As a self-employed individual, you may benefit from deducting the cost of health insurance on your tax return. The amount you can deduct can be limited by your advance premium tax credit however. So, you need to enter in the information from your Form 1095-A to determine the amount of your health insurance deduction. The Medicaid insurance premium would not be disallowed as a deduction since there is not a restriction placed on which health insurance you chose to acquire. However, if you need to pay back premiums in a later year, you may have to account for that on your tax return if they caused a reduction in your taxes in the year you deducted them.
You could only deduct the premiums for the marketplace coverage if your taxes did not increase for some reason when you included the Medicaid insurance premiums.
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