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Daily Living > Consumer Guide to Health Care > Save Big on Medical Tax Deductions
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Save Big on Medical Tax Deductions

By Jill Tyrer

Are you fearing pain in your pocketbook this tax season? You may be able to recoup costs with medical tax deductions. To cash in you must meet two criteria: You must itemize on your tax return and your out-of-pocket medical expenses – those not covered by insurance – must total more than 7.5 percent of your adjusted gross income (AGI). For example: If your AGI is $50,000 for the year, you may deduct any out-of-pocket costs in excess of $3,750.

Use these tips to maximize your medical tax deductions. 

  • Know what’s deductible. Generally, for medical expenses to qualify as deductions they must be ordered by a health professional to treat a diagnosed condition. An exception: Over-the-counter meds (except insulin) are not deductible. Fees for doctors, hospitals, nursing services, physical and occupational therapy, lab work, surgery, and transportation costs to appointments, are all deductible.
  • Evaluate special items. Personal items, such as orthotic shoes, must pass the “but for” test, says IRS spokesperson Michelle Lamishaw, “which means that the taxpayer would not purchase the item but for the medical purpose.” In some cases, only part of the cost can be written off. A home modification may also be deductible, but if it increases your home’s value, such as an elevator, you must discount that increase.
  • Check alternative therapies. Alternative treatments, such as acupuncture, are allowed, but supplements are not – unless ordered by a doctor. And although cosmetic surgery typically isn’t deductible, it is when it’s to correct deformities or repair injuries resulting from an accident or disease.
  • Get your doctor’s orders in writing. It won’t guarantee a deduction will pass muster with the IRS, but it strengthens your case.
  • Bundle your costs. Consolidating medical expenses into one year instead of two makes that 7.5 percent threshold more accessible, says Tony Davis, a CPA with LarsonAllen in Minneapolis who specializes in health care.

For a complete list of deductible medical expenses, visit the Internal Revenue Service’s Web site.

 

Oregon CPA
09 Jan 2012, 18:38
For those of you who are inquiring about consolidating your medical expenses into one year instead of two: The editor was likely referring to the strategy of scheduling as many planned procedures or medical expenses in one year as possible.

For example, if you were going to have corrective eye surgery and were contemplating medical improvements to your home, do them both in one year, instead of over two, which will help get you over the 7.5% threshold.

You still are required to report the expenses in the year paid, so this strategy is limited by what procedures/expenses for which you can adjust the scheduling or payment.
Rich Morin
07 Dec 2011, 14:44
I purchased a walk-in tub in 2011 that is paid in full. My wife has arthritis in her lower back and I have it in both my knees. I also had knee surgery to repair a torn tendon in my knee. We are also both diabetic.
The walk-in tub has 3 speed jets that ciculate the water.

Does my walk-in tub qualify for a medical deduction for 2011 or can I write of the cost of the tub over a number of years?
deb
23 Mar 2011, 14:55
by consolidation i think they mean - if you are having a bunch of procedures done it is better to fit it into one calendar year than to start in november and end in february. if you can have it all done by dec 31st or if you can have it all done after january 1st you will be better off at tax time.
Angella S Mihalak
16 Feb 2011, 18:10
I would also like more info on deducting two years into one for medical. Thank You, Angella
Marilyn
15 Feb 2011, 12:07
I have a prescription for a wal-in tub for my arthritis. I paid for half of the cost in Nov. 2010 (required to order the unit) and will pay the other half in 2011 when the tub will be installed. I plan to take the deduction for the initial payment on my 2010 tax return and the balance to be deducted on my 2011 tax return. Do you preceive a problem with the IRS with this? Real Estate appraisers are uncertain that the addition will increase my home's value so I have been unable to get any figures on adjusting the cost to reflect any appreciation on my home. Your input would be greatly appreciated.
The Editors
12 Feb 2011, 10:08
Thank you for your comments. Please note: Insulin is indeed a deductible medical expense, according to the IRS. For a list of deductible medical expenses, click on the link at the end of the story above.
Me
11 Feb 2011, 14:15
Insulin is not an over the counter drug, it's prescription only, and it specifically says on the IRS website it is NOT deductable at all.
Joni
14 Sep 2010, 06:09
I have been diagnosed with Fibromyalgia. My doctor told me to get a hot tub/jacuzzi and or a swimming pool. I even have a prescription for such. Can this be deducted on my taxes?
Sally
17 Feb 2010, 16:48
For medical deductions download Department of the Treasury Internal Revenue Service Publication 502. "Medical and Dental Expenses" Including the Health Coverage Tax Credit)
I download it every year, and things change. Apparently no one in congress really cares about those they represent.
By the way don't feel too bad about your health cost, with long term care, and over $1,000 a month supplemental insurance we run over $20,000 a year in medical expenses. Over half of our income with the IRA with drawls.
Yolanda Houtby
12 Feb 2010, 16:29
Can we deduct medical expenses with Standard filing instead of Itemized filing?
Sandy Frith
08 Jan 2010, 18:05
My husband lost his job last June and I found out that I was not eligible for his COBRA coverage, as I was Medicare eligible.

I now have to pay for Medicare Part B coverage as well as the Part C and D we have with Kaiser Permanente Senior Advantage, totalling about $200/mo.

This change in coverage for me also made it financially necessary to change from self-injectable Enbrel to Remicade infusions.

Enbrel would have subjected me to fall into the Part D coverage gap within 3 months of the benefit year and increase the estimated annual out of pocket expenses to $8500 per year. (this does not inclusde premiums.) This would have been impossible to absorb on our unemployment/disability incomes, yet we did not qualify for any assistance.

I luckily have a decent understanding of coverage issues. I recalled that IV infusions administered in the doctors' office or infusion clinic are covered under Part B Medicare and are NOT subject to either the coverage gap or co-payment of Part D.

I hope this information is helpful to others out there.
C. Pagels
09 Nov 2009, 09:00
I was disappointed that the magazine directed the reader to the website for "a complete list of deductible expenses" yet the website sends you on to the IRS website. Why not simply instruct the magazine reader to check the IRS website? The Arthritis Foundation does a great job and I enjoy the magazine. What happened with this article?
Jane Weiland
07 Jul 2009, 15:45
Is there an IRS formula for deducting the cost and supplies of a swim-spa ordered by a physician. I think you can make a deduction over a few years, but I am not sure how to do it.
Diane Carter
08 Apr 2009, 11:50
Called the IRS about consolidating medical expenses into one year.Was told you can only deduct the expenses in the year that you actually paid for them.
Would life to have further information about this.
Janet Burdick
31 Mar 2009, 15:29
I am also quite interested in further information about consolidating medical expenses into one year instead of two.
Jo A. Leslie
19 Mar 2009, 21:40
I would like further information about consolidating medical expenses into one year instead of two?
Bob Winter
10 Mar 2009, 13:48
Please explain further the concept of consolidating medical expenses into one year instead of two.

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