HackMyHSA

Comprehensive Guide to Medical Deductions

Discover how to reduce your tax burden by tracking and deducting qualified medical expenses that exceed 7.5% of your Adjusted Gross Income (AGI).

Category Description Deductible Items Additional Info
Transportation Includes costs for traveling to and from medical appointments, such as mileage, parking fees, tolls, or public transportation. Mileage (21ยข/mile for 2024), parking fees, tolls, taxis, trains, ambulances Keep a log of dates, destinations, and miles driven.
Prescriptions Out-of-pocket costs for prescription medications are deductible. Costs not reimbursed by insurance Retain receipts for all prescriptions.
Medical Procedures Expenses for surgeries, doctor visits, and other medical treatments are deductible. Doctor visits, surgeries, diagnostic tests, therapy Ensure these costs exceed the 7.5% AGI threshold.
Medical Equipment Costs for medical equipment or supplies, such as crutches, wheelchairs, or hearing aids, are deductible. Crutches, wheelchairs, prosthetics, hearing aids Keep invoices and prescriptions for equipment.
Insurance Premiums Premiums for health insurance plans not reimbursed by an employer are deductible. Health insurance, long-term care insurance Excludes pre-tax payroll deductions.
Home Modifications Modifications made to your home for medical purposes are deductible. Ramps, widened doorways, accessible bathrooms Deduction limited to costs exceeding property value increase.

Maximizing Your Medical Deductions

  • Keep detailed logs of medical trips, including mileage, tolls, and parking fees.
  • Save all receipts for out-of-pocket medical expenses, even small ones.
  • Consider using an app or tracker to categorize expenses and simplify tax filing.
  • Consult a tax advisor for guidance on non-standard medical expenses.

Calculate Your Deduction Threshold

Understanding Medical Expense Deductions

Medical expenses that exceed 7.5% of your AGI can be deducted on your federal income tax return. Be sure to track all qualifying expenses throughout the year, including:

  • Transportation costs for medical appointments
  • Out-of-pocket prescription medication costs
  • Surgeries and medical procedure fees
  • Medical equipment such as wheelchairs or prosthetics
  • Home modifications for medical needs
  • Health insurance premiums not paid pre-tax