IRS

His Tax Refund Was Supposed to Cover His Son’s Prescriptions — The IRS Took 11 Weeks to Decide

Have you ever built a financial plan around money you were legally owed — only to watch the timeline shift while the bills kept coming…

His Tax Refund Was Supposed to Cover His Son's Prescriptions — The IRS Took 11 Weeks to Decide
His Tax Refund Was Supposed to Cover His Son's Prescriptions — The IRS Took 11 Weeks to Decide

Have you ever built a financial plan around money you were legally owed — only to watch the timeline shift while the bills kept coming on schedule? That specific kind of helplessness is what I kept thinking about when I first met James Parker at a Medicare enrollment event at the Multnomah County Central Library in Portland last October.

I was there covering the event for Check Day America, looking for people wrestling with benefit timing and healthcare cost gaps. James walked up to me after a seminar on Part D prescription coverage, a folded pamphlet in his hand, and asked a question I’d heard before: “If I switch plans, how long before my son’s prescriptions are actually covered?” We exchanged cards. Three months later, I drove out to his shop on Northeast Alberta Street for a proper sit-down.

A Barber Shop, a Burst Pipe, and an Insurance Letter

James Parker has owned Parker’s Cuts for nineteen years. The shop is small — four chairs, a waiting bench with cracked vinyl that he keeps meaning to reupholster — but it’s entirely his. He employs two part-time barbers and handles the books himself on Sunday mornings before church.

In January 2025, a pipe burst in the back wall of the shop during a cold snap. The damage hit his commercial property: flooring, drywall, and one of the barber stations. He filed a claim for $8,400 in repairs. His insurer paid out, but in March 2025 — two months after the claim closed — he received a non-renewal notice. His policy, which had cost him $1,100 per year, was being dropped.

⚠ IMPORTANT
Oregon law generally allows insurers to non-renew a commercial property policy after a claim. Replacement coverage after a non-renewal can cost significantly more, particularly for small business owners with a recent claims history. This is not unique to James — it’s a documented pattern affecting small business owners nationwide.

The replacement policy James eventually secured cost $3,200 annually — nearly three times what he’d been paying. That jump of roughly $2,100 per year landed on top of a separate problem: his wife’s employer had switched health insurance carriers in November 2024, and their new plan placed several of their son Marcus’s medications in a higher cost-sharing tier.

Marcus is 29 and has lived at home since a diagnosis of severe autism spectrum disorder in childhood. He requires full-time care and takes three daily medications. Under the old plan, the family’s monthly out-of-pocket for those prescriptions was approximately $95. Under the new formulary, that number jumped to $340 per month.

$95
Monthly prescription cost before plan change

$340
Monthly prescription cost after plan change

$2,940
Additional annual prescription cost

Why He Was Counting on That Refund

When I sat down with James Parker at a small table near the back of his shop on a Tuesday morning in January 2026, the first thing he said wasn’t about the IRS. It was about fatigue.

“I’m not someone who complains. I know how to make things work. But there’s a difference between tight and impossible, and right now it’s starting to feel impossible. And I’m sixty-four years old. I don’t have a lot of runway left to fix things.”
— James Parker, barber and shop owner, Portland, OR

James had filed his 2024 federal return on February 4, 2026, using tax software he’s trusted for years. He files as a sole proprietor using Schedule C. His gross receipts from the shop came in at roughly $84,000 for 2024. After deducting business expenses — including the $3,200 insurance premium, equipment costs, and a portion of his vehicle use — his net self-employment income was approximately $51,000.

He had paid estimated quarterly taxes throughout the year, but between the higher insurance cost kicking in mid-year and the increased prescription burden in the fourth quarter, he had not fully adjusted his withholding strategy. The result, according to his return, was a federal refund of $2,800. He had also claimed a deduction for a portion of Marcus’s medical expenses using Schedule A, which cleared the 7.5% adjusted gross income threshold required by the IRS for medical expense deductions.

That $2,800 was not abstract money to James. He had mentally allocated it: roughly $1,400 to build a buffer for Marcus’s prescriptions through mid-year, and the remainder to cover the insurance premium increase without dipping into his business reserve account.

Eleven Weeks, Three Status Updates, and One Smaller Number

According to the IRS Where’s My Refund tool, most e-filed returns with direct deposit are processed within 21 days. James e-filed on February 4 and received a confirmation. He checked the tool on day 22 and got the same message he’d been seeing since filing: “Your return is still being processed.”

As James explained to me, he called the IRS helpline twice. The first call, on March 2, resulted in a roughly 40-minute hold before a representative told him there was no specific issue noted but that his return had been “selected for additional review.” No CP notice had been issued. No letter was in the mail. He was told to wait.

James’s Refund Timeline
1
February 4, 2026 — E-filed return submitted, direct deposit info included. Confirmation received same day.

2
February 25, 2026 — Day 21 passes with no deposit. Where’s My Refund shows “still being processed.”

3
March 2, 2026 — First IRS call. Told return is under “additional review.” No notice issued. Wait advised.

4
March 18, 2026 — Second IRS call. Representative notes the return is “near resolution.” No timeline given.

5
April 21, 2026 (projected) — Deposit of $1,940 received — 77 days after filing, $860 less than expected.

James told me he received a direct deposit of $1,940 on April 21 — 77 days after he filed, and $860 short of the $2,800 he had claimed. No explanation letter arrived before the deposit. A notice explaining the adjustment — which reduced his medical expense deduction — arrived by mail roughly two weeks after the money hit his account.

“I got the money and then I got the letter explaining why it wasn’t the right amount. In what world does that make sense? I needed that money in February. By April, I’d already had to borrow from my business account twice to cover Marcus’s medication.”
— James Parker

The Adjustment James Didn’t See Coming

The notice James received — an IRS CP21B — indicated that the agency had recalculated his medical expense deduction. The IRS had adjusted his AGI figure slightly upward based on self-employment tax calculations, which raised the 7.5% threshold that medical expenses must exceed to be deductible. That small shift knocked roughly $860 off his deductible medical expenses.

This is a technical but meaningful trap for self-employed filers. The IRS Publication 502 on medical and dental expenses outlines how the threshold works, but the interaction between self-employment tax adjustments and the Schedule A calculation is something many solo filers — and even some tax software programs — handle imprecisely on the first pass.

KEY TAKEAWAY
Self-employed filers using Schedule C must account for the self-employment tax deduction (Form 1040, Schedule 1, Line 15) when calculating their AGI — which in turn raises the 7.5% floor for Schedule A medical deductions. A small AGI adjustment can erase hundreds of dollars in deductible medical expenses without any red flags from tax software.

James wasn’t disputing the IRS’s math when we talked — he’d had a CPA friend review the notice and confirmed it was technically correct. What frustrated him was the gap between expectation and reality, and the 11 weeks of silence in between.

“I’m not angry at anybody specifically. The IRS did what the IRS does. I’m angry at the situation. When you’re running a small business and taking care of a kid full-time, you don’t have the luxury of being wrong about your own money.”
— James Parker

Where Things Stand Now

When I spoke with James Parker in late March 2026, the $1,940 had already been absorbed. He’d repaid the two draws from his business account — roughly $680 total — and used the remainder to stock Marcus’s prescriptions through June. After that, he’s not sure.

The property insurance situation remains unresolved in a deeper sense. He found a new commercial carrier, but the $3,200 annual premium is now simply a fixed line item he absorbs. He described adjusting his pricing for the first time in four years — adding $3 to haircut services across the board — and said the response from his regulars was “mostly fine, a couple guys grumbled.”

“I’ve been doing this for nineteen years. I know how to adjust. I just wish I didn’t have to adjust quite so much all at once.”
— James Parker

He told me he plans to work with a CPA on his 2025 return — his first time paying for professional tax preparation in over a decade. He cited the $860 surprise as the deciding factor. Whether that changes his refund outcome next cycle, he doesn’t know. But it changes his confidence in the process, which matters to him.

James Parker is not a cautionary tale about tax fraud or negligence. He filed correctly, on time, electronically. He paid his estimated taxes throughout the year. He simply didn’t account for a technical calculation that reduced a deduction he’d legitimately incurred. And then he waited 11 weeks to find out. That kind of delay — for a man managing a business, a son’s full-time care, and a newly uninsured commercial property — doesn’t land as a bureaucratic inconvenience. It lands as a financial season.

I left Parker’s Cuts with a haircut I hadn’t planned on and a story I couldn’t stop thinking about on the drive back. Not because James’s situation is unique, but because it isn’t.

Related: He Drives Kids to School Every Day and Can’t Afford His Own Prescriptions: One Spokane Man’s Quiet Financial Crisis

Frequently Asked Questions

How long does the IRS typically take to process a self-employed filer’s refund?

The IRS states that most e-filed returns with direct deposit are processed within 21 days. However, self-employed filers using Schedule C are more likely to face additional review, which can extend processing to 60-90 days or longer without a formal notice being issued.
What is a CP21B notice from the IRS?

A CP21B notice is issued by the IRS to inform a taxpayer that their refund has been adjusted — typically because the agency recalculated a deduction or credit. The notice explains the change and shows the revised refund amount.
Can self-employment income affect my Schedule A medical expense deduction?

Yes. Self-employed filers deduct half of their self-employment tax on Schedule 1, which affects their adjusted gross income (AGI). Since Schedule A medical expenses must exceed 7.5% of AGI to be deductible, a higher AGI can reduce or eliminate the medical expense deduction, even if the expenses themselves are legitimate.
What should I do if my IRS refund is delayed beyond 21 days?

The IRS recommends checking the Where’s My Refund tool at IRS.gov first. If the tool shows ‘still being processed’ after 21 days for an e-filed return, the IRS suggests calling 1-800-829-1040, though wait times can be significant. A Taxpayer Advocate request can be filed if the delay causes financial hardship.
Does filing a property insurance claim affect your taxes?

A property insurance payout for a business claim may reduce the deductible loss you can claim, and in some cases may generate taxable gain if the payout exceeds your adjusted basis in the property. Business insurance premiums — including replacement policies after non-renewal — are generally deductible as ordinary business expenses on Schedule C.

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Vivienne Marlowe Reyes

Senior Tax & Stimulus Writer covering stimulus payments, tax credits, and IRS policy. M.S. Tax Policy Georgetown. Former U.S. Treasury analyst. Enrolled Agent.

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