The Ultimate Medical Expense Deductions Checklist (2024)

Claiming medical expense deductions on your tax return is one way to lower your tax bill. To accomplish this, your deductions must be from a list approved by the Internal Revenue Service, and you must itemize your deductions.

The Ultimate Medical Expense Deductions Checklist (1)

Key Takeaways

  • You can only deduct unreimbursed medical expenses that exceed 7.5% of your adjusted gross income (AGI), found on line 11 of your 2023 Form 1040.
  • To receive a tax benefit, you have to itemize deductions on Schedule A, and your total itemized deductions — deductible medical expenses, state and local taxes, home mortgage interest, and charitable contributions — must be greater than your Standard Deduction.
  • Some of the lesser-known deductible medical expenses include: acupuncture, addiction treatment, braille publications, chiropractic services for medical care, contact lenses, diet food, exercise programs, and health, dental and vision insurance premiums.
  • For a complete list of deductible medical expenses, see IRS Publication 502.

Deducting medical expenses

If you had a lot of unreimbursed out-of-pocket health care costs this year, you'll be glad to learn that many of those expenses may qualify for a deduction on your 2023 income tax return.

How to claim medical expense deductions

One of the most important things to know about deducting medical expenses is you have to itemize deductions on Schedule A to receive a tax benefit.

When you file your Form 1040, you typically have the option of itemizing or taking the Standard Deduction — a predetermined amount based on your filing status.

For 2023, the available Standard Deductions are as follows:

Filing Status2023 Standard Deduction
Single$13,850
Married Filing Jointly$27,700
Married Filing Separately$13,850
Head of Household$20,800

To benefit from medical expense deductions, your total itemized deductions — deductible medical expenses, state and local taxes, home mortgage interest and charitable contributions — must be greater than your available Standard Deduction.

In addition, you can only deduct unreimbursed medical expenses that exceed 7.5% of your adjusted gross income (AGI), found on line 11 of your 2023 Form 1040.

For example, if your AGI is $50,000, the first $3,750 of qualified expenses (7.5% of $50,000) don't count. If you had $5,000 of unreimbursed medical expenses in 2023, you would only be able to deduct $1,250 on Schedule A.

TurboTax Tip:

Even if you’re not planning to deduct your medical expenses, it’s still a good idea to keep the receipts for those expenses, just in case you have large, unreimbursed medical expenses during the year and decide to deduct your qualified medical expenses.

Medical expense deductions checklist

To help you prepare your tax return, we've compiled the following list of qualified medical expenses. All you need to do is print out this page and put a check mark and the amount next to each medical expense you had during the year.

Note that this isn't a complete list of every available expense — just some of the more common ones. For the complete list, see IRS Publication 502.

  • Acupuncture
  • Addiction treatment, including meals and lodging at a drug or alcohol addiction treatment center.
  • Birth control pills prescribed by a doctor
  • Braille books and periodicals used by a person who is visually impaired
  • Breast pumps and pumping supplies
  • Breast reconstruction surgery following a mastectomy for cancer
  • Chiropractic services for medical care
  • Contact lenses
  • Cosmetic surgery, if necessary to improve a deformity related to a congenital abnormality, accident or disease
  • Dental treatment for the prevention and alleviation of dental disease
  • Diagnostic devices, such as blood sugar test kits
  • Diet food, when prescribed by a doctor to alleviate a specific medical condition
  • Doctor or physician expenses
  • Exercise programs, when recommended by a doctor to treat a specific medical condition
  • Eye exams
  • Eye surgery, such as LASIK or a similar procedure
  • Eyeglasses
  • False teeth
  • Fertility treatments, including in vitro fertilization, surgery and temporary storage of eggs or sperm
  • Gender-affirming care such as hormone therapy and surgery for transgender individuals
  • Guide dog or another service animal for a person with low vision or hearing
  • Health, dental and vision insurance premiums
  • Hearing aids
  • Home improvements if their main purpose is medical care
  • Hospital services while receiving medical care
  • Household help for nursing care services
  • Laboratory fees
  • Lead-based paint removal when a child is diagnosed with lead poisoning
  • Legal fees paid to authorize treatment for mental illness
  • Lodging expenses while away from home to receive medical care in a hospital or medical facility
  • Long-term care insurance and long-term care expenses
  • Mattresses and boards bought specifically to alleviate an arthritic condition
  • Medical conference admission costs and travel expenses for a person with a chronic illness to learn about new medical treatments
  • Nursing care and nursing home expenses
  • Operations (excluding cosmetic surgery)
  • Organ transplants
  • Oxygen and oxygen equipment to relieve breathing problems
  • Physical exams and diagnostic tests
  • Pregnancy test kits
  • Prescription drugs
  • Prosthetic limbs
  • Psychiatric care
  • Smoking cessation programs
  • Special education
  • Sterilization or vasectomy
  • Telephone and special equipment for a person who is hearing impaired
  • Travel and transportation costs for obtaining medical care
  • Weight loss programs to treat a specific disease diagnosed by a physician
  • Wheelchairs
  • X-rays for medical reasons

The medical expense deduction covers a wide variety of expenses. However, because of the high Standard Deduction and the 7.5% of AGI threshold requirement, it can be difficult to benefit unless you have a lot of out-of-pocket costs.

Still, it's a good idea to track those expenses throughout the year and keep copies of receipts. That way, if you have any large, unreimbursed medical expenses during the year, you'll have what you need to deduct any qualified medical expenses and potentially reduce your tax bill.

With TurboTax Live Full Service, a local expert matched to your unique situation will do your taxes for you start to finish. Or, get unlimited help and advice from tax experts while you do your taxes with TurboTax Live Assisted.

And if you want to file your own taxes, you can still feel confident you'll do them right with TurboTax as we guide you step by step. No matter which way you file, we guarantee 100% accuracy and your maximum refund.

The Ultimate Medical Expense Deductions Checklist (2024)

FAQs

What proof does the IRS need for medical expenses? ›

You should also keep a statement or itemized invoice showing: What medical care was received. Who received the care. The nature and purpose of any medical expenses.

Is it worth claiming medical expenses on taxes? ›

Normally, you should only claim the medical expenses deduction if your itemized deductions are greater than your Standard Deduction (TurboTax can also do this calculation for you). If you elect to itemize, you must use IRS Form 1040 to file your taxes and attach Schedule A.

What is the medical deduction for 2024? ›

Threshold: Your total eligible medical and dental expenses must exceed a certain threshold, which is adjusted annually. For the 2024 tax year, the threshold is 10% of your adjusted gross income (AGI) for most taxpayers. If you or your spouse is 65 or older, the threshold remains at 7.5% of your AGI through 2026.

What Cannot be claimed as a medical expense? ›

Expenses that are not deductible medical expenses include: The portion of your insurance premiums treated as paid by your employer.

What are not qualified medical expenses? ›

The definition of what constitutes a qualified medical expense is very broad and includes expenses to diagnose, cure, mitigate, treat, or prevent disease. However, cosmetic surgery is not deductible unless it is related to disfigurement from a congenital abnormality, accidental injury, or a disfiguring disease.

Will I get audited if I claim medical expenses? ›

This is not a huge red flag for everyone. As you get older in age, the IRS likely becomes more tolerant of medical expense deductions and, therefore, would be less likely to select you for examination based on this category alone.

What deduction can I claim without receipts? ›

What does the IRS allow you to deduct (or “write off”) without receipts?
  • Self-employment taxes. ...
  • Home office expenses. ...
  • Self-employed health insurance premiums. ...
  • Self-employed retirement plan contributions. ...
  • Vehicle expenses. ...
  • Cell phone expenses.
May 31, 2024

How much does the IRS allow for medical expenses? ›

You can only deduct unreimbursed medical expenses that exceed 7.5% of your adjusted gross income (AGI), found on line 11 of your 2023 Form 1040.

Can I deduct health insurance premiums? ›

If you pay for health insurance before taxes are taken out of your check, you can't deduct your health insurance premiums. If you pay for health insurance after taxes are taken out of your paycheck, you might qualify for the medical expense deduction.

What deductions can you take without itemizing? ›

You can deduct these expenses whether you take the standard deduction or itemize:
  • Alimony payments.
  • Business use of your car.
  • Business use of your home.
  • Money you put in an IRA.
  • Money you put in health savings accounts.
  • Penalties on early withdrawals from savings.
  • Student loan interest.
  • Teacher expenses.
Aug 14, 2024

Can I deduct my prescription costs? ›

The IRS allows you to deduct expenses for many medically necessary products and services, including surgeries, prescription medications, and dental and vision care. You can't deduct medical expenses that are for general health purposes, like nutritional supplements and vitamins.

Can you deduct Medicare premiums? ›

Yes, Medicare premiums are tax deductible as a medical expense as long as you meet two requirements. First, you must itemize your deductions on your tax return to deduct them from your taxable income. Second, only medical expenses that exceed 7.5% of your adjusted gross income (AGI) are deductible.

Do dental expenses qualify for tax deduction? ›

Dental expenses may be tax deductible if they help prevent or alleviate dental disease. You are only allowed to deduct dental expenses if they total more than 7.5% of your adjusted gross income (AGI). But you must itemize deductions to claim this tax benefit.

Are eyeglasses tax deductible? ›

The money spent on reading or prescription eyeglasses can be considered a tax-deductible medical expense. By categorizing glasses under "medical expenses" and itemizing deductions on form 104, Schedule A, you may be able to lower your tax burden.

What expenses go towards medical deductible? ›

What costs count toward a deductible?
Costs that typically count toward deductible2Costs that don't count
Bills for hospitalizationCopays (typically)
SurgeryPremiums
Lab testsAny costs not covered by your plan
MRIs and CAT scans
3 more rows
7 days ago

What is covered by medical expenses? ›

Medical payments coverage is part of an auto insurance policy. It may help pay your or your passengers' medical expenses if you're injured in a car accident, regardless of who caused the accident. This coverage is usually optional and not available in all states.

What is a qualified medical expense under 213 D? ›

The Internal Revenue Service defines qualified medical care expenses within the IRS Section 213(d). Medical care expenses are defined as “amounts paid for the diagnosis, cure, mitigation or treatment of a disease, and for treatments affecting any part of function of the body.

Are vitamins a tax deductible medical expense? ›

The IRS allows you to deduct expenses for many medically necessary products and services, including surgeries, prescription medications, and dental and vision care. You can't deduct medical expenses that are for general health purposes, like nutritional supplements and vitamins.

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