Paying for care

Medical expense tax deduction

The medical expense tax deduction lets people who itemize deduct medical and dental costs above 7.5 percent of adjusted gross income. Qualified long-term care services can count, if a chronically ill person needs them and a licensed practitioner prescribes a plan of care. Rules and limits apply.

Why it matters for your family

The IRS says a person is chronically ill if they cannot perform at least two activities of daily living without substantial help for at least 90 days, or if severe cognitive impairment requires supervision. Maintenance and personal care can qualify. Household help generally does not. If a bill mixes medical and household work, only the medical part counts. A common mistake is to deduct the full bill. Ask the provider to separate the services on the invoice. Keep the plan of care. A tax professional can tell you whether itemizing helps your family.

Source: irs.gov

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