If you're a freelancer buying health insurance through the ACA Marketplace, you've probably heard about two important tax benefits: the Premium Tax Credit (PTC) and the Self-Employed Health Insurance Deduction (SEHID).
What most freelancers don't realize is that these two benefits interact with each other in a complex, circular way that can dramatically change your final tax bill. And here's the kicker: most tax software doesn't calculate this correctly.
What is the Premium Tax Credit (PTC)?
The Premium Tax Credit is a federal subsidy that helps lower your monthly health insurance premiums if you buy coverage through the ACA Marketplace (Healthcare.gov or your state exchange).
How it works:
- You estimate your annual income when you enroll
- Based on this estimate, you receive an "Advance Premium Tax Credit" (APTC) each month
- This APTC is paid directly to your insurance company, reducing your monthly bill
- At tax time, you reconcile using IRS Form 8962: Did you receive too much or too little?
The PTC is based on your Modified Adjusted Gross Income (MAGI), which includes your self-employment income minus your business expenses.
What is the Self-Employed Health Insurance Deduction (SEHID)?
If you're self-employed, you can deduct your health insurance premiums as an "above-the-line" deduction on Form 1040. This reduces your Adjusted Gross Income (AGI), resulting in significant tax savings.
The catch: You can only deduct the premiums you actually paid out-of-pocket. You cannot deduct the portion covered by the Premium Tax Credit.
Simple Example (Without the Interaction)
Monthly premium: $500
APTC you received: $300
You paid out-of-pocket: $200
Annual SEHID: $200 × 12 = $2,400
Seems straightforward, right? But there's a problem...
The Circular Dependency Problem
Here's where it gets tricky. Let's say your initial income is $50,000. Here's what happens:
- Step 1: Based on $50,000 MAGI, you're eligible for $3,600/year in PTC
- Step 2: You paid $6,000 in premiums, minus $3,600 PTC = $2,400 SEHID
- Step 3: But wait! That $2,400 deduction reduces your MAGI to $47,600
- Step 4: At $47,600 MAGI, you're now eligible for MORE PTC (let's say $3,900)
- Step 5: But if your PTC is $3,900, your SEHID is only $2,100 ($6,000 - $3,900)
- Step 6: If your SEHID is $2,100, your MAGI is $47,900...
- Step 7: Which changes your PTC again...
And the cycle continues.
The IRS Iterative Calculation Method
The IRS knows about this problem. In Publication 974, they describe the official solution: the Iterative Calculation Method.
Here's how it works:
- Start with your initial MAGI (income before SEHID)
- Calculate your PTC based on that MAGI
- Calculate your SEHID based on that PTC
- Recalculate your MAGI using the new SEHID
- Recalculate your PTC based on the new MAGI
- Repeat steps 3-5 until the numbers stop changing
Typically, this converges after 5-10 iterations.
Real Example: Sarah's Tax Calculation
Initial gross income: $50,000
Annual premium: $6,000
Age: 34, single, no dependents
State: Colorado
❌ What TurboTax calculated (incorrectly):
- SEHID: $6,000
- MAGI: $44,000
- PTC: $4,200
- Repayment owed: $600
✅ Correct iterative calculation:
- SEHID: $2,847
- MAGI: $47,153
- PTC: $3,153
- Repayment owed: -$153 (refund!)
Difference: $753 — Sarah would have overpaid by this amount using standard tax software!
Why Most Tax Software Gets This Wrong
The problem? Most tax software (including TurboTax, H&R Block, and even many CPAs) don't implement the iterative method. They make simplifying assumptions like:
- "Just deduct the full premium amount" (wrong if you got APTC)
- "Use last year's PTC amount" (wrong if income changed)
- "Calculate SEHID first, then PTC" (wrong — they're interdependent)
The result? Freelancers often:
- Overpay taxes by $500-$2,000
- Get surprised by APTC repayment at tax time
- Miss out on legitimate deductions
Action Steps for Freelancers
- Calculate your real MAGI using the iterative method
- Compare to what you estimated when enrolling
- If your income went up significantly, prepare for APTC repayment
- If your income went down, you might get a refund
- Consider adjusting your APTC for next year to avoid surprises
Want to Know Your Real Cost?
Use our calculator to run the full IRS iterative calculation and see exactly what you'll owe (or get back) at tax time.
Calculate My Real CostFrequently Asked Questions
Can I use TurboTax?
TurboTax will calculate your taxes, but it may not optimize the SEHID/PTC interaction correctly. Many users report receiving APTC repayments because of this.
Do I need to do this calculation myself?
No! The IRS provides worksheets in Publication 974, or you can use our automated calculator which implements the exact IRS method.
What if I already filed and didn't use the iterative method?
If you believe you overpaid, you can consult with a tax professional for guidance before filing an amended return (Form 1040-X).
Does this apply to everyone with ACA coverage?
Only if you're self-employed AND receiving Premium Tax Credits. If you're an employee or don't get APTC, this doesn't apply to you.