 [ Symptoms ] my husband is self employed and we have a high deductible bcbs policy  we are able to deduct cost of health insurance on taxes if we were to get a policy through the marketplace would we lose that deduction also i had a brief conversation with someone from bcbs who lead me to think that we will have to change policies i was very confused [ Disease ] if you get a policy through the marketplace you can still deduct the cost of insurance from your taxes if you qualify for a subsidy that lowers your insurance costs the amount would be offset by the amount of the subsidy you receive regarding the changing policies many existing insurance plans do not meet the requirements of the law in that case you would be required to switch policies and you would be best served to shop all of your options and not just move to the plan bcbs pushes you toward