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Can health premiums in paychecks be deducted on federal income taxes?

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Generally, health premiums are deducted before-tax. This means that when you get your W-2 at the end of the year, the amount taken out for health premiums will already be deducted from the total wages shown in Box 1. You put the total wages down on your tax return. This means that the health premiums are automatically deducted from your taxable wages with no special action required on your part.

You cannot claim a second deduction since the premiums have already been deducted from the amount of your taxable wages shown in Box 1 of Form W-2.

If you participate in some sort of health plan where deductions are made after-tax, that is the premiums have not already been deducted from the total shown in Box 1 of your W-2, then in that case you can claim a deduction of part of your health care deduction on Schedule A.
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