Tax Talk 2017 FAQ
Tax Talk

Deductible Medical Expenses You Canít Afford to Overlook

Obtaining the tax deductions you deserve requires careful planning. For example, you may deduct as an itemized deduction qualified medical expenses that exceed 7.5 percent of your adjusted gross income (AGI). That means if your AGI is $50,000, you can deduct only those un-reimbursed expenses that exceed $3,750. To maximize your deduction, you may want to try “bunching” all the deductions you can into one year.

In a year when your medical expenses are high and you think you may exceed the 7.5 percent requirement, you may want to book other necessary medical procedures or make qualified medical-related purchases in the same year so that you can qualify for a deduction. For example, if your son requires orthodontia treatment or you need a new pair of prescription glasses, accelerating those medical needs into the current year may make them deductible. Alternatively, if you don’t expect to reach the 7.5 percent floor in the current year, you may want to defer non-essential medical treatment into next year when you may qualify for the deduction.

According to the IRS, a deduction is allowed for expenses paid for the diagnosis, cure, mitigation, treatment, or prevention of disease, or treatment affecting any structure or function of the body. Generally, you can deduct the cost of fees paid to doctors, dentists, surgeons, chiropractors, psychiatrists, and psychologists, as well as payments for hospital services, qualified long-term care, nursing care, laboratory, and x-ray fees. 

Other deductible expenses include prescription drugs, contact lenses, prescription glasses, laser eye surgery to improve vision, hearing aids, and wheelchairs and walkers. If you are self-employed, you may deduct, as an adjustment to gross income, the full cost paid for medical insurance for you, your spouse, and your dependents. See IRS Publication 502, Medical and Dental Expenses, for a complete list of deductible expenses.

The cost of transportation to and from essential medical care may also be deductible. If you do not want to use your actual expenses, you can use specific rates set by the IRS. The 2016 standard mileage rate for miles driven for medical purposes is 19 cents per mile. 

Non-deductible expenses include the cost of over-the-counter medications, vitamins, or nutritional supplements, fees paid for health club dues and social activities such as dancing or swimming lessons. In addition, taxpayers interested in a hair transplant, teeth whitening, or cosmetic surgery, should not plan on deducting the cost.

The IRS allows you to include as a medical expense the cost of home improvements or special equipment considered medically necessary for you, your spouse, or your dependent. Examples of deductible expenses include constructing special entrance/exit ramps to your house, widening doorways, modifying kitchens or bathrooms, or adding a chairlift for the physically disabled. These structural improvements to accommodate the condition of a physically handicapped person generally do not add to the value of your home and are fully deductible.

If the improvement increases the value of your home, only the amount of the expense that exceeds the increase in the property value of your home is deductible. When the value of your property is not increased by the improvement, the entire cost may be included as a medical expense.

Copyright American Institute of CPAs

 American Institute of Certified Public Accountants Texas State Board of Public Accountancy