you can also deduct HSA contributions ($4,400 individual / $8,750 family in 2026). That's two deductions stacked on one premium.
Not tax advice — confirm with your CPA. For the insurance half, check your options.