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What Are Medical Expenses?
Medical expenses are the costs of diagnosis, cure, mitigation, treatment, or prevention of disease, and the costs for treatments affecting any part or function of the body. They include the costs of equipment, supplies, and diagnostic devices needed for these purposes. They also include dental expenses.
Medical care expenses must be primarily to alleviate or prevent a physical or mental defect or illness. They do not include expenses that are merely beneficial to general health, such as vitamins or a vacation.
Medical expenses include the premiums you pay for insurance that covers the expenses of medical care, and the amounts you pay for transportation to get medical care. Medical expenses also include amounts paid for qualified long-term care services and limited amounts paid for any qualified long-term care insurance contract. |
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What is included in medical and dental expenses?
Medical and dental expenses include amounts paid for the diagnosis, cure, relief, treatment, or prevention of disease, and for treatments affecting any part or function of the body, but they must be primarily for the alleviation or prevention of a physical or mental defect or illness. You include the costs of equipment, supplies, and diagnostic devices needed for these purposes.
For more information refer Publication 17 |
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Whose Medical Expenses Can You Include?
You can generally include medical expenses you pay for yourself as well as those you pay for someone who was your spouse or your dependent either when the services were provided or when you paid for them. There are different rules for dependents and for individuals who are the subject of multiple support agreements. |
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Can I deduct medical and dental expenses on my tax return?
Medical and dental expenses include amounts paid for the diagnosis, cure, relief, treatment, or prevention of disease, and for treatments affecting any part or function of the body, but they must be primarily for the alleviation or prevention of a physical or mental defect or illness.
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What medications can I deduct?
You can only deduct medications - with the exception of insulin - that are prescribed for you or your dependents by your doctor. You don't need a prescription to deduct your insulin costs. You can deduct the costs of your medications only if you buy them AND take them in locations where it is legal to buy and use the prescription. |
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Can I deduct the expenses I paid to stop smoking?
Yes. You can deduct the cost of stop-smoking programs and the cost of prescription drugs to lessen the symptoms of nicotine withdrawal. But you can't deduct the cost of nicotine gum or patches that you buy without a prescription. |
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Can I deduct the cost of my disabled father's care?
Yes, if your disabled father is your tax dependent, or would be your tax dependent except that he fails the gross income or joint return test. You can deduct:
* The amount you pay for actual nursing-type care for your father, AND
* The amount you pay for the caregiver's meals.
You CAN'T deduct the amount you pay the caregiver to provide household services as a medical expense. You must divide the total amount you pay to the caregiver between the time the caregiver actually spent providing nursing-type services for your father and the time spent performing household services.
If you're paying for this care because you need someone to stay with your dependent father while you work, be sure to answer the questions for the Child and Dependent Care Credit. You might qualify for a bigger tax break if you can use these expenses for that credit.
For more details about personal service and nursing-type care for a disabled dependent, obtain IRS Publication 502, Medical and Dental Expenses. |
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Can I deduct medical insurance co-payments and other fees for health care?
Yes. You can deduct your insurance co-payments and the other fees you pay to your doctors and health-care professionals. |
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Can I deduct the cost of cosmetic surgery?
Usually not, you can deduct the cost of your doctors, hospitals, and other medical procedures for cosmetic surgery ONLY if the surgery is necessary to correct a congenital abnormality, a deformity from a disfiguring disease, or a personal injury. |
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My father is in a nursing home and I pay for the entire cost. Can I deduct the expenses on my tax return?
You may deduct qualified medical expenses you pay for yourself, your spouse, and your dependents, including a person you claim as a dependent under a Multiple Support Agreement. You can also deduct medical expenses you paid for someone who would have qualified as your dependent for the purpose of taking personal exemptions except that the person did not meet the gross income or joint return test.
Nursing home expenses are allowable as medical expenses in certain instances. If you, your spouse, or your dependent is in a nursing home, and the primary reason for being there is for medical care, the entire cost, including meals and lodging, is a medical expense. If the individual is in the home mainly for personal reasons, then only the cost of the actual medical care is a medical expense, and the cost of the meals and lodging is not deductible.
You deduct medical expenses on Form 1040 Schedule A (PDF), Itemized Deductions. The total of all allowable medical expenses must be reduced by 7.5% of your Adjusted Gross Income.
For more information, refer Publication 502, Medical and Dental Expenses. |
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What if you pay medical expenses of a deceased spouse or dependent?
If you paid medical expenses for your deceased spouse or dependent, include them as medical expenses on your Form 1040 in the year paid, whether they are paid before or after the decedent's death. The expenses can be included if the person was your spouse or dependent either at the time the medical services were provided or at the time you paid the expenses. |
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What if the decedent's return had been filed and the medical expenses were not included?
Form 1040X can be filed for the year or years the expenses are treated as paid, unless the period for filing an amended return for that year has passed. Generally, an amended return must be filed within 3 years of the date the original return was filed, or within 2 years from the time the tax was paid, whichever date is later.
Example:
John properly filed his 2004 income tax return. He died in 2008 with unpaid medical expenses of $1,500 from 2004 and $1,800 in 2008. His survivor or personal representative can file an amended return for 2004 claiming a deduction based on the $1,500 medical expenses. The $1,800 of medical expenses from 2008 can be included on the decedent's final return for 2008. |
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How Much of the Expenses Can You Deduct?
You can deduct only the amount of your medical and dental expenses that is more than 7.5% of your adjusted gross income (Form 1040, line 38).
In this publication the term “7.5% limit” is used to refer to 7.5% of your adjusted gross income. The phrase “subject to the 7.5% limit” is also used. This phrase means that you must subtract 7.5% (.075) of your adjusted gross income from your medical expenses to figure your medical expense deduction.
Example:
Your adjusted gross income is $40,000, 7.5% of which is $3,000. You paid medical expenses of $2,500. You cannot deduct any of your medical expenses because they are not more than 7.5% of your adjusted gross income. |
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Medical Expenses for Non-dependents
You can deduct medical expenses for non-dependents, if the only reason you cannot claim him as a dependent is because his gross income is $3,200 or more, or because he filed a joint return. However, all of the other rules for dependents must be met.
If you are divorced or separated, you can include amounts you paid for your child's medical care even though the other parent claims an exemption for this child under the divorced or separated parents' rules.
If you are considered to have provided more than half a person's support under a multiple support agreement (and no one alone provides more than half) then you can include medical expenses YOU paid for that person. This is true even if you cannot claim the person as a dependent because he or she had a gross income of $3,200 or more, or filed a joint return.
You can include medical expenses you paid for an ADOPTED child who qualifies as your dependent. If you incurred medical expenses prior to adoption, those amounts may be included as long as the child qualified as your dependent when services were provided or when expenses were paid. |
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- A copy of last years tax return
- Personal identification (driver's license, social security card) for you and your spouse, if applicable, showing the SSN (s).
- W-2s from all of your employers
- Forms 1099 & 1099-G, 1099-DIV, 1099-R.
- All receipts pertaining to your small business
- Social security benefits
- Unemployment Compensation
- Other Income
- Income receipts from rental real estate, royalties, partnerships, s corporation, trusts
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