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Free File Free 1040 Tax Return

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Free File Free 1040 Tax Return

Free file free 1040 tax return Index A Accrual foreign taxes, adjustments, You may have to post a bond. Free file free 1040 tax return Accrual method of accounting, Accrual method of accounting. Free file free 1040 tax return Allocation Carryback/carryover between spouses, Allocations Between Spouses Foreign losses, Foreign Losses Foreign taxes, Allocation of Foreign Taxes U. Free file free 1040 tax return S. Free file free 1040 tax return losses, U. Free file free 1040 tax return S. Free file free 1040 tax return Losses Alternative minimum tax, Reminders Amended return, Claim for Refund American Samoa, resident of, Possession Exclusion Assistance (see Tax help) B Bankruptcy, effect of, Effect of bankruptcy or insolvency. Free file free 1040 tax return Beneficiary, Partner or S corporation shareholder. Free file free 1040 tax return Bond, income tax, You may have to post a bond. Free file free 1040 tax return Boycotting countries, Taxes From International Boycott Operations C Capital gains and losses, Capital Gains and Losses Carryback and carryover, Carrybacks and carryovers. Free file free 1040 tax return Allocations between spouses, Allocations Between Spouses Claim for refund, Time Limit on Tax Assessment Joint return, Married Couples Joint return–deduction year, Joint Return Filed in a Deduction Year Taxes all credited or deducted, Claim for Refund Time limit on tax assessment, Time Limit on Tax Assessment Choice to take credit or deduction Changing your choice, Making or Changing Your Choice Choice applied to all qualified foreign taxes, Choice Applies to All Qualified Foreign Taxes Claim for refund, Claim for Refund Classes of gross income, Classes of gross income. Free file free 1040 tax return Compensation for labor or personal services, Determining the Source of Compensation for Labor or Personal Services Geographical basis, Geographical basis. Free file free 1040 tax return Comprehensive example, Comprehensive Example — Filled-In Form 1116 Controlled foreign corporation shareholder, Controlled foreign corporation shareholder. Free file free 1040 tax return , Income from controlled foreign corporations. Free file free 1040 tax return Covered asset acquisition, Covered Asset Acquisition Credit How to claim, How To Claim the Credit How to figure, How To Figure the Credit Limit on, Limit on the Credit Credit for taxes paid or accrued, Credit for Taxes Paid or Accrued D Deduction for foreign taxes that are not income taxes, Foreign taxes that are not income taxes. Free file free 1040 tax return Distributions Lump-sum, Lump-Sum Distribution Dividends Taxes on, Taxes Imposed on Certain Dividends Dual-capacity taxpayers, Dual-capacity taxpayers. Free file free 1040 tax return E Economic benefits, Specific economic benefit. Free file free 1040 tax return Examples Comprehensive, Comprehensive Example — Filled-In Form 1116 Simple, Simple Example — Filled-In Form 1116 Excess limit, Carryback and Carryover Exchange rates, Foreign Currency and Exchange Rates Excluded income Foreign earned, Foreign Earned Income and Housing Exclusions Taxes on, Taxes on Excluded Income Exemption from foreign tax credit limit, Exemption from foreign tax credit limit. Free file free 1040 tax return Export financing interest, Export financing interest. Free file free 1040 tax return Extraterritorial income, Extraterritorial Income Exclusion F Financial services income, Financial services income. Free file free 1040 tax return Foreign corporation–U. Free file free 1040 tax return S. Free file free 1040 tax return shareholders, filing requirements, Taxes of U. Free file free 1040 tax return S. Free file free 1040 tax return Persons Controlling Foreign Corporations and Partnerships Foreign country, Foreign country. Free file free 1040 tax return Foreign currency and exchange rates, Foreign Currency and Exchange Rates Foreign income, translating, Translating foreign currency into U. Free file free 1040 tax return S. Free file free 1040 tax return dollars. Free file free 1040 tax return Foreign losses Allocation of, Foreign Losses Recapture of, Recapture of Prior Year Overall Foreign Loss Accounts Foreign mineral income, taxes on, Taxes on Foreign Mineral Income Foreign oil and gas extraction income, taxes on, Taxes on Combined Foreign Oil and Gas Income Foreign partnerships–U. Free file free 1040 tax return S. Free file free 1040 tax return partners, filing requirement, Taxes of U. Free file free 1040 tax return S. Free file free 1040 tax return Persons Controlling Foreign Corporations and Partnerships Foreign tax refund, Foreign tax refund. Free file free 1040 tax return , Foreign tax refund. Free file free 1040 tax return Foreign tax(es) Allocation to income categories, Allocation of Foreign Taxes For which you cannot take a credit, Foreign Taxes for Which You Cannot Take a Credit Imposed on foreign refund, Foreign tax imposed on foreign refund. Free file free 1040 tax return Qualifying for credit, What Foreign Taxes Qualify for the Credit? Redetermination, Foreign Tax Redetermination Refund, Foreign tax imposed on foreign refund. Free file free 1040 tax return Form 1040X, Claim for Refund 1116, Form 1116, Simple Example — Filled-In Form 1116, Comprehensive Example — Filled-In Form 1116 5471, Taxes of U. Free file free 1040 tax return S. Free file free 1040 tax return Persons Controlling Foreign Corporations and Partnerships 5713, Form 5713 required. Free file free 1040 tax return 8833, Report required. Free file free 1040 tax return 8865, Taxes of U. Free file free 1040 tax return S. Free file free 1040 tax return Persons Controlling Foreign Corporations and Partnerships 8873, Extraterritorial Income Exclusion Free tax services, Free help with your tax return. Free file free 1040 tax return Functional currency, Translating foreign currency into U. Free file free 1040 tax return S. Free file free 1040 tax return dollars. Free file free 1040 tax return G General category income, separate limit, General Category Income H Help (see Tax help) High-taxed income, High-taxed income. Free file free 1040 tax return I Income from sources in U. Free file free 1040 tax return S. Free file free 1040 tax return possessions, Determining the source of income from U. Free file free 1040 tax return S. Free file free 1040 tax return possessions. Free file free 1040 tax return Income re-sourced by treaty, separate limit, Certain Income Re-Sourced By Treaty Income tax, Income Tax Income tax bond, You may have to post a bond. Free file free 1040 tax return Interest, Penalties and interest. Free file free 1040 tax return Interest expense, apportioning, Interest expense. Free file free 1040 tax return International boycott, Taxes From International Boycott Operations Itemized deduction, Taxes for Which You Can Only Take an Itemized Deduction J Joint return Carryback and carryover, Married Couples Credit based on foreign tax of both spouses, Joint return. Free file free 1040 tax return Filed in a deduction year, Joint Return Filed in a Deduction Year L Levy, Income Tax Limit on credit, Limit on the Credit Losses, foreign, Foreign Losses Allocation of, Foreign Losses Recapture of, Recapture of Prior Year Overall Foreign Loss Accounts Losses, U. Free file free 1040 tax return S. Free file free 1040 tax return , U. Free file free 1040 tax return S. Free file free 1040 tax return Losses Allocation of, U. Free file free 1040 tax return S. Free file free 1040 tax return Losses Lump-sum distributions, Lump-Sum Distribution M Making or changing your choice, Making or Changing Your Choice Married couples Carryback and carryover, Married Couples Joint return, Joint return. Free file free 1040 tax return Mineral income, foreign,, Taxes on Foreign Mineral Income Mutual fund distributions, Mutual fund shareholder. Free file free 1040 tax return , Passive income. Free file free 1040 tax return Mutual fund shareholder, Mutual fund shareholder. Free file free 1040 tax return N Nonresident aliens, Nonresident Aliens Notice to the IRS of change in tax, Notice to the Internal Revenue Service (IRS) of Redetermination O Overall foreign loss, Overall foreign loss. Free file free 1040 tax return P Partner, Partner or S corporation shareholder. Free file free 1040 tax return , Partnership distributive share. Free file free 1040 tax return , Foreign Taxes From a Partnership or an S Corporation Passive category income, Passive Category Income Penalties, Failure-to-notify penalty. Free file free 1040 tax return , Penalties and interest. Free file free 1040 tax return Failure to file Form 5471, 8865, Penalty for not filing Form 5471 or Form 8865. Free file free 1040 tax return Failure to file Form 5713, Penalty for failure to file. Free file free 1040 tax return Failure to notify, foreign tax change, Failure-to-notify penalty. Free file free 1040 tax return Failure to report treaty information, Report required. Free file free 1040 tax return Pension, employment, and disability fund payments, Pension, unemployment, and disability fund payments. Free file free 1040 tax return Personal property, sales or exchanges of, Determining the Source of Income From the Sales or Exchanges of Certain Personal Property Possession exclusion, Possession Exclusion Publications (see Tax help) Purchase or sale of oil or gas, taxes in connection with, Taxes in Connection With the Purchase or Sale of Oil or Gas Q Qualified business unit, Translating foreign currency into U. Free file free 1040 tax return S. Free file free 1040 tax return dollars. Free file free 1040 tax return Qualified dividends, Capital Gains and Losses R Rate of exchange, Rate of exchange for foreign taxes paid. Free file free 1040 tax return Recapture of foreign losses, Recapture of Prior Year Overall Foreign Loss Accounts Records to keep, Records To Keep Redetermination of foreign tax, Foreign Tax Redetermination Refund claims, time limit, Time Limit on Refund Claims Refund, foreign tax, Foreign tax refund. Free file free 1040 tax return Reporting requirements (international boycott), Reporting requirements. Free file free 1040 tax return Resident aliens, Resident Aliens S S corporation shareholder, Partner or S corporation shareholder. Free file free 1040 tax return , Foreign Taxes From a Partnership or an S Corporation Sanctioned countries, Taxes Imposed By Sanctioned Countries (Section 901(j) Income) Section 901(j) income, Section 901(j) Income Section 901(j) sanctioned income, Taxes Imposed By Sanctioned Countries (Section 901(j) Income) Separate limit income, Separate Limit Income General category income, General Category Income Income re-sourced by treaty, Certain Income Re-Sourced By Treaty Lump-sum distribution, Lump-Sum Distribution Passive category income, Passive Category Income Section 901(j) income, Section 901(j) Income Shareholder, Mutual fund shareholder. Free file free 1040 tax return Simple example, Simple Example — Filled-In Form 1116 Soak-up taxes, Soak-up taxes. Free file free 1040 tax return Social security taxes, Pension, unemployment, and disability fund payments. Free file free 1040 tax return Source of compensation for labor or personal services Alternative basis, Alternative basis. Free file free 1040 tax return Multi-year compensation, Multi-year compensation. Free file free 1040 tax return Time basis, Time basis. Free file free 1040 tax return Transportation income, Transportation Income State income taxes, State income taxes. Free file free 1040 tax return Subsidy, Subsidy received. Free file free 1040 tax return T Tax help, How To Get Tax Help Tax treaties, Tax Treaties Taxable income from sources outside the U. Free file free 1040 tax return S. Free file free 1040 tax return , determination of, Determining Taxable Income From Sources Outside the United States Taxes Excluded income, Foreign Earned Income and Housing Exclusions In lieu of income taxes, Taxes in Lieu of Income Taxes On dividends, Taxes Imposed on Certain Dividends Paid or accrued, Credit for Taxes Paid or Accrued Withheld on income or gain, Taxes Withheld on Income or Gain (Other Than Dividends) Taxes related to a foreign tax credit splitting event, Taxes Related to a Foreign Tax Credit Splitting Event Time limit Refund claims, Time Limit on Refund Claims Tax assessment, Time Limit on Tax Assessment Translating foreign currency, Translating foreign currency into U. Free file free 1040 tax return S. Free file free 1040 tax return dollars. Free file free 1040 tax return U U. Free file free 1040 tax return S. Free file free 1040 tax return citizens, U. Free file free 1040 tax return S. Free file free 1040 tax return Citizens U. Free file free 1040 tax return S. Free file free 1040 tax return losses Allocation of, U. Free file free 1040 tax return S. Free file free 1040 tax return Losses U. Free file free 1040 tax return S. Free file free 1040 tax return possessions, U. Free file free 1040 tax return S. Free file free 1040 tax return possessions. Free file free 1040 tax return Unused foreign tax credits, carryback or carryover, Carrybacks and carryovers. Free file free 1040 tax return , Carryback and Carryover W Wages, Wages completely excluded. Free file free 1040 tax return When refunds can be claimed, Time Limit on Refund Claims When tax can be assessed, Time Limit on Tax Assessment Who can take the credit, Who Can Take the Credit? Why choose the credit, Why Choose the Credit? Prev  Up     Home   More Online Publications
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The Free File Free 1040 Tax Return

Free file free 1040 tax return Publication 502 - Main Content Table of Contents What Are Medical Expenses? What Expenses Can You Include This Year?Community property states. Free file free 1040 tax return How Much of the Expenses Can You Deduct? Whose Medical Expenses Can You Include?Spouse Dependent Decedent What Medical Expenses Are Includible?Abortion Acupuncture Alcoholism Ambulance Annual Physical Examination Artificial Limb Artificial Teeth Bandages Birth Control Pills Body Scan Braille Books and Magazines Breast Pumps and Supplies Breast Reconstruction Surgery Capital Expenses Car Chiropractor Christian Science Practitioner Contact Lenses Crutches Dental Treatment Diagnostic Devices Disabled Dependent Care Expenses Drug Addiction Drugs Eye Exam Eyeglasses Eye Surgery Fertility Enhancement Founder's Fee Guide Dog or Other Service Animal Health Institute Health Maintenance Organization (HMO) Hearing Aids Home Care Home Improvements Hospital Services Insurance Premiums Intellectually and Developmentally Disabled, Special Home for Laboratory Fees Lactation Expenses Lead-Based Paint Removal Learning Disability Legal Fees Lifetime Care—Advance Payments Lodging Long-Term Care Meals Medical Conferences Medical Information Plan Medicines Nursing Home Nursing Services Operations Optometrist Organ Donors Osteopath Oxygen Physical Examination Pregnancy Test Kit Prosthesis Psychiatric Care Psychoanalysis Psychologist Special Education Sterilization Stop-Smoking Programs Surgery Telephone Television Therapy Transplants Transportation Trips Tuition Vasectomy Vision Correction Surgery Weight-Loss Program Wheelchair Wig X-ray What Expenses Are Not Includible?Baby Sitting, Childcare, and Nursing Services for a Normal, Healthy Baby Controlled Substances Cosmetic Surgery Dancing Lessons Diaper Service Electrolysis or Hair Removal Flexible Spending Account Funeral Expenses Future Medical Care Hair Transplant Health Club Dues Health Coverage Tax Credit Health Savings Accounts Household Help Illegal Operations and Treatments Insurance Premiums Maternity Clothes Medical Savings Account (MSA) Medicines and Drugs From Other Countries Nonprescription Drugs and Medicines Nutritional Supplements Personal Use Items Swimming Lessons Teeth Whitening Veterinary Fees Weight-Loss Program How Do You Treat Reimbursements?Insurance Reimbursement How Do You Figure and Report the Deduction on Your Tax Return?What Tax Form Do You Use? Sale of Medical Equipment or Property Damages for Personal Injuries Impairment-Related Work Expenses Health Insurance Costs for Self-Employed Persons COBRA Premium Assistance Health Coverage Tax CreditWho Can Take This Credit? Qualifying Family Member Qualified Health Insurance Nonqualified Health Insurance Eligible Coverage Month How To Take the Credit How To Get Tax HelpLow Income Taxpayer Clinics What Are Medical Expenses? Medical expenses are the costs of diagnosis, cure, mitigation, treatment, or prevention of disease, and the costs for treatments affecting any part or function of the body. Free file free 1040 tax return These expenses include payments for legal medical services rendered by physicians, surgeons, dentists, and other medical practitioners. Free file free 1040 tax return They include the costs of equipment, supplies, and diagnostic devices needed for these purposes. Free file free 1040 tax return Medical care expenses must be primarily to alleviate or prevent a physical or mental defect or illness. Free file free 1040 tax return They do not include expenses that are merely beneficial to general health, such as vitamins or a vacation. Free file free 1040 tax return Medical expenses include the premiums you pay for insurance that covers the expenses of medical care, and the amounts you pay for transportation to get medical care. Free file free 1040 tax return Medical expenses also include amounts paid for qualified long-term care services and limited amounts paid for any qualified long-term care insurance contract. Free file free 1040 tax return What Expenses Can You Include This Year? You can include only the medical and dental expenses you paid this year, regardless of when the services were provided. Free file free 1040 tax return (But see Decedent under Whose Medical Expenses Can You Include, for an exception. Free file free 1040 tax return ) If you pay medical expenses by check, the day you mail or deliver the check generally is the date of payment. Free file free 1040 tax return If you use a “pay-by-phone” or “online” account to pay your medical expenses, the date reported on the statement of the financial institution showing when payment was made is the date of payment. Free file free 1040 tax return If you use a credit card, include medical expenses you charge to your credit card in the year the charge is made, not when you actually pay the amount charged. Free file free 1040 tax return If you did not claim a medical or dental expense that would have been deductible in an earlier year, you can file Form 1040X, Amended U. Free file free 1040 tax return S. Free file free 1040 tax return Individual Income Tax Return, for the year in which you overlooked the expense. Free file free 1040 tax return Do not claim the expense on this year's return. Free file free 1040 tax return Generally, an amended return must be filed within 3 years from the date the original return was filed or within 2 years from the time the tax was paid, whichever is later. Free file free 1040 tax return You cannot include medical expenses that were paid by insurance companies or other sources. Free file free 1040 tax return This is true whether the payments were made directly to you, to the patient, or to the provider of the medical services. Free file free 1040 tax return Separate returns. Free file free 1040 tax return   If you and your spouse live in a noncommunity property state and file separate returns, each of you can include only the medical expenses each actually paid. Free file free 1040 tax return Any medical expenses paid out of a joint checking account in which you and your spouse have the same interest are considered to have been paid equally by each of you, unless you can show otherwise. Free file free 1040 tax return Community property states. Free file free 1040 tax return   If you and your spouse live in a community property state and file separate returns or are registered domestic partners in Nevada, Washington, or California, any medical expenses paid out of community funds are divided equally. Free file free 1040 tax return Generally, each of you should include half the expenses. Free file free 1040 tax return If medical expenses are paid out of the separate funds of one individual, only the individual who paid the medical expenses can include them. Free file free 1040 tax return If you live in a community property state and are not filing a joint return, see Publication 555, Community Property. Free file free 1040 tax return How Much of the Expenses Can You Deduct? Generally, you can deduct on Schedule A (Form 1040) only the amount of your medical and dental expenses that is more than 10% of your AGI. Free file free 1040 tax return But if either you or your spouse was born before January 2, 1949, you can deduct the amount of your medical and dental expenses that is more than 7. Free file free 1040 tax return 5% of your AGI. Free file free 1040 tax return Example. Free file free 1040 tax return You are unmarried and were born after January 2, 1949, and your AGI is $40,000, 10% of which is $4,000. Free file free 1040 tax return You paid medical expenses of $2,500. Free file free 1040 tax return You cannot deduct any of your medical expenses because they are not more than 10% of your AGI. Free file free 1040 tax return Whose Medical Expenses Can You Include? You can generally include medical expenses you pay for yourself, as well as those you pay for someone who was your spouse or your dependent either when the services were provided or when you paid for them. Free file free 1040 tax return There are different rules for decedents and for individuals who are the subject of multiple support agreements. Free file free 1040 tax return See Support claimed under a multiple support agreement , later under Qualifying Relative. Free file free 1040 tax return Spouse You can include medical expenses you paid for your spouse. Free file free 1040 tax return To include these expenses, you must have been married either at the time your spouse received the medical services or at the time you paid the medical expenses. Free file free 1040 tax return Example 1. Free file free 1040 tax return Mary received medical treatment before she married Bill. Free file free 1040 tax return Bill paid for the treatment after they married. Free file free 1040 tax return Bill can include these expenses in figuring his medical expense deduction even if Bill and Mary file separate returns. Free file free 1040 tax return If Mary had paid the expenses, Bill could not include Mary's expenses in his separate return. Free file free 1040 tax return Mary would include the amounts she paid during the year in her separate return. Free file free 1040 tax return If they filed a joint return, the medical expenses both paid during the year would be used to figure their medical expense deduction. Free file free 1040 tax return Example 2. Free file free 1040 tax return This year, John paid medical expenses for his wife Louise, who died last year. Free file free 1040 tax return John married Belle this year and they file a joint return. Free file free 1040 tax return Because John was married to Louise when she received the medical services, he can include those expenses in figuring his medical expense deduction for this year. Free file free 1040 tax return Dependent You can include medical expenses you paid for your dependent. Free file free 1040 tax return For you to include these expenses, the person must have been your dependent either at the time the medical services were provided or at the time you paid the expenses. Free file free 1040 tax return A person generally qualifies as your dependent for purposes of the medical expense deduction if both of the following requirements are met. Free file free 1040 tax return The person was a qualifying child (defined later) or a qualifying relative (defined later), and The person was a U. Free file free 1040 tax return S. Free file free 1040 tax return citizen or national or a resident of the United States, Canada, or Mexico. Free file free 1040 tax return If your qualifying child was adopted, see Exception for adopted child , later. Free file free 1040 tax return You can include medical expenses you paid for an individual that would have been your dependent except that: He or she received gross income of $3,900 or more in 2013, He or she filed a joint return for 2013, or You, or your spouse if filing jointly, could be claimed as a dependent on someone else's 2013 return. Free file free 1040 tax return Exception for adopted child. Free file free 1040 tax return   If you are a U. Free file free 1040 tax return S. Free file free 1040 tax return citizen or national and your adopted child lived with you as a member of your household for 2013, that child does not have to be a U. Free file free 1040 tax return S. Free file free 1040 tax return citizen or national, or a resident of the United States, Canada, or Mexico. Free file free 1040 tax return Qualifying Child A qualifying child is a child who: Is your son, daughter, stepchild, foster child, brother, sister, stepbrother, stepsister, half brother, half sister, or a descendant of any of them (for example, your grandchild, niece, or nephew), Was: Under age 19 at the end of 2013 and younger than you (or your spouse, if filing jointly), Under age 24 at the end of 2013, a full-time student, and younger than you (or your spouse, if filing jointly), or Any age and permanently and totally disabled, Lived with you for more than half of 2013, Did not provide over half of his or her own support for 2013, and Did not file a joint return, other than to claim a refund. Free file free 1040 tax return Adopted child. Free file free 1040 tax return   A legally adopted child is treated as your own child. Free file free 1040 tax return This child includes a child lawfully placed with you for legal adoption. Free file free 1040 tax return   You can include medical expenses that you paid for a child before adoption if the child qualified as your dependent when the medical services were provided or when the expenses were paid. Free file free 1040 tax return   If you pay back an adoption agency or other persons for medical expenses they paid under an agreement with you, you are treated as having paid those expenses provided you clearly substantiate that the payment is directly attributable to the medical care of the child. Free file free 1040 tax return   But if you pay the agency or other person for medical care that was provided and paid for before adoption negotiations began, you cannot include them as medical expenses. Free file free 1040 tax return    You may be able to take a credit for other expenses related to an adoption. Free file free 1040 tax return See the Instructions for Form 8839, Qualified Adoption Expenses, for more information. Free file free 1040 tax return Child of divorced or separated parents. Free file free 1040 tax return   For purposes of the medical and dental expenses deduction, a child of divorced or separated parents can be treated as a dependent of both parents. Free file free 1040 tax return Each parent can include the medical expenses he or she pays for the child, even if the other parent claims the child's dependency exemption, if: The child is in the custody of one or both parents for more than half the year, The child receives over half of his or her support during the year from his or her parents, and The child's parents: Are divorced or legally separated under a decree of divorce or separate maintenance, Are separated under a written separation agreement, or Live apart at all times during the last 6 months of the year. Free file free 1040 tax return This does not apply if the child's exemption is being claimed under a multiple support agreement (discussed later). Free file free 1040 tax return Qualifying Relative A qualifying relative is a person: Who is your: Son, daughter, stepchild, or foster child, or a descendant of any of them (for example, your grandchild), Brother, sister, half brother, half sister, or a son or daughter of any of them, Father, mother, or an ancestor or sibling of either of them (for example, your grandmother, grandfather, aunt, or uncle), Stepbrother, stepsister, stepfather, stepmother, son-in-law, daughter-in-law, father-in-law, mother-in-law, brother-in-law, or sister-in-law, or Any other person (other than your spouse) who lived with you all year as a member of your household if your relationship did not violate local law, Who was not a qualifying child (see Qualifying Child, earlier) of any taxpayer for 2013, and For whom you provided over half of the support in 2013. Free file free 1040 tax return But see Child of divorced or separated parents , earlier, Support claimed under a multiple support agreement, next, and Kidnapped child under Qualifying Relative in Publication 501. Free file free 1040 tax return Support claimed under a multiple support agreement. Free file free 1040 tax return   If you are considered to have provided more than half of a qualifying relative's support under a multiple support agreement, you can include medical expenses you pay for that person. Free file free 1040 tax return A multiple support agreement is used when two or more people provide more than half of a person's support, but no one alone provides more than half. Free file free 1040 tax return   Any medical expenses paid by others who joined you in the agreement cannot be included as medical expenses by anyone. Free file free 1040 tax return However, you can include the entire unreimbursed amount you paid for medical expenses. Free file free 1040 tax return Example. Free file free 1040 tax return You and your three brothers each provide one-fourth of your mother's total support. Free file free 1040 tax return Under a multiple support agreement, you treat your mother as your dependent. Free file free 1040 tax return You paid all of her medical expenses. Free file free 1040 tax return Your brothers repaid you for three-fourths of these expenses. Free file free 1040 tax return In figuring your medical expense deduction, you can include only one-fourth of your mother's medical expenses. Free file free 1040 tax return Your brothers cannot include any part of the expenses. Free file free 1040 tax return However, if you and your brothers share the nonmedical support items and you separately pay all of your mother's medical expenses, you can include the unreimbursed amount you paid for her medical expenses in your medical expenses. Free file free 1040 tax return Decedent Medical expenses paid before death by the decedent are included in figuring any deduction for medical and dental expenses on the decedent's final income tax return. Free file free 1040 tax return This includes expenses for the decedent's spouse and dependents as well as for the decedent. Free file free 1040 tax return The survivor or personal representative of a decedent can choose to treat certain expenses paid by the decedent's estate for the decedent's medical care as paid by the decedent at the time the medical services were provided. Free file free 1040 tax return The expenses must be paid within the 1-year period beginning with the day after the date of death. Free file free 1040 tax return If you are the survivor or personal representative making this choice, you must attach a statement to the decedent's Form 1040 (or the decedent's amended return, Form 1040X) saying that the expenses have not been and will not be claimed on the estate tax return. Free file free 1040 tax return Qualified medical expenses paid before death by the decedent are not deductible if paid with a tax-free distribution from any Archer MSA, Medicare Advantage MSA, or health savings account. Free file free 1040 tax return What if the decedent's return had been filed and the medical expenses were not included?   Form 1040X can be filed for the year or years the expenses are treated as paid, unless the period for filing an amended return for that year has passed. Free file free 1040 tax return Generally, an amended return must be filed within 3 years of the date the original return was filed, or within 2 years from the time the tax was paid, whichever date is later. Free file free 1040 tax return Example. Free file free 1040 tax return John properly filed his 2012 income tax return. Free file free 1040 tax return He died in 2013 with unpaid medical expenses of $1,500 from 2012 and $1,800 in 2013. Free file free 1040 tax return If the expenses are paid within the 1-year period, his survivor or personal representative can file an amended return for 2012 claiming a deduction based on the $1,500 medical expenses. Free file free 1040 tax return The $1,800 of medical expenses from 2013 can be included on the decedent's final return for 2013. Free file free 1040 tax return What if you pay medical expenses of a deceased spouse or dependent?   If you paid medical expenses for your deceased spouse or dependent, include them as medical expenses on your Form 1040 in the year paid, whether they are paid before or after the decedent's death. Free file free 1040 tax return The expenses can be included if the person was your spouse or dependent either at the time the medical services were provided or at the time you paid the expenses. Free file free 1040 tax return What Medical Expenses Are Includible? Following is a list of items that you can include in figuring your medical expense deduction. Free file free 1040 tax return The items are listed in alphabetical order. Free file free 1040 tax return This list does not include all possible medical expenses. Free file free 1040 tax return To determine if an expense not listed can be included in figuring your medical expense deduction, see What Are Medical Expenses , earlier. Free file free 1040 tax return Abortion You can include in medical expenses the amount you pay for a legal abortion. Free file free 1040 tax return Acupuncture You can include in medical expenses the amount you pay for acupuncture. Free file free 1040 tax return Alcoholism You can include in medical expenses amounts you pay for an inpatient's treatment at a therapeutic center for alcohol addiction. Free file free 1040 tax return This includes meals and lodging provided by the center during treatment. Free file free 1040 tax return You can also include in medical expenses amounts you pay for transportation to and from Alcoholics Anonymous meetings in your community if the attendance is pursuant to medical advice that membership in Alcoholics Anonymous is necessary for the treatment of a disease involving the excessive use of alcoholic liquors. Free file free 1040 tax return Ambulance You can include in medical expenses amounts you pay for ambulance service. Free file free 1040 tax return Annual Physical Examination See Physical Examination , later. Free file free 1040 tax return Artificial Limb You can include in medical expenses the amount you pay for an artificial limb. Free file free 1040 tax return Artificial Teeth You can include in medical expenses the amount you pay for artificial teeth. Free file free 1040 tax return Bandages You can include in medical expenses the cost of medical supplies such as bandages. Free file free 1040 tax return Birth Control Pills You can include in medical expenses the amount you pay for birth control pills prescribed by a doctor. Free file free 1040 tax return Body Scan You can include in medical expenses the cost of an electronic body scan. Free file free 1040 tax return Braille Books and Magazines You can include in medical expenses the part of the cost of Braille books and magazines for use by a visually impaired person that is more than the cost of regular printed editions. Free file free 1040 tax return Breast Pumps and Supplies You can include in medical expenses the cost of breast pumps and supplies that assist lactation. Free file free 1040 tax return Breast Reconstruction Surgery You can include in medical expenses the amounts you pay for breast reconstruction surgery, as well as breast prosthesis, following a mastectomy for cancer. Free file free 1040 tax return See Cosmetic Surgery , later. Free file free 1040 tax return Capital Expenses You can include in medical expenses amounts you pay for special equipment installed in a home, or for improvements, if their main purpose is medical care for you, your spouse, or your dependent. Free file free 1040 tax return The cost of permanent improvements that increase the value of your property may be partly included as a medical expense. Free file free 1040 tax return The cost of the improvement is reduced by the increase in the value of your property. Free file free 1040 tax return The difference is a medical expense. Free file free 1040 tax return If the value of your property is not increased by the improvement, the entire cost is included as a medical expense. Free file free 1040 tax return Certain improvements made to accommodate a home to your disabled condition, or that of your spouse or your dependents who live with you, do not usually increase the value of the home and the cost can be included in full as medical expenses. Free file free 1040 tax return These improvements include, but are not limited to, the following items. Free file free 1040 tax return Constructing entrance or exit ramps for your home. Free file free 1040 tax return Widening doorways at entrances or exits to your home. Free file free 1040 tax return Widening or otherwise modifying hallways and interior doorways. Free file free 1040 tax return Installing railings, support bars, or other modifications to bathrooms. Free file free 1040 tax return Lowering or modifying kitchen cabinets and equipment. Free file free 1040 tax return Moving or modifying electrical outlets and fixtures. Free file free 1040 tax return Installing porch lifts and other forms of lifts (but elevators generally add value to the house). Free file free 1040 tax return Modifying fire alarms, smoke detectors, and other warning systems. Free file free 1040 tax return Modifying stairways. Free file free 1040 tax return Adding handrails or grab bars anywhere (whether or not in bathrooms). Free file free 1040 tax return Modifying hardware on doors. Free file free 1040 tax return Modifying areas in front of entrance and exit doorways. Free file free 1040 tax return Grading the ground to provide access to the residence. Free file free 1040 tax return Only reasonable costs to accommodate a home to a disabled condition are considered medical care. Free file free 1040 tax return Additional costs for personal motives, such as for architectural or aesthetic reasons, are not medical expenses. Free file free 1040 tax return Capital expense worksheet. Free file free 1040 tax return   Use Worksheet A to figure the amount of your capital expense to include in your medical expenses. Free file free 1040 tax return Worksheet A. Free file free 1040 tax return Capital Expense Worksheet Instructions: Use this worksheet to figure the amount, if any, of your medical expenses due to a home improvement. Free file free 1040 tax return 1. Free file free 1040 tax return Enter the amount you paid for the home improvement 1. Free file free 1040 tax return   2. Free file free 1040 tax return Enter the value of your home immediately after the improvement 2. Free file free 1040 tax return       3. Free file free 1040 tax return Enter the value of your home immediately before the improvement 3. Free file free 1040 tax return       4. Free file free 1040 tax return Subtract line 3 from line 2. Free file free 1040 tax return This is the increase in the value of your home due to the improvement 4. Free file free 1040 tax return     • If line 4 is more than or equal to line 1, you have no medical expenses due to the home improvement; stop here. Free file free 1040 tax return       • If line 4 is less than line 1, go to line 5. Free file free 1040 tax return     5. Free file free 1040 tax return Subtract line 4 from line 1. Free file free 1040 tax return These are your medical expenses due to the home improvement 5. Free file free 1040 tax return   Operation and upkeep. Free file free 1040 tax return   Amounts you pay for operation and upkeep of a capital asset qualify as medical expenses, as long as the main reason for them is medical care. Free file free 1040 tax return This rule applies even if none or only part of the original cost of the capital asset qualified as a medical care expense. Free file free 1040 tax return Improvements to property rented by a person with a disability. Free file free 1040 tax return   Amounts paid to buy and install special plumbing fixtures for a person with a disability, mainly for medical reasons, in a rented house are medical expenses. Free file free 1040 tax return Example. Free file free 1040 tax return John has arthritis and a heart condition. Free file free 1040 tax return He cannot climb stairs or get into a bathtub. Free file free 1040 tax return On his doctor's advice, he installs a bathroom with a shower stall on the first floor of his two-story rented house. Free file free 1040 tax return The landlord did not pay any of the cost of buying and installing the special plumbing and did not lower the rent. Free file free 1040 tax return John can include in medical expenses the entire amount he paid. Free file free 1040 tax return Car You can include in medical expenses the cost of special hand controls and other special equipment installed in a car for the use of a person with a disability. Free file free 1040 tax return Special design. Free file free 1040 tax return   You can include in medical expenses the difference between the cost of a regular car and a car specially designed to hold a wheelchair. Free file free 1040 tax return Cost of operation. Free file free 1040 tax return   The includible costs of using a car for medical reasons are explained under Transportation , later. Free file free 1040 tax return Chiropractor You can include in medical expenses fees you pay to a chiropractor for medical care. Free file free 1040 tax return Christian Science Practitioner You can include in medical expenses fees you pay to Christian Science practitioners for medical care. Free file free 1040 tax return Contact Lenses You can include in medical expenses amounts you pay for contact lenses needed for medical reasons. Free file free 1040 tax return You can also include the cost of equipment and materials required for using contact lenses, such as saline solution and enzyme cleaner. Free file free 1040 tax return See Eyeglasses and Eye Surgery , later. Free file free 1040 tax return Crutches You can include in medical expenses the amount you pay to buy or rent crutches. Free file free 1040 tax return Dental Treatment You can include in medical expenses the amounts you pay for the prevention and alleviation of dental disease. Free file free 1040 tax return Preventive treatment includes the services of a dental hygienist or dentist for such procedures as teeth cleaning, the application of sealants, and fluoride treatments to prevent tooth decay. Free file free 1040 tax return Treatment to alleviate dental disease include services of a dentist for procedures such as X-rays, fillings, braces, extractions, dentures, and other dental ailments. Free file free 1040 tax return But see Teeth Whitening under What Expenses Are Not Includible, later. Free file free 1040 tax return Diagnostic Devices You can include in medical expenses the cost of devices used in diagnosing and treating illness and disease. Free file free 1040 tax return Example. Free file free 1040 tax return You have diabetes and use a blood sugar test kit to monitor your blood sugar level. Free file free 1040 tax return You can include the cost of the blood sugar test kit in your medical expenses. Free file free 1040 tax return Disabled Dependent Care Expenses Some disabled dependent care expenses may qualify as either: Medical expenses, or Work-related expenses for purposes of taking a credit for dependent care. Free file free 1040 tax return (See Publication 503, Child and Dependent Care Expenses. Free file free 1040 tax return ) You can choose to apply them either way as long as you do not use the same expenses to claim both a credit and a medical expense deduction. Free file free 1040 tax return Drug Addiction You can include in medical expenses amounts you pay for an inpatient's treatment at a therapeutic center for drug addiction. Free file free 1040 tax return This includes meals and lodging at the center during treatment. Free file free 1040 tax return Drugs See Medicines , later. Free file free 1040 tax return Eye Exam You can include in medical expenses the amount you pay for eye examinations. Free file free 1040 tax return Eyeglasses You can include in medical expenses amounts you pay for eyeglasses and contact lenses needed for medical reasons. Free file free 1040 tax return See Contact Lenses , earlier, for more information. Free file free 1040 tax return Eye Surgery You can include in medical expenses the amount you pay for eye surgery to treat defective vision, such as laser eye surgery or radial keratotomy. Free file free 1040 tax return Fertility Enhancement You can include in medical expenses the cost of the following procedures to overcome an inability to have children. Free file free 1040 tax return Procedures such as in vitro fertilization (including temporary storage of eggs or sperm). Free file free 1040 tax return Surgery, including an operation to reverse prior surgery that prevented the person operated on from having children. Free file free 1040 tax return Founder's Fee See Lifetime Care—Advance Payments , later. Free file free 1040 tax return Guide Dog or Other Service Animal You can include in medical expenses the costs of buying, training, and maintaining a guide dog or other service animal to assist a visually impaired or hearing disabled person, or a person with other physical disabilities. Free file free 1040 tax return In general, this includes any costs, such as food, grooming, and veterinary care, incurred in maintaining the health and vitality of the service animal so that it may perform its duties. Free file free 1040 tax return Health Institute You can include in medical expenses fees you pay for treatment at a health institute only if the treatment is prescribed by a physician and the physician issues a statement that the treatment is necessary to alleviate a physical or mental defect or illness of the individual receiving the treatment. Free file free 1040 tax return Health Maintenance Organization (HMO) You can include in medical expenses amounts you pay to entitle you, your spouse, or a dependent to receive medical care from an HMO. Free file free 1040 tax return These amounts are treated as medical insurance premiums. Free file free 1040 tax return See Insurance Premiums , later. Free file free 1040 tax return Hearing Aids You can include in medical expenses the cost of a hearing aid and batteries, repairs, and maintenance needed to operate it. Free file free 1040 tax return Home Care See Nursing Services , later. Free file free 1040 tax return Home Improvements See Capital Expenses , earlier. Free file free 1040 tax return Hospital Services You can include in medical expenses amounts you pay for the cost of inpatient care at a hospital or similar institution if a principal reason for being there is to receive medical care. Free file free 1040 tax return This includes amounts paid for meals and lodging. Free file free 1040 tax return Also see Lodging , later. Free file free 1040 tax return Insurance Premiums You can include in medical expenses insurance premiums you pay for policies that cover medical care. Free file free 1040 tax return Medical care policies can provide payment for treatment that includes: Hospitalization, surgical services, X-rays, Prescription drugs and insulin, Dental care, Replacement of lost or damaged contact lenses, and Long-term care (subject to additional limitations). Free file free 1040 tax return See Qualified Long-Term Care Insurance Contracts under Long-Term Care, later. Free file free 1040 tax return If you have a policy that provides payments for other than medical care, you can include the premiums for the medical care part of the policy if the charge for the medical part is reasonable. Free file free 1040 tax return The cost of the medical part must be separately stated in the insurance contract or given to you in a separate statement. Free file free 1040 tax return Health coverage tax credit. Free file free 1040 tax return   If, during 2013, you were an eligible trade adjustment assistance (TAA) recipient, alternative TAA (ATAA) recipient, reemployment TAA (RTAA) recipient, or Pension Benefit Guaranty Corporation (PBGC) pension recipient, you must complete Form 8885 before completing Schedule A. Free file free 1040 tax return When figuring the amount of insurance premiums you can deduct on Schedule A, do not include: Any amounts you included on Form 8885, Any qualified health insurance premiums you paid to “U. Free file free 1040 tax return S. Free file free 1040 tax return Treasury–HCTC,” or Any health coverage tax credit advance payments shown on Form 1099-H, Health Coverage Tax Credit (HCTC) Advance Payments. Free file free 1040 tax return Employer-Sponsored Health Insurance Plan Do not include in your medical and dental expenses any insurance premiums paid by an employer-sponsored health insurance plan unless the premiums are included on your Form W-2, Wage and Tax Statement. Free file free 1040 tax return Also, do not include any other medical and dental expenses paid by the plan unless the amount paid is included on your Form W-2. Free file free 1040 tax return Example. Free file free 1040 tax return You are a federal employee participating in the premium conversion plan of the Federal Employee Health Benefits (FEHB) program. Free file free 1040 tax return Your share of the FEHB premium is paid by making a pre-tax reduction in your salary. Free file free 1040 tax return Because you are an employee whose insurance premiums are paid with money that is never included in your gross income, you cannot deduct the premiums paid with that money. Free file free 1040 tax return Long-term care services. Free file free 1040 tax return   Contributions made by your employer to provide coverage for qualified long-term care services under a flexible spending or similar arrangement must be included in your income. Free file free 1040 tax return This amount will be reported as wages on your Form W-2. Free file free 1040 tax return Retired public safety officers. Free file free 1040 tax return   If you are a retired public safety officer, do not include as medical expenses any health or long-term care insurance premiums that you elected to have paid with tax-free distributions from a retirement plan. Free file free 1040 tax return This applies only to distributions that would otherwise be included in income. Free file free 1040 tax return Health reimbursement arrangement (HRA). Free file free 1040 tax return   If you have medical expenses that are reimbursed by a health reimbursement arrangement, you cannot include those expenses in your medical expenses. Free file free 1040 tax return This is because an HRA is funded solely by the employer. Free file free 1040 tax return Medicare A If you are covered under social security (or if you are a government employee who paid Medicare tax), you are enrolled in Medicare A. Free file free 1040 tax return The payroll tax paid for Medicare A is not a medical expense. Free file free 1040 tax return If you are not covered under social security (or were not a government employee who paid Medicare tax), you can voluntarily enroll in Medicare A. Free file free 1040 tax return In this situation you can include the premiums you paid for Medicare A as a medical expense. Free file free 1040 tax return Medicare B Medicare B is a supplemental medical insurance. Free file free 1040 tax return Premiums you pay for Medicare B are a medical expense. Free file free 1040 tax return Check the information you received from the Social Security Administration to find out your premium. Free file free 1040 tax return Medicare D Medicare D is a voluntary prescription drug insurance program for persons with Medicare A or B. Free file free 1040 tax return You can include as a medical expense premiums you pay for Medicare D. Free file free 1040 tax return Prepaid Insurance Premiums Premiums you pay before you are age 65 for insurance for medical care for yourself, your spouse, or your dependents after you reach age 65 are medical care expenses in the year paid if they are: Payable in equal yearly installments or more often, and Payable for at least 10 years, or until you reach age 65 (but not for less than 5 years). Free file free 1040 tax return Unused Sick Leave Used To Pay Premiums You must include in gross income cash payments you receive at the time of retirement for unused sick leave. Free file free 1040 tax return You also must include in gross income the value of unused sick leave that, at your option, your employer applies to the cost of your continuing participation in your employer's health plan after you retire. Free file free 1040 tax return You can include this cost of continuing participation in the health plan as a medical expense. Free file free 1040 tax return If you participate in a health plan where your employer automatically applies the value of unused sick leave to the cost of your continuing participation in the health plan (and you do not have the option to receive cash), do not include the value of the unused sick leave in gross income. Free file free 1040 tax return You cannot include this cost of continuing participation in that health plan as a medical expense. Free file free 1040 tax return Insurance Premiums You Cannot Include You cannot include premiums you pay for: Life insurance policies, Policies providing payment for loss of earnings, Policies for loss of life, limb, sight, etc. Free file free 1040 tax return , Policies that pay you a guaranteed amount each week for a stated number of weeks if you are hospitalized for sickness or injury, The part of your car insurance that provides medical insurance coverage for all persons injured in or by your car because the part of the premium providing insurance for you, your spouse, and your dependents is not stated separately from the part of the premium providing insurance for medical care for others, or Health or long-term care insurance if you elected to pay these premiums with tax-free distributions from a retirement plan made directly to the insurance provider and these distributions would otherwise have been included in income. Free file free 1040 tax return Taxes imposed by any governmental unit, such as Medicare taxes, are not insurance premiums. Free file free 1040 tax return Coverage for nondependents. Free file free 1040 tax return   Generally, you cannot deduct any additional premium you pay as the result of including on your policy someone who is not your spouse or dependent, even if that person is your child under age 27. Free file free 1040 tax return However, you can deduct the additional premium if that person is: Your child whom you do not claim as a dependent because of the rules for children of divorced or separated parents, Any person you could have claimed as a dependent on your return except that person received $3,900 or more of gross income or filed a joint return, or Any person you could have claimed as a dependent except that you, or your spouse if filing jointly, can be claimed as a dependent on someone else's 2013 return. Free file free 1040 tax return  Also, if you had family coverage when you added this individual to your policy and your premiums did not increase, you can enter on Schedule A (Form 1040) the full amount of your medical and dental insurance premiums. Free file free 1040 tax return Intellectually and Developmentally Disabled, Special Home for You can include in medical expenses the cost of keeping a person who is intellectually and developmentally disabled in a special home, not the home of a relative, on the recommendation of a psychiatrist to help the person adjust from life in a mental hospital to community living. Free file free 1040 tax return Laboratory Fees You can include in medical expenses the amounts you pay for laboratory fees that are part of medical care. Free file free 1040 tax return Lactation Expenses See Breast Pumps and Supplies , earlier. Free file free 1040 tax return Lead-Based Paint Removal You can include in medical expenses the cost of removing lead-based paints from surfaces in your home to prevent a child who has or had lead poisoning from eating the paint. Free file free 1040 tax return These surfaces must be in poor repair (peeling or cracking) or within the child's reach. Free file free 1040 tax return The cost of repainting the scraped area is not a medical expense. Free file free 1040 tax return If, instead of removing the paint, you cover the area with wallboard or paneling, treat these items as capital expenses. Free file free 1040 tax return See Capital Expenses , earlier. Free file free 1040 tax return Do not include the cost of painting the wallboard as a medical expense. Free file free 1040 tax return Learning Disability See Special Education , later. Free file free 1040 tax return Legal Fees You can include in medical expenses legal fees you paid that are necessary to authorize treatment for mental illness. Free file free 1040 tax return However, you cannot include in medical expenses fees for the management of a guardianship estate, fees for conducting the affairs of the person being treated, or other fees that are not necessary for medical care. Free file free 1040 tax return Lifetime Care—Advance Payments You can include in medical expenses a part of a life-care fee or “founder's fee” you pay either monthly or as a lump sum under an agreement with a retirement home. Free file free 1040 tax return The part of the payment you include is the amount properly allocable to medical care. Free file free 1040 tax return The agreement must require that you pay a specific fee as a condition for the home's promise to provide lifetime care that includes medical care. Free file free 1040 tax return You can use a statement from the retirement home to prove the amount properly allocable to medical care. Free file free 1040 tax return The statement must be based either on the home's prior experience or on information from a comparable home. Free file free 1040 tax return Dependents with disabilities. Free file free 1040 tax return   You can include in medical expenses advance payments to a private institution for lifetime care, treatment, and training of your physically or mentally impaired child upon your death or when you become unable to provide care. Free file free 1040 tax return The payments must be a condition for the institution's future acceptance of your child and must not be refundable. Free file free 1040 tax return Payments for future medical care. Free file free 1040 tax return   Generally, you cannot include in medical expenses current payments for medical care (including medical insurance) to be provided substantially beyond the end of the year. Free file free 1040 tax return This rule does not apply in situations where the future care is purchased in connection with obtaining lifetime care of the type described earlier. Free file free 1040 tax return Lodging You can include in medical expenses the cost of meals and lodging at a hospital or similar institution if a principal reason for being there is to receive medical care. Free file free 1040 tax return See Nursing Home , later. Free file free 1040 tax return You may be able to include in medical expenses the cost of lodging not provided in a hospital or similar institution. Free file free 1040 tax return You can include the cost of such lodging while away from home if all of the following requirements are met. Free file free 1040 tax return The lodging is primarily for and essential to medical care. Free file free 1040 tax return The medical care is provided by a doctor in a licensed hospital or in a medical care facility related to, or the equivalent of, a licensed hospital. Free file free 1040 tax return The lodging is not lavish or extravagant under the circumstances. Free file free 1040 tax return There is no significant element of personal pleasure, recreation, or vacation in the travel away from home. Free file free 1040 tax return The amount you include in medical expenses for lodging cannot be more than $50 for each night for each person. Free file free 1040 tax return You can include lodging for a person traveling with the person receiving the medical care. Free file free 1040 tax return For example, if a parent is traveling with a sick child, up to $100 per night can be included as a medical expense for lodging. Free file free 1040 tax return Meals are not included. Free file free 1040 tax return Do not include the cost of lodging while away from home for medical treatment if that treatment is not received from a doctor in a licensed hospital or in a medical care facility related to, or the equivalent of, a licensed hospital or if that lodging is not primarily for or essential to the medical care received. Free file free 1040 tax return Long-Term Care You can include in medical expenses amounts paid for qualified long-term care services and premiums paid for qualified long-term care insurance contracts. Free file free 1040 tax return Qualified Long-Term Care Services Qualified long-term care services are necessary diagnostic, preventive, therapeutic, curing, treating, mitigating, rehabilitative services, and maintenance and personal care services (defined later) that are: Required by a chronically ill individual, and Provided pursuant to a plan of care prescribed by a licensed health care practitioner. Free file free 1040 tax return Chronically ill individual. Free file free 1040 tax return   An individual is chronically ill if, within the previous 12 months, a licensed health care practitioner has certified that the individual meets either of the following descriptions. Free file free 1040 tax return He or she is unable to perform at least two activities of daily living without substantial assistance from another individual for at least 90 days, due to a loss of functional capacity. Free file free 1040 tax return Activities of daily living are eating, toileting, transferring, bathing, dressing, and continence. Free file free 1040 tax return He or she requires substantial supervision to be protected from threats to health and safety due to severe cognitive impairment. Free file free 1040 tax return Maintenance and personal care services. Free file free 1040 tax return    Maintenance or personal care services is care which has as its primary purpose the providing of a chronically ill individual with needed assistance with his or her disabilities (including protection from threats to health and safety due to severe cognitive impairment). Free file free 1040 tax return Qualified Long-Term Care Insurance Contracts A qualified long-term care insurance contract is an insurance contract that provides only coverage of qualified long-term care services. Free file free 1040 tax return The contract must: Be guaranteed renewable, Not provide for a cash surrender value or other money that can be paid, assigned, pledged, or borrowed, Provide that refunds, other than refunds on the death of the insured or complete surrender or cancellation of the contract, and dividends under the contract must be used only to reduce future premiums or increase future benefits, and Generally not pay or reimburse expenses incurred for services or items that would be reimbursed under Medicare, except where Medicare is a secondary payer, or the contract makes per diem or other periodic payments without regard to expenses. Free file free 1040 tax return The amount of qualified long-term care premiums you can include is limited. Free file free 1040 tax return You can include the following as medical expenses on Schedule A (Form 1040). Free file free 1040 tax return Qualified long-term care premiums up to the following amounts. Free file free 1040 tax return Age 40 or under – $360. Free file free 1040 tax return Age 41 to 50 – $680. Free file free 1040 tax return Age 51 to 60 – $1,360. Free file free 1040 tax return Age 61 to 70 – $3,640. Free file free 1040 tax return Age 71 or over – $4,550. Free file free 1040 tax return Unreimbursed expenses for qualified long-term care services. Free file free 1040 tax return Note. Free file free 1040 tax return The limit on premiums is for each person. Free file free 1040 tax return Also, if you are an eligible retired public safety officer, you cannot include premiums for long-term care insurance if you elected to pay these premiums with tax-free distributions from a qualified retirement plan made directly to the insurance provider and these distributions would otherwise have been included in your income. Free file free 1040 tax return Meals You can include in medical expenses the cost of meals at a hospital or similar institution if a principal reason for being there is to get medical care. Free file free 1040 tax return You cannot include in medical expenses the cost of meals that are not part of inpatient care. Free file free 1040 tax return Also see Weight-Loss Program and Nutritional Supplements , later. Free file free 1040 tax return Medical Conferences You can include in medical expenses amounts paid for admission and transportation to a medical conference if the medical conference concerns the chronic illness of yourself, your spouse, or your dependent. Free file free 1040 tax return The costs of the medical conference must be primarily for and necessary to the medical care of you, your spouse, or your dependent. Free file free 1040 tax return The majority of the time spent at the conference must be spent attending sessions on medical information. Free file free 1040 tax return The cost of meals and lodging while attending the conference is not deductible as a medical expense. Free file free 1040 tax return Medical Information Plan You can include in medical expenses amounts paid to a plan that keeps medical information in a computer data bank and retrieves and furnishes the information upon request to an attending physician. Free file free 1040 tax return Medicines You can include in medical expenses amounts you pay for prescribed medicines and drugs. Free file free 1040 tax return A prescribed drug is one that requires a prescription by a doctor for its use by an individual. Free file free 1040 tax return You can also include amounts you pay for insulin. Free file free 1040 tax return Except for insulin, you cannot include in medical expenses amounts you pay for a drug that is not prescribed. Free file free 1040 tax return Imported medicines and drugs. Free file free 1040 tax return   If you imported medicines or drugs from other countries, see Medicines and Drugs From Other Countries , under What Expenses Are Not Includible, later. Free file free 1040 tax return Nursing Home You can include in medical expenses the cost of medical care in a nursing home, home for the aged, or similar institution, for yourself, your spouse, or your dependents. Free file free 1040 tax return This includes the cost of meals and lodging in the home if a principal reason for being there is to get medical care. Free file free 1040 tax return Do not include the cost of meals and lodging if the reason for being in the home is personal. Free file free 1040 tax return You can, however, include in medical expenses the part of the cost that is for medical or nursing care. Free file free 1040 tax return Nursing Services You can include in medical expenses wages and other amounts you pay for nursing services. Free file free 1040 tax return The services need not be performed by a nurse as long as the services are of a kind generally performed by a nurse. Free file free 1040 tax return This includes services connected with caring for the patient's condition, such as giving medication or changing dressings, as well as bathing and grooming the patient. Free file free 1040 tax return These services can be provided in your home or another care facility. Free file free 1040 tax return Generally, only the amount spent for nursing services is a medical expense. Free file free 1040 tax return If the attendant also provides personal and household services, amounts paid to the attendant must be divided between the time spent performing household and personal services and the time spent for nursing services. Free file free 1040 tax return For example, because of your medical condition you pay a visiting nurse $300 per week for medical and household services. Free file free 1040 tax return She spends 10% of her time doing household services such as washing dishes and laundry. Free file free 1040 tax return You can include only $270 per week as medical expenses. Free file free 1040 tax return The $30 (10% × $300) allocated to household services cannot be included. Free file free 1040 tax return However, certain maintenance or personal care services provided for qualified long-term care can be included in medical expenses. Free file free 1040 tax return See Maintenance and personal care services under Long-Term Care, earlier. Free file free 1040 tax return Additionally, certain expenses for household services or for the care of a qualifying individual incurred to allow you to work may qualify for the child and dependent care credit. Free file free 1040 tax return See Publication 503. Free file free 1040 tax return You can also include in medical expenses part of the amount you pay for that attendant's meals. Free file free 1040 tax return Divide the food expense among the household members to find the cost of the attendant's food. Free file free 1040 tax return Then divide that cost in the same manner as in the preceding paragraph. Free file free 1040 tax return If you had to pay additional amounts for household upkeep because of the attendant, you can include the extra amounts with your medical expenses. Free file free 1040 tax return This includes extra rent or utilities you pay because you moved to a larger apartment to provide space for the attendant. Free file free 1040 tax return Employment taxes. Free file free 1040 tax return   You can include as a medical expense social security tax, FUTA, Medicare tax, and state employment taxes you pay for an attendant who provides medical care. Free file free 1040 tax return If the attendant also provides personal and household services, you can include as a medical expense only the amount of employment taxes paid for medical services as explained earlier. Free file free 1040 tax return For information on employment tax responsibilities of household employers, see Publication 926, Household Employer's Tax Guide. Free file free 1040 tax return Operations You can include in medical expenses amounts you pay for legal operations that are not for unnecessary cosmetic surgery. Free file free 1040 tax return See Cosmetic Surgery under What Expenses Are Not Includible, later. Free file free 1040 tax return Optometrist See Eyeglasses , earlier. Free file free 1040 tax return Organ Donors See Transplants , later. Free file free 1040 tax return Osteopath You can include in medical expenses amounts you pay to an osteopath for medical care. Free file free 1040 tax return Oxygen You can include in medical expenses amounts you pay for oxygen and oxygen equipment to relieve breathing problems caused by a medical condition. Free file free 1040 tax return Physical Examination You can include in medical expenses the amount you pay for an annual physical examination and diagnostic tests by a physician. Free file free 1040 tax return You do not have to be ill at the time of the examination. Free file free 1040 tax return Pregnancy Test Kit You can include in medical expenses the amount you pay to purchase a pregnancy test kit to determine if you are pregnant. Free file free 1040 tax return Prosthesis See Artificial Limb and Breast Reconstruction Surgery , earlier. Free file free 1040 tax return Psychiatric Care You can include in medical expenses amounts you pay for psychiatric care. Free file free 1040 tax return This includes the cost of supporting a mentally ill dependent at a specially equipped medical center where the dependent receives medical care. Free file free 1040 tax return See Psychoanalysis, next, and Transportation , later. Free file free 1040 tax return Psychoanalysis You can include in medical expenses payments for psychoanalysis. Free file free 1040 tax return However, you cannot include payments for psychoanalysis that is part of required training to be a psychoanalyst. Free file free 1040 tax return Psychologist You can include in medical expenses amounts you pay to a psychologist for medical care. Free file free 1040 tax return Special Education You can include in medical expenses fees you pay on a doctor's recommendation for a child's tutoring by a teacher who is specially trained and qualified to work with children who have learning disabilities caused by mental or physical impairments, including nervous system disorders. Free file free 1040 tax return You can include in medical expenses the cost (tuition, meals, and lodging) of attending a school that furnishes special education to help a child to overcome learning disabilities. Free file free 1040 tax return A doctor must recommend that the child attend the school. Free file free 1040 tax return Overcoming the learning disabilities must be a principal reason for attending the school, and any ordinary education received must be incidental to the special education provided. Free file free 1040 tax return Special education includes: Teaching Braille to a visually impaired person, Teaching lip reading to a hearing disabled person, or Giving remedial language training to correct a condition caused by a birth defect. Free file free 1040 tax return Sterilization You can include in medical expenses the cost of a legal sterilization (a legally performed operation to make a person unable to have children). Free file free 1040 tax return Also see Vasectomy , later. Free file free 1040 tax return Stop-Smoking Programs You can include in medical expenses amounts you pay for a program to stop smoking. Free file free 1040 tax return However, you cannot include in medical expenses amounts you pay for drugs that do not require a prescription, such as nicotine gum or patches, that are designed to help stop smoking. Free file free 1040 tax return Surgery See Operations , earlier. Free file free 1040 tax return Telephone You can include in medical expenses the cost of special telephone equipment that lets a person who is deaf, hard of hearing or has a speech disability communicate over a regular telephone. Free file free 1040 tax return This includes teletypewriter (TTY) and telecommunications device for the deaf (TDD) equipment. Free file free 1040 tax return You can also include the cost of repairing the equipment. Free file free 1040 tax return Television You can include in medical expenses the cost of equipment that displays the audio part of television programs as subtitles for persons with a hearing disability. Free file free 1040 tax return This may be the cost of an adapter that attaches to a regular set. Free file free 1040 tax return It also may be the part of the cost of a specially equipped television that exceeds the cost of the same model regular television set. Free file free 1040 tax return Therapy You can include in medical expenses amounts you pay for therapy received as medical treatment. Free file free 1040 tax return Transplants You can include in medical expenses amounts paid for medical care you receive because you are a donor or a possible donor of a kidney or other organ. Free file free 1040 tax return This includes transportation. Free file free 1040 tax return You can include any expenses you pay for the medical care of a donor in connection with the donating of an organ. Free file free 1040 tax return This includes transportation. Free file free 1040 tax return Transportation You can include in medical expenses amounts paid for transportation primarily for, and essential to, medical care. Free file free 1040 tax return You can include:    Bus, taxi, train, or plane fares or ambulance service, Transportation expenses of a parent who must go with a child who needs medical care, Transportation expenses of a nurse or other person who can give injections, medications, or other treatment required by a patient who is traveling to get medical care and is unable to travel alone, and Transportation expenses for regular visits to see a mentally ill dependent, if these visits are recommended as a part of treatment. Free file free 1040 tax return Car expenses. Free file free 1040 tax return   You can include out-of-pocket expenses, such as the cost of gas and oil, when you use a car for medical reasons. Free file free 1040 tax return You cannot include depreciation, insurance, general repair, or maintenance expenses. Free file free 1040 tax return   If you do not want to use your actual expenses for 2013, you can use the standard medical mileage rate of 24 cents a mile. Free file free 1040 tax return    You can also include parking fees and tolls. Free file free 1040 tax return You can add these fees and tolls to your medical expenses whether you use actual expenses or the standard mileage rate. Free file free 1040 tax return Example. Free file free 1040 tax return In 2013, Bill Jones drove 2,800 miles for medical reasons. Free file free 1040 tax return He spent $500 for gas, $30 for oil, and $100 for tolls and parking. Free file free 1040 tax return He wants to figure the amount he can include in medical expenses both ways to see which gives him the greater deduction. Free file free 1040 tax return He figures the actual expenses first. Free file free 1040 tax return He adds the $500 for gas, the $30 for oil, and the $100 for tolls and parking for a total of $630. Free file free 1040 tax return He then figures the standard mileage amount. Free file free 1040 tax return He multiplies 2,800 miles by 24 cents a mile for a total of $672. Free file free 1040 tax return He then adds the $100 tolls and parking for a total of $772. Free file free 1040 tax return Bill includes the $772 of car expenses with his other medical expenses for the year because the $772 is more than the $630 he figured using actual expenses. Free file free 1040 tax return Transportation expenses you cannot include. Free file free 1040 tax return    You cannot include in medical expenses the cost of transportation in the following situations. Free file free 1040 tax return Going to and from work, even if your condition requires an unusual means of transportation. Free file free 1040 tax return Travel for purely personal reasons to another city for an operation or other medical care. Free file free 1040 tax return Travel that is merely for the general improvement of one's health. Free file free 1040 tax return The costs of operating a specially equipped car for other than medical reasons. Free file free 1040 tax return Trips You can include in medical expenses amounts you pay for transportation to another city if the trip is primarily for, and essential to, receiving medical services. Free file free 1040 tax return You may be able to include up to $50 for each night for each person. Free file free 1040 tax return You can include lodging for a person traveling with the person receiving the medical care. Free file free 1040 tax return For example, if a parent is traveling with a sick child, up to $100 per night can be included as a medical expense for lodging. Free file free 1040 tax return Meals are not included. Free file free 1040 tax return See Lodging , earlier. Free file free 1040 tax return You cannot include in medical expenses a trip or vacation taken merely for a change in environment, improvement of morale, or general improvement of health, even if the trip is made on the advice of a doctor. Free file free 1040 tax return However, see Medical Conferences , earlier. Free file free 1040 tax return Tuition Under special circumstances, you can include charges for tuition in medical expenses. Free file free 1040 tax return See Special Education , earlier. Free file free 1040 tax return You can include charges for a health plan included in a lump-sum tuition fee if the charges are separately stated or can easily be obtained from the school. Free file free 1040 tax return Vasectomy You can include in medical expenses the amount you pay for a vasectomy. Free file free 1040 tax return Vision Correction Surgery See Eye Surgery , earlier. Free file free 1040 tax return Weight-Loss Program You can include in medical expenses amounts you pay to lose weight if it is a treatment for a specific disease diagnosed by a physician (such as obesity, hypertension, or heart disease). Free file free 1040 tax return This includes fees you pay for membership in a weight reduction group as well as fees for attendance at periodic meetings. Free file free 1040 tax return You cannot include membership dues in a gym, health club, or spa as medical expenses, but you can include separate fees charged there for weight loss activities. Free file free 1040 tax return You cannot include the cost of diet food or beverages in medical expenses because the diet food and beverages substitute for what is normally consumed to satisfy nutritional needs. Free file free 1040 tax return You can include the cost of special food in medical expenses only if: The food does not satisfy normal nutritional needs, The food alleviates or treats an illness, and The need for the food is substantiated by a physician. Free file free 1040 tax return The amount you can include in medical expenses is limited to the amount by which the cost of the special food exceeds the cost of a normal diet. Free file free 1040 tax return See also Weight-Loss Program under What Expenses Are Not Includible, later. Free file free 1040 tax return Wheelchair You can include in medical expenses amounts you pay for a wheelchair used mainly for the relief of sickness or disability, and not just to provide transportation to and from work. Free file free 1040 tax return The cost of operating and maintaining the wheelchair is also a medical expense. Free file free 1040 tax return Wig You can include in medical expenses the cost of a wig purchased upon the advice of a physician for the mental health of a patient who has lost all of his or her hair from disease. Free file free 1040 tax return X-ray You can include in medical expenses amounts you pay for X-rays for medical reasons. Free file free 1040 tax return What Expenses Are Not Includible? Following is a list of some items that you cannot include in figuring your medical expense deduction. Free file free 1040 tax return The items are listed in alphabetical order. Free file free 1040 tax return Baby Sitting, Childcare, and Nursing Services for a Normal, Healthy Baby You cannot include in medical expenses amounts you pay for the care of children, even if the expenses enable you, your spouse, or your dependent to get medical or dental treatment. Free file free 1040 tax return Also, any expense allowed as a childcare credit cannot be treated as an expense paid for medical care. Free file free 1040 tax return Controlled Substances You cannot include in medical expenses amounts you pay for controlled substances (such as marijuana, laetrile, etc. Free file free 1040 tax return ), even if such substances are legalized by state law. Free file free 1040 tax return Such substances are not legal under federal law and cannot be included in medical expenses. Free file free 1040 tax return Cosmetic Surgery Generally, you cannot include in medical expenses the amount you pay for unnecessary cosmetic surgery. Free file free 1040 tax return This includes any procedure that is directed at improving the patient's appearance and does not meaningfully promote the proper function of the body or prevent or treat illness or disease. Free file free 1040 tax return You generally cannot include in medical expenses the amount you pay for procedures such as face lifts, hair transplants, hair removal (electrolysis), and liposuction. Free file free 1040 tax return You can include in medical expenses the amount you pay for cosmetic surgery if it is necessary to improve a deformity arising from, or directly related to, a congenital abnormality, a personal injury resulting from an accident or trauma, or a disfiguring disease. Free file free 1040 tax return Example. Free file free 1040 tax return An individual undergoes surgery that removes a breast as part of treatment for cancer. Free file free 1040 tax return She pays a surgeon to reconstruct the breast. Free file free 1040 tax return The surgery to reconstruct the breast corrects a deformity directly related to the disease. Free file free 1040 tax return The cost of the surgery is includible in her medical expenses. Free file free 1040 tax return Dancing Lessons You cannot include in medical expenses the cost of dancing lessons, swimming lessons, etc. Free file free 1040 tax return , even if they are recommended by a doctor, if they are only for the improvement of general health. Free file free 1040 tax return Diaper Service You cannot include in medical expenses the amount you pay for diapers or diaper services, unless they are needed to relieve the effects of a particular disease. Free file free 1040 tax return Electrolysis or Hair Removal See Cosmetic Surgery , earlier. Free file free 1040 tax return Flexible Spending Account You cannot include in medical expenses amounts for which you are fully reimbursed by your flexible spending account if you contribute a part of your income on a pre-tax basis to pay for the qualified benefit. Free file free 1040 tax return Funeral Expenses You cannot include in medical expenses amounts you pay for funerals. Free file free 1040 tax return Future Medical Care Generally, you cannot include in medical expenses current payments for medical care (including medical insurance) to be provided substantially beyond the end of the year. Free file free 1040 tax return This rule does not apply in situations where the future care is purchased in connection with obtaining lifetime care or long-term care of the type described at Lifetime Care—Advance Payments or Long-Term Care, earlier under What Medical Expenses Are Includible. Free file free 1040 tax return Hair Transplant See Cosmetic Surgery , earlier. Free file free 1040 tax return Health Club Dues You cannot include in medical expenses health club dues or amounts paid to improve one's general health or to relieve physical or mental discomfort not related to a particular medical condition. Free file free 1040 tax return You cannot include in medical expenses the cost of membership in any club organized for business, pleasure, recreation, or other social purpose. Free file free 1040 tax return Health Coverage Tax Credit You cannot include in medical expenses amounts you pay for health insurance that you use in figuring your health coverage tax credit. Free file free 1040 tax return For more information, see Health Coverage Tax Credit , later. Free file free 1040 tax return Health Savings Accounts You cannot include in medical expenses any payment or distribution for medical expenses out of a health savings account. Free file free 1040 tax return Contributions to health savings accounts are deducted separately. Free file free 1040 tax return See Publication 969. Free file free 1040 tax return Household Help You cannot include in medical expenses the cost of household help, even if such help is recommended by a doctor. Free file free 1040 tax return This is a personal expense that is not deductible. Free file free 1040 tax return However, you may be able to include certain expenses paid to a person providing nursing-type services. Free file free 1040 tax return For more information, see Nursing Services , earlier under What Medical Expenses Are Includible. Free file free 1040 tax return Also, certain maintenance or personal care services provided for qualified long-term care can be included in medical expenses. Free file free 1040 tax return For more information, see Long-Term Care , earlier under What Medical Expenses Are Includible. Free file free 1040 tax return Illegal Operations and Treatments You cannot include in medical expenses amounts you pay for illegal operations, treatments, or controlled substances whether rendered or prescribed by licensed or unlicensed practitioners. Free file free 1040 tax return Insurance Premiums See Insurance Premiums under What Medical Expenses Are Includible, earlier. Free file free 1040 tax return Maternity Clothes You cannot include in medical expenses amounts you pay for maternity clothes. Free file free 1040 tax return Medical Savings Account (MSA) You cannot include in medical expenses amounts you contribute to an Archer MSA. Free file free 1040 tax return You cannot include expenses you pay for with a tax-free distribution from your Archer MSA. Free file free 1040 tax return You also cannot use other funds equal to the amount of the distribution and include the expenses. Free file free 1040 tax return For more information on Archer MSAs, see Publication 969. Free file free 1040 tax return Medicines and Drugs From Other Countries In general, you cannot include in your medical expenses the cost of a prescribed drug brought in (or ordered shipped) from another country. Free file free 1040 tax return You can only include the cost of a drug that was imported legally. Free file free 1040 tax return For example, you can include the cost of a prescribed drug the Food and Drug Administration announces can be legally imported by individuals. Free file free 1040 tax return You can include the cost of a prescribed drug you purchase and consume in another country if the drug is legal in both the other country and the United States. Free file free 1040 tax return Nonprescription Drugs and Medicines Except for insulin, you cannot include in medical expenses amounts you pay for a drug that is not prescribed. Free file free 1040 tax return Example. Free file free 1040 tax return Your doctor recommends that you take aspirin. Free file free 1040 tax return Because aspirin is a drug that does not require a physician's prescription, you cannot include its cost in your medical expenses. Free file free 1040 tax return Nutritional Supplements You cannot include in medical expenses the cost of nutritional supplements, vitamins, herbal supplements, “natural medicines,” etc. Free file free 1040 tax return unless they are recommended by a medical practitioner as treatment for a specific medical condition diagnosed by a physician. Free file free 1040 tax return Otherwise, these items are taken to maintain your ordinary good health, and are not for medical care. Free file free 1040 tax return Personal Use Items You cannot include in medical expenses the cost of an item ordinarily used for personal, living, or family purposes unless it is used primarily to prevent or alleviate a physical or mental defect or illness. Free file free 1040 tax return For example, the cost of a toothbrush and toothpaste is a nondeductible personal expense. Free file free 1040 tax return In order to accommodate an individual with a physical defect, you may have to purchase an item ordinarily used as a personal, living, or family item in a special form. Free file free 1040 tax return You can include the excess of the cost of the item in a special form over the cost of the item in normal form as a medical expense. Free file free 1040 tax return (See Braille Books and Magazines under What Medical Expenses Are Includible, earlier. Free file free 1040 tax return ) Swimming Lessons See Dancing Lessons , earlier. Free file free 1040 tax return Teeth Whitening You cannot include in medical expenses amounts paid to whiten teeth. Free file free 1040 tax return See Cosmetic Surgery , earlier. Free file free 1040 tax return Veterinary Fees You generally cannot include veterinary fees in your medical expenses, but see Guide Dog or Other Service Animal under What Medical Expenses Are Includible, earlier. Free file free 1040 tax return Weight-Loss Program You cannot include in medical expenses the cost of a weight-loss program if the purpose of the weight loss is the improvement of appearance, general health, or sense of well-being. Free file free 1040 tax return You cannot include amounts you pay to lose weight unless the weight loss is a treatment for a specific disease diagnosed by a physician (such as obesity, hypertension, or heart disease). Free file free 1040 tax return If the weight-loss treatment is not for a specific disease diagnosed by a physician, you cannot include either the fees you pay for membership in a weight reduction group or fees for attendance at periodic meetings. Free file free 1040 tax return Also, you cannot include membership dues in a gym, health club, or spa. Free file free 1040 tax return You cannot include the cost of diet food or beverages in medical expenses because the diet food and beverages substitute for what is normally consumed to satisfy nutritional needs. Free file free 1040 tax return See Weight-Loss Program under What Medical Expenses Are Includible, earlier. Free file free 1040 tax return How Do You Treat Reimbursements? You can include in medical expenses only those amounts paid during the tax year for which you received no insurance or other reimbursement. Free file free 1040 tax return Insurance Reimbursement You must reduce your total medical expenses for the year by all reimbursements for medical expenses that you receive from insurance or other sources during the year. Free file free 1040 tax return This includes payments from Medicare. Free file free 1040 tax return Even if a policy provides reimbursement only for certain specific medical expenses, you must use amounts you receive from that policy to reduce your total medical expenses, including those it does not reimburse. Free file free 1040 tax return Example. Free file free 1040 tax return You have insurance policies that cover your hospital and doctors' bills but not your nursing bills. Free file free 1040 tax return The insurance you receive for the hospital and doctors' bills is more than their charges. Free file free 1040 tax return In figuring your medical deduction, you must reduce the total amount you spent for medical care by the total amount of insurance you received, even if the policies do not cover some of your medical expenses. Free file free 1040 tax return Health reimbursement arrange