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Medical, Dental, and Health Deductions and Expenses
Did you know that you may be able to deduct expenses you pay for someone who is not claimed
as a dependent? This week’s tip is about medical expenses and deductions that some people are
unaware of. For instance, Dave supplied over one-half of his mother’s support for the past
year, so he can include the medical expenses he paid for her.
Below is an excerpt from the IRS about medical expenses:
“Medical care expenses include payments for the diagnosis, cure, mitigation, treatment, or
prevention of disease, or payments for treatments affecting any structure or function of the
body.”
Medical care expenses include the insurance premiums you paid for policies that cover medical
care or for a qualified long-term care insurance policy covering qualified long- term care
services.
If you are self-employed and have a net profit for the year, you may be able to deduct (as an
adjustment to income) the premiums you paid on a health insurance policy covering medical
care, including a qualified long-term care insurance policy that covers medical care for yourself,
your spouse and dependents.
To your advantage, you can also deduct some medical expenses paid for, even if you are not ill.
In a ruling issued in 2007, the IRS concluded some unreimbursed medical expenses are
deductible, even if you incur them when you are not sick. Examples include your annual physical
check-ups, body scans, and pregnancy test kits.
Medicine, you buy without a doctor’s prescription is usually non- deductible; however, items
such as crutches, braces, elastic hosiery, and blood sugar tests do qualify as expenses. Home
health care items such as walkers, bed and chair lifts, and compression hoses also qualify as
expenses.
If you, your spouse, or a dependent attend a conference relating to your chronic disease, the
registration fee and travel expenses are deductible. Travel costs for medical care or treatments
are also deductible, as are the travel costs for a caregiver who goes with you for care or
treatment. Bob and Sharon live in Phoenix, AZ and travel to San Diego, where they both grew
up, to see their family dentist twice a year, and deduct the travel and treatment costs of the dental
trip.
Let’s look at some of the many medical care costs you may be able to deduct.
Deductible medical expenses may include, but are not limited to:
- Payments of fees to doctors, dentists, eye doctors, surgeons, chiropractors, psychiatrists,
psychologists, and nontraditional medical practitioners. This includes payments to plastic
surgeons if the reason is due to accident, illness or injury to correct. - Payments for in-patient hospital care or nursing home services, including the cost of meals
and lodging, charged by the hospital or nursing home. - Payments for acupuncture treatments or inpatient treatments at a center for alcohol or drug
addiction, for participation in a smoking-cessation program and for drugs to alleviate nicotine
withdrawal that require a prescription. - Payments to take part in a weight-loss program for a specific disease or diseases, including
obesity, diagnosed by a physician but not ordinarily, payments for diet food items or the
payment of health club dues. Health club dues may be deductible. See your tax professional
for specifics. - Payments for insulin and payments for drugs that require a prescription.
- Payments for admission and transportation to a medical conference relating to a chronic
disease that you, your spouse, or your dependents have (if the costs are primarily for and
essential to needed medical care). However, you may not deduct the costs for meals and
lodging while attending the medical conference. - Payments for false teeth, reading or prescription eyeglasses or contact lenses, hearing aids,
crutches, wheelchairs, and for service animals for the blind or deaf (including all costs for
feeding, housing, care and medical costs, of service animals). - Payments for transportation primarily for and essential to medical care that qualify as
medical expenses, such as, payments of the actual fare for a taxi, bus, train, or ambulance or
for medical transportation by personal car, the amount of your actual out-of-pocket expenses
such as for gas and oil, or the amount of the standard mileage rate for medical expenses, plus
the cost of tolls and parking fees. - If you are a business owner, partner, or shareholder of an S-Corporation you can
deduct your health insurance premiums (including Medicare insurance) on your tax
return, even if you don’t itemize deductions.
You may deduct as an expense any medicine or drug that is a prescribed drug (determined
without regard to whether such drug is available without a prescription) or is insulin. A
“prescription” means a written or electronic order for a medicine or drug that meets the legal
requirements of a prescription in the state in which the medical expense is incurred and that is
issued by an individual who is legally authorized to issue a prescription in that state.
You can only include the medical expenses you paid during the year. Your total deductible
medical expenses for the year must be reduced by any reimbursement of deductible medical
expenses. It makes no difference if you receive the reimbursement or if it is paid directly to the
doctor, hospital, or other medical provider. Any reimbursement from employer, or insurance
reduces your medical expense deduction.
Non-deductible items are:
- Medical, dental, eyecare or healthcare expenses paid (family, self, children or other
dependents) - Diagnostic procedures (body scans, pregnancy tests, and annual physical check-ups)
- Non-prescription equipment and supplies (crutches, braces, blood sugar tests, and walkers)
- Medical conferences and travel to and from (if relating to your chronic disease)
- Gym memberships (If a doctor gives you a prescription for weight loss, rehab, or to correct
an injury, illness, or accident. You cannot already belong to a gym.) - Fees paid to Acupuncturists, Chiropractors, and Therapists (if related to a medical condition)
- Medical travel to and from providers (even if accompanied with a caregiver)
- Caregivers who aid in home and work (because of a medical condition)
- Business owners, partners and shareholders of S-Corporations can deduct health insurance
(includes Medicare premiums) on your tax returns.
Call today, don’t delay! See how this affects you. We can be reached at 602-264-9331 and on all social media under azmoneyguy.
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Mr. Hockensmith has been a guest newscaster for national and local TV stations in Phoenix since 1995, broadcasting financial and tax topics to the general pubic. He has written tax and accounting articles for both national and local newspapers and professional journals. He has been a public speaker nationally and locally on tax, accounting, financial planning and economics since 1992. He was a Disaster Reservist at the Federal Emergency Management Agency, for many years after his military service. He served as a Colonel with the US Army, retiring from military service after 36 years in 2008. Early in his accounting career, he was a Accountant and Consultant with Arthur Andersen CPA’s and Ernst & Young CPA’s.
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