Is the money I have to repay for health care subsidy deductible as Healthcare cost?

[LisaDB60]

I made about $20,000 this year so I received a large subsidy for Marketplace health care coverage. Unfortunately, I finally got a settlement in a defamation case that affected my reputation as a physician. Now I have to pay back the $10,000 in health insurance subsidy I received. Can I add that $10,000 to my healthcare costs? Seems like I should be able to do that. 

[Critter-3 · Accepted solution]

Yes ... any health insurance costs you must pay out of pocket are a Sch A deduction if you itemize deductions.  The amount you need to pay back on the 2022 form 1040 will be reported on the 2022 Sch A. 

[Mike9241]

turbotax should do this automatically - net premiums paid + advance premium repayment

[Scubasteve80]

If your self employed can you not take the repayment as a deduction against your income rather than itemized deduction. If so how would you do that? I have the same circumstance this year due to a large capital gain. So I have to pay back my entire subsidy.