Yes, Long Term Care insurance premiums are deductible, but that deduction is subject to limitations.
Medical Expenses limitation - Premiums for "qualified" long-term care insurance policies are tax deductible to the extent that they, along with other unreimbursed medical expenses (including Medicare premiums), exceed 7.5 percent of the insured's adjusted gross income.
"Non-qualfiied" policies - These tax deductions allowed by the IRS for long-term care insurance premiums are generally not available with so-called hybrid policies, such as life insurance and annuity policies with a long-term care benefit.
Limits on LTC Premium Deductibility - There is a limit on how large a premium can be deducted, depending on the age of the taxpayer at the end of the year. Following are the deductibility limits for tax year 2020. Any premium amounts for the year above these limits are not considered to be a medical expense.
You can enter your LTC premiums on Schedule A via the Medical expenses section. It will start with prescriptions and ask for all types of medical expenses. But LTC premiums have their own screen within that section.
Medical, dental, and vision expenses are reported on Schedule A and entered in the Deductions & Credits section.
- With your return open, search for Schedule A and then select the Jump to link in the search results.
- Answer Yes on the Did you spend more than $3,000 on medical expenses in 2020? screen.
- Enter your medical expenses, starting with prescriptions, on the following screens.
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I can use some clarification, please. If a hybrid life insurance with LTC rider is not a qualified long term care, why does the 1099-R form I received stated “qualified long term care”, with code W? Thank you for clarification because I can use that amount to make the 7.5%. Will appreciate it very much.
The IRS states that "[a] qualified long-term care insurance contract is an insurance contract that provides only coverage of qualified long-term care services." Pub. 502 - Medical and Dental Expenses
If the cost of the LTC rider is deducted from the cash value of the life insurance policy you cannot deduct the premiums as a medical expense.
If you have a whole life insurance policy, you can, however, take the position that the cost of the LTC rider is eligible for a deduction as a medical expense. This is because the LTC rider charges on whole life policies are taken before premium dollars are placed in the cash value account. The tax code is unclear regarding this position.
Life insurance premiums are not deductible, so if you decide to take a deduction, the deduction should be for only the costs of the LTC rider.