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Estate and Gift Taxes

Estate Tax
The estate tax is a tax on your right to transfer property at your death. It consists of an accounting of everything you own or have certain interests in at the date of death.

Frequently Asked Questions on Estate Taxes
Find some of the more common questions dealing with basic estate tax issues.

Gift Tax
If you give someone money or property during your life, you may be subject to federal gift tax.

Frequently Asked Questions on Gift Taxes
Find some of the more common questions dealing with gift tax issues as well as some examples of how different types of gifts are treated.

Filing Estate and Gift Tax Returns
Learn when to file estate and gift taxes, where to send your returns, and get contact information if you need help.

What's New - Estate and Gift Tax
Stay up to date with the tax law changes related to estate and gift taxes.

References/Related Topics

Page Last Reviewed or Updated: 29-Jan-2014

The Priortax

Priortax Publication 502 - Main Content Table of Contents What Are Medical Expenses? What Expenses Can You Include This Year?Community property states. Priortax 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. Priortax These expenses include payments for legal medical services rendered by physicians, surgeons, dentists, and other medical practitioners. Priortax They include the costs of equipment, supplies, and diagnostic devices needed for these purposes. Priortax Medical care expenses must be primarily to alleviate or prevent a physical or mental defect or illness. Priortax They do not include expenses that are merely beneficial to general health, such as vitamins or a vacation. Priortax 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. Priortax Medical expenses also include amounts paid for qualified long-term care services and limited amounts paid for any qualified long-term care insurance contract. Priortax 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. Priortax (But see Decedent under Whose Medical Expenses Can You Include, for an exception. Priortax ) If you pay medical expenses by check, the day you mail or deliver the check generally is the date of payment. Priortax 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. Priortax 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. Priortax 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. Priortax S. Priortax Individual Income Tax Return, for the year in which you overlooked the expense. Priortax Do not claim the expense on this year's return. Priortax 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. Priortax You cannot include medical expenses that were paid by insurance companies or other sources. Priortax This is true whether the payments were made directly to you, to the patient, or to the provider of the medical services. Priortax Separate returns. Priortax   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. Priortax 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. Priortax Community property states. Priortax   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. Priortax Generally, each of you should include half the expenses. Priortax If medical expenses are paid out of the separate funds of one individual, only the individual who paid the medical expenses can include them. Priortax If you live in a community property state and are not filing a joint return, see Publication 555, Community Property. Priortax 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. Priortax 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. Priortax 5% of your AGI. Priortax Example. Priortax You are unmarried and were born after January 2, 1949, and your AGI is $40,000, 10% of which is $4,000. Priortax You paid medical expenses of $2,500. Priortax You cannot deduct any of your medical expenses because they are not more than 10% of your AGI. Priortax 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. Priortax There are different rules for decedents and for individuals who are the subject of multiple support agreements. Priortax See Support claimed under a multiple support agreement , later under Qualifying Relative. Priortax Spouse You can include medical expenses you paid for your spouse. Priortax 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. Priortax Example 1. Priortax Mary received medical treatment before she married Bill. Priortax Bill paid for the treatment after they married. Priortax Bill can include these expenses in figuring his medical expense deduction even if Bill and Mary file separate returns. Priortax If Mary had paid the expenses, Bill could not include Mary's expenses in his separate return. Priortax Mary would include the amounts she paid during the year in her separate return. Priortax If they filed a joint return, the medical expenses both paid during the year would be used to figure their medical expense deduction. Priortax Example 2. Priortax This year, John paid medical expenses for his wife Louise, who died last year. Priortax John married Belle this year and they file a joint return. Priortax 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. Priortax Dependent You can include medical expenses you paid for your dependent. Priortax 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. Priortax A person generally qualifies as your dependent for purposes of the medical expense deduction if both of the following requirements are met. Priortax The person was a qualifying child (defined later) or a qualifying relative (defined later), and The person was a U. Priortax S. Priortax citizen or national or a resident of the United States, Canada, or Mexico. Priortax If your qualifying child was adopted, see Exception for adopted child , later. Priortax 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. Priortax Exception for adopted child. Priortax   If you are a U. Priortax S. Priortax 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. Priortax S. Priortax citizen or national, or a resident of the United States, Canada, or Mexico. Priortax 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. Priortax Adopted child. Priortax   A legally adopted child is treated as your own child. Priortax This child includes a child lawfully placed with you for legal adoption. Priortax   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. Priortax   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. Priortax   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. Priortax    You may be able to take a credit for other expenses related to an adoption. Priortax See the Instructions for Form 8839, Qualified Adoption Expenses, for more information. Priortax Child of divorced or separated parents. Priortax   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. Priortax 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. Priortax This does not apply if the child's exemption is being claimed under a multiple support agreement (discussed later). Priortax 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. Priortax 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. Priortax Support claimed under a multiple support agreement. Priortax   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. Priortax 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. Priortax   Any medical expenses paid by others who joined you in the agreement cannot be included as medical expenses by anyone. Priortax However, you can include the entire unreimbursed amount you paid for medical expenses. Priortax Example. Priortax You and your three brothers each provide one-fourth of your mother's total support. Priortax Under a multiple support agreement, you treat your mother as your dependent. Priortax You paid all of her medical expenses. Priortax Your brothers repaid you for three-fourths of these expenses. Priortax In figuring your medical expense deduction, you can include only one-fourth of your mother's medical expenses. Priortax Your brothers cannot include any part of the expenses. Priortax 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. Priortax 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. Priortax This includes expenses for the decedent's spouse and dependents as well as for the decedent. Priortax 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. Priortax The expenses must be paid within the 1-year period beginning with the day after the date of death. Priortax 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. Priortax 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. Priortax 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. Priortax 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. Priortax Example. Priortax John properly filed his 2012 income tax return. Priortax He died in 2013 with unpaid medical expenses of $1,500 from 2012 and $1,800 in 2013. Priortax 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. Priortax The $1,800 of medical expenses from 2013 can be included on the decedent's final return for 2013. Priortax 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. Priortax 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. Priortax What Medical Expenses Are Includible? Following is a list of items that you can include in figuring your medical expense deduction. Priortax The items are listed in alphabetical order. Priortax This list does not include all possible medical expenses. Priortax To determine if an expense not listed can be included in figuring your medical expense deduction, see What Are Medical Expenses , earlier. Priortax Abortion You can include in medical expenses the amount you pay for a legal abortion. Priortax Acupuncture You can include in medical expenses the amount you pay for acupuncture. Priortax Alcoholism You can include in medical expenses amounts you pay for an inpatient's treatment at a therapeutic center for alcohol addiction. Priortax This includes meals and lodging provided by the center during treatment. Priortax 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. Priortax Ambulance You can include in medical expenses amounts you pay for ambulance service. Priortax Annual Physical Examination See Physical Examination , later. Priortax Artificial Limb You can include in medical expenses the amount you pay for an artificial limb. Priortax Artificial Teeth You can include in medical expenses the amount you pay for artificial teeth. Priortax Bandages You can include in medical expenses the cost of medical supplies such as bandages. Priortax Birth Control Pills You can include in medical expenses the amount you pay for birth control pills prescribed by a doctor. Priortax Body Scan You can include in medical expenses the cost of an electronic body scan. Priortax 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. Priortax Breast Pumps and Supplies You can include in medical expenses the cost of breast pumps and supplies that assist lactation. Priortax 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. Priortax See Cosmetic Surgery , later. Priortax 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. Priortax The cost of permanent improvements that increase the value of your property may be partly included as a medical expense. Priortax The cost of the improvement is reduced by the increase in the value of your property. Priortax The difference is a medical expense. Priortax If the value of your property is not increased by the improvement, the entire cost is included as a medical expense. Priortax 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. Priortax These improvements include, but are not limited to, the following items. Priortax Constructing entrance or exit ramps for your home. Priortax Widening doorways at entrances or exits to your home. Priortax Widening or otherwise modifying hallways and interior doorways. Priortax Installing railings, support bars, or other modifications to bathrooms. Priortax Lowering or modifying kitchen cabinets and equipment. Priortax Moving or modifying electrical outlets and fixtures. Priortax Installing porch lifts and other forms of lifts (but elevators generally add value to the house). Priortax Modifying fire alarms, smoke detectors, and other warning systems. Priortax Modifying stairways. Priortax Adding handrails or grab bars anywhere (whether or not in bathrooms). Priortax Modifying hardware on doors. Priortax Modifying areas in front of entrance and exit doorways. Priortax Grading the ground to provide access to the residence. Priortax Only reasonable costs to accommodate a home to a disabled condition are considered medical care. Priortax Additional costs for personal motives, such as for architectural or aesthetic reasons, are not medical expenses. Priortax Capital expense worksheet. Priortax   Use Worksheet A to figure the amount of your capital expense to include in your medical expenses. Priortax Worksheet A. Priortax Capital Expense Worksheet Instructions: Use this worksheet to figure the amount, if any, of your medical expenses due to a home improvement. Priortax 1. Priortax Enter the amount you paid for the home improvement 1. Priortax   2. Priortax Enter the value of your home immediately after the improvement 2. Priortax       3. Priortax Enter the value of your home immediately before the improvement 3. Priortax       4. Priortax Subtract line 3 from line 2. Priortax This is the increase in the value of your home due to the improvement 4. Priortax     • If line 4 is more than or equal to line 1, you have no medical expenses due to the home improvement; stop here. Priortax       • If line 4 is less than line 1, go to line 5. Priortax     5. Priortax Subtract line 4 from line 1. Priortax These are your medical expenses due to the home improvement 5. Priortax   Operation and upkeep. Priortax   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. Priortax This rule applies even if none or only part of the original cost of the capital asset qualified as a medical care expense. Priortax Improvements to property rented by a person with a disability. Priortax   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. Priortax Example. Priortax John has arthritis and a heart condition. Priortax He cannot climb stairs or get into a bathtub. Priortax On his doctor's advice, he installs a bathroom with a shower stall on the first floor of his two-story rented house. Priortax The landlord did not pay any of the cost of buying and installing the special plumbing and did not lower the rent. Priortax John can include in medical expenses the entire amount he paid. Priortax 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. Priortax Special design. Priortax   You can include in medical expenses the difference between the cost of a regular car and a car specially designed to hold a wheelchair. Priortax Cost of operation. Priortax   The includible costs of using a car for medical reasons are explained under Transportation , later. Priortax Chiropractor You can include in medical expenses fees you pay to a chiropractor for medical care. Priortax Christian Science Practitioner You can include in medical expenses fees you pay to Christian Science practitioners for medical care. Priortax Contact Lenses You can include in medical expenses amounts you pay for contact lenses needed for medical reasons. Priortax You can also include the cost of equipment and materials required for using contact lenses, such as saline solution and enzyme cleaner. Priortax See Eyeglasses and Eye Surgery , later. Priortax Crutches You can include in medical expenses the amount you pay to buy or rent crutches. Priortax Dental Treatment You can include in medical expenses the amounts you pay for the prevention and alleviation of dental disease. Priortax 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. Priortax Treatment to alleviate dental disease include services of a dentist for procedures such as X-rays, fillings, braces, extractions, dentures, and other dental ailments. Priortax But see Teeth Whitening under What Expenses Are Not Includible, later. Priortax Diagnostic Devices You can include in medical expenses the cost of devices used in diagnosing and treating illness and disease. Priortax Example. Priortax You have diabetes and use a blood sugar test kit to monitor your blood sugar level. Priortax You can include the cost of the blood sugar test kit in your medical expenses. Priortax 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. Priortax (See Publication 503, Child and Dependent Care Expenses. Priortax ) 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. Priortax Drug Addiction You can include in medical expenses amounts you pay for an inpatient's treatment at a therapeutic center for drug addiction. Priortax This includes meals and lodging at the center during treatment. Priortax Drugs See Medicines , later. Priortax Eye Exam You can include in medical expenses the amount you pay for eye examinations. Priortax Eyeglasses You can include in medical expenses amounts you pay for eyeglasses and contact lenses needed for medical reasons. Priortax See Contact Lenses , earlier, for more information. Priortax 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. Priortax Fertility Enhancement You can include in medical expenses the cost of the following procedures to overcome an inability to have children. Priortax Procedures such as in vitro fertilization (including temporary storage of eggs or sperm). Priortax Surgery, including an operation to reverse prior surgery that prevented the person operated on from having children. Priortax Founder's Fee See Lifetime Care—Advance Payments , later. Priortax 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. Priortax 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. Priortax 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. Priortax 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. Priortax These amounts are treated as medical insurance premiums. Priortax See Insurance Premiums , later. Priortax Hearing Aids You can include in medical expenses the cost of a hearing aid and batteries, repairs, and maintenance needed to operate it. Priortax Home Care See Nursing Services , later. Priortax Home Improvements See Capital Expenses , earlier. Priortax 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. Priortax This includes amounts paid for meals and lodging. Priortax Also see Lodging , later. Priortax Insurance Premiums You can include in medical expenses insurance premiums you pay for policies that cover medical care. Priortax 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). Priortax See Qualified Long-Term Care Insurance Contracts under Long-Term Care, later. Priortax 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. Priortax The cost of the medical part must be separately stated in the insurance contract or given to you in a separate statement. Priortax Health coverage tax credit. Priortax   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. Priortax 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. Priortax S. Priortax Treasury–HCTC,” or Any health coverage tax credit advance payments shown on Form 1099-H, Health Coverage Tax Credit (HCTC) Advance Payments. Priortax 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. Priortax 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. Priortax Example. Priortax You are a federal employee participating in the premium conversion plan of the Federal Employee Health Benefits (FEHB) program. Priortax Your share of the FEHB premium is paid by making a pre-tax reduction in your salary. Priortax 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. Priortax Long-term care services. Priortax   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. Priortax This amount will be reported as wages on your Form W-2. Priortax Retired public safety officers. Priortax   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. Priortax This applies only to distributions that would otherwise be included in income. Priortax Health reimbursement arrangement (HRA). Priortax   If you have medical expenses that are reimbursed by a health reimbursement arrangement, you cannot include those expenses in your medical expenses. Priortax This is because an HRA is funded solely by the employer. Priortax 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. Priortax The payroll tax paid for Medicare A is not a medical expense. Priortax 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. Priortax In this situation you can include the premiums you paid for Medicare A as a medical expense. Priortax Medicare B Medicare B is a supplemental medical insurance. Priortax Premiums you pay for Medicare B are a medical expense. Priortax Check the information you received from the Social Security Administration to find out your premium. Priortax Medicare D Medicare D is a voluntary prescription drug insurance program for persons with Medicare A or B. Priortax You can include as a medical expense premiums you pay for Medicare D. Priortax 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). Priortax 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. Priortax 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. Priortax You can include this cost of continuing participation in the health plan as a medical expense. Priortax 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. Priortax You cannot include this cost of continuing participation in that health plan as a medical expense. Priortax 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. Priortax , 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. Priortax Taxes imposed by any governmental unit, such as Medicare taxes, are not insurance premiums. Priortax Coverage for nondependents. Priortax   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. Priortax 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. Priortax  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. Priortax 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. Priortax Laboratory Fees You can include in medical expenses the amounts you pay for laboratory fees that are part of medical care. Priortax Lactation Expenses See Breast Pumps and Supplies , earlier. Priortax 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. Priortax These surfaces must be in poor repair (peeling or cracking) or within the child's reach. Priortax The cost of repainting the scraped area is not a medical expense. Priortax If, instead of removing the paint, you cover the area with wallboard or paneling, treat these items as capital expenses. Priortax See Capital Expenses , earlier. Priortax Do not include the cost of painting the wallboard as a medical expense. Priortax Learning Disability See Special Education , later. Priortax Legal Fees You can include in medical expenses legal fees you paid that are necessary to authorize treatment for mental illness. Priortax 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. Priortax 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. Priortax The part of the payment you include is the amount properly allocable to medical care. Priortax 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. Priortax You can use a statement from the retirement home to prove the amount properly allocable to medical care. Priortax The statement must be based either on the home's prior experience or on information from a comparable home. Priortax Dependents with disabilities. Priortax   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. Priortax The payments must be a condition for the institution's future acceptance of your child and must not be refundable. Priortax Payments for future medical care. Priortax   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. Priortax This rule does not apply in situations where the future care is purchased in connection with obtaining lifetime care of the type described earlier. Priortax 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. Priortax See Nursing Home , later. Priortax You may be able to include in medical expenses the cost of lodging not provided in a hospital or similar institution. Priortax You can include the cost of such lodging while away from home if all of the following requirements are met. Priortax The lodging is primarily for and essential to medical care. Priortax 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. Priortax The lodging is not lavish or extravagant under the circumstances. Priortax There is no significant element of personal pleasure, recreation, or vacation in the travel away from home. Priortax The amount you include in medical expenses for lodging cannot be more than $50 for each night for each person. Priortax You can include lodging for a person traveling with the person receiving the medical care. Priortax 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. Priortax Meals are not included. Priortax 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. Priortax 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. Priortax 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. Priortax Chronically ill individual. Priortax   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. Priortax 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. Priortax Activities of daily living are eating, toileting, transferring, bathing, dressing, and continence. Priortax He or she requires substantial supervision to be protected from threats to health and safety due to severe cognitive impairment. Priortax Maintenance and personal care services. Priortax    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). Priortax 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. Priortax 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. Priortax The amount of qualified long-term care premiums you can include is limited. Priortax You can include the following as medical expenses on Schedule A (Form 1040). Priortax Qualified long-term care premiums up to the following amounts. Priortax Age 40 or under – $360. Priortax Age 41 to 50 – $680. Priortax Age 51 to 60 – $1,360. Priortax Age 61 to 70 – $3,640. Priortax Age 71 or over – $4,550. Priortax Unreimbursed expenses for qualified long-term care services. Priortax Note. Priortax The limit on premiums is for each person. Priortax 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. Priortax 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. Priortax You cannot include in medical expenses the cost of meals that are not part of inpatient care. Priortax Also see Weight-Loss Program and Nutritional Supplements , later. Priortax 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. Priortax The costs of the medical conference must be primarily for and necessary to the medical care of you, your spouse, or your dependent. Priortax The majority of the time spent at the conference must be spent attending sessions on medical information. Priortax The cost of meals and lodging while attending the conference is not deductible as a medical expense. Priortax 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. Priortax Medicines You can include in medical expenses amounts you pay for prescribed medicines and drugs. Priortax A prescribed drug is one that requires a prescription by a doctor for its use by an individual. Priortax You can also include amounts you pay for insulin. Priortax Except for insulin, you cannot include in medical expenses amounts you pay for a drug that is not prescribed. Priortax Imported medicines and drugs. Priortax   If you imported medicines or drugs from other countries, see Medicines and Drugs From Other Countries , under What Expenses Are Not Includible, later. Priortax 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. Priortax This includes the cost of meals and lodging in the home if a principal reason for being there is to get medical care. Priortax Do not include the cost of meals and lodging if the reason for being in the home is personal. Priortax You can, however, include in medical expenses the part of the cost that is for medical or nursing care. Priortax Nursing Services You can include in medical expenses wages and other amounts you pay for nursing services. Priortax The services need not be performed by a nurse as long as the services are of a kind generally performed by a nurse. Priortax 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. Priortax These services can be provided in your home or another care facility. Priortax Generally, only the amount spent for nursing services is a medical expense. Priortax 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. Priortax For example, because of your medical condition you pay a visiting nurse $300 per week for medical and household services. Priortax She spends 10% of her time doing household services such as washing dishes and laundry. Priortax You can include only $270 per week as medical expenses. Priortax The $30 (10% × $300) allocated to household services cannot be included. Priortax However, certain maintenance or personal care services provided for qualified long-term care can be included in medical expenses. Priortax See Maintenance and personal care services under Long-Term Care, earlier. Priortax 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. Priortax See Publication 503. Priortax You can also include in medical expenses part of the amount you pay for that attendant's meals. Priortax Divide the food expense among the household members to find the cost of the attendant's food. Priortax Then divide that cost in the same manner as in the preceding paragraph. Priortax If you had to pay additional amounts for household upkeep because of the attendant, you can include the extra amounts with your medical expenses. Priortax This includes extra rent or utilities you pay because you moved to a larger apartment to provide space for the attendant. Priortax Employment taxes. Priortax   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. Priortax 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. Priortax For information on employment tax responsibilities of household employers, see Publication 926, Household Employer's Tax Guide. Priortax Operations You can include in medical expenses amounts you pay for legal operations that are not for unnecessary cosmetic surgery. Priortax See Cosmetic Surgery under What Expenses Are Not Includible, later. Priortax Optometrist See Eyeglasses , earlier. Priortax Organ Donors See Transplants , later. Priortax Osteopath You can include in medical expenses amounts you pay to an osteopath for medical care. Priortax Oxygen You can include in medical expenses amounts you pay for oxygen and oxygen equipment to relieve breathing problems caused by a medical condition. Priortax Physical Examination You can include in medical expenses the amount you pay for an annual physical examination and diagnostic tests by a physician. Priortax You do not have to be ill at the time of the examination. Priortax 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. Priortax Prosthesis See Artificial Limb and Breast Reconstruction Surgery , earlier. Priortax Psychiatric Care You can include in medical expenses amounts you pay for psychiatric care. Priortax This includes the cost of supporting a mentally ill dependent at a specially equipped medical center where the dependent receives medical care. Priortax See Psychoanalysis, next, and Transportation , later. Priortax Psychoanalysis You can include in medical expenses payments for psychoanalysis. Priortax However, you cannot include payments for psychoanalysis that is part of required training to be a psychoanalyst. Priortax Psychologist You can include in medical expenses amounts you pay to a psychologist for medical care. Priortax 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. Priortax 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. Priortax A doctor must recommend that the child attend the school. Priortax 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. Priortax 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. Priortax 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). Priortax Also see Vasectomy , later. Priortax Stop-Smoking Programs You can include in medical expenses amounts you pay for a program to stop smoking. Priortax 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. Priortax Surgery See Operations , earlier. Priortax 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. Priortax This includes teletypewriter (TTY) and telecommunications device for the deaf (TDD) equipment. Priortax You can also include the cost of repairing the equipment. Priortax 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. Priortax This may be the cost of an adapter that attaches to a regular set. Priortax 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. Priortax Therapy You can include in medical expenses amounts you pay for therapy received as medical treatment. Priortax 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. Priortax This includes transportation. Priortax You can include any expenses you pay for the medical care of a donor in connection with the donating of an organ. Priortax This includes transportation. Priortax Transportation You can include in medical expenses amounts paid for transportation primarily for, and essential to, medical care. Priortax 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. Priortax Car expenses. Priortax   You can include out-of-pocket expenses, such as the cost of gas and oil, when you use a car for medical reasons. Priortax You cannot include depreciation, insurance, general repair, or maintenance expenses. Priortax   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. Priortax    You can also include parking fees and tolls. Priortax You can add these fees and tolls to your medical expenses whether you use actual expenses or the standard mileage rate. Priortax Example. Priortax In 2013, Bill Jones drove 2,800 miles for medical reasons. Priortax He spent $500 for gas, $30 for oil, and $100 for tolls and parking. Priortax He wants to figure the amount he can include in medical expenses both ways to see which gives him the greater deduction. Priortax He figures the actual expenses first. Priortax He adds the $500 for gas, the $30 for oil, and the $100 for tolls and parking for a total of $630. Priortax He then figures the standard mileage amount. Priortax He multiplies 2,800 miles by 24 cents a mile for a total of $672. Priortax He then adds the $100 tolls and parking for a total of $772. Priortax 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. Priortax Transportation expenses you cannot include. Priortax    You cannot include in medical expenses the cost of transportation in the following situations. Priortax Going to and from work, even if your condition requires an unusual means of transportation. Priortax Travel for purely personal reasons to another city for an operation or other medical care. Priortax Travel that is merely for the general improvement of one's health. Priortax The costs of operating a specially equipped car for other than medical reasons. Priortax 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. Priortax You may be able to include up to $50 for each night for each person. Priortax You can include lodging for a person traveling with the person receiving the medical care. Priortax 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. Priortax Meals are not included. Priortax See Lodging , earlier. Priortax 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. Priortax However, see Medical Conferences , earlier. Priortax Tuition Under special circumstances, you can include charges for tuition in medical expenses. Priortax See Special Education , earlier. Priortax 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. Priortax Vasectomy You can include in medical expenses the amount you pay for a vasectomy. Priortax Vision Correction Surgery See Eye Surgery , earlier. Priortax 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). Priortax This includes fees you pay for membership in a weight reduction group as well as fees for attendance at periodic meetings. Priortax 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. Priortax 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. Priortax 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. Priortax 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. Priortax See also Weight-Loss Program under What Expenses Are Not Includible, later. Priortax 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. Priortax The cost of operating and maintaining the wheelchair is also a medical expense. Priortax 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. Priortax X-ray You can include in medical expenses amounts you pay for X-rays for medical reasons. Priortax What Expenses Are Not Includible? Following is a list of some items that you cannot include in figuring your medical expense deduction. Priortax The items are listed in alphabetical order. Priortax 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. Priortax Also, any expense allowed as a childcare credit cannot be treated as an expense paid for medical care. Priortax Controlled Substances You cannot include in medical expenses amounts you pay for controlled substances (such as marijuana, laetrile, etc. Priortax ), even if such substances are legalized by state law. Priortax Such substances are not legal under federal law and cannot be included in medical expenses. Priortax Cosmetic Surgery Generally, you cannot include in medical expenses the amount you pay for unnecessary cosmetic surgery. Priortax 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. Priortax You generally cannot include in medical expenses the amount you pay for procedures such as face lifts, hair transplants, hair removal (electrolysis), and liposuction. Priortax 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. Priortax Example. Priortax An individual undergoes surgery that removes a breast as part of treatment for cancer. Priortax She pays a surgeon to reconstruct the breast. Priortax The surgery to reconstruct the breast corrects a deformity directly related to the disease. Priortax The cost of the surgery is includible in her medical expenses. Priortax Dancing Lessons You cannot include in medical expenses the cost of dancing lessons, swimming lessons, etc. Priortax , even if they are recommended by a doctor, if they are only for the improvement of general health. Priortax 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. Priortax Electrolysis or Hair Removal See Cosmetic Surgery , earlier. Priortax 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. Priortax Funeral Expenses You cannot include in medical expenses amounts you pay for funerals. Priortax 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. Priortax 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. Priortax Hair Transplant See Cosmetic Surgery , earlier. Priortax 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. Priortax You cannot include in medical expenses the cost of membership in any club organized for business, pleasure, recreation, or other social purpose. Priortax 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. Priortax For more information, see Health Coverage Tax Credit , later. Priortax Health Savings Accounts You cannot include in medical expenses any payment or distribution for medical expenses out of a health savings account. Priortax Contributions to health savings accounts are deducted separately. Priortax See Publication 969. Priortax Household Help You cannot include in medical expenses the cost of household help, even if such help is recommended by a doctor. Priortax This is a personal expense that is not deductible. Priortax However, you may be able to include certain expenses paid to a person providing nursing-type services. Priortax For more information, see Nursing Services , earlier under What Medical Expenses Are Includible. Priortax Also, certain maintenance or personal care services provided for qualified long-term care can be included in medical expenses. Priortax For more information, see Long-Term Care , earlier under What Medical Expenses Are Includible. Priortax 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. Priortax Insurance Premiums See Insurance Premiums under What Medical Expenses Are Includible, earlier. Priortax Maternity Clothes You cannot include in medical expenses amounts you pay for maternity clothes. Priortax Medical Savings Account (MSA) You cannot include in medical expenses amounts you contribute to an Archer MSA. Priortax You cannot include expenses you pay for with a tax-free distribution from your Archer MSA. Priortax You also cannot use other funds equal to the amount of the distribution and include the expenses. Priortax For more information on Archer MSAs, see Publication 969. Priortax 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. Priortax You can only include the cost of a drug that was imported legally. Priortax For example, you can include the cost of a prescribed drug the Food and Drug Administration announces can be legally imported by individuals. Priortax 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. Priortax Nonprescription Drugs and Medicines Except for insulin, you cannot include in medical expenses amounts you pay for a drug that is not prescribed. Priortax Example. Priortax Your doctor recommends that you take aspirin. Priortax Because aspirin is a drug that does not require a physician's prescription, you cannot include its cost in your medical expenses. Priortax Nutritional Supplements You cannot include in medical expenses the cost of nutritional supplements, vitamins, herbal supplements, “natural medicines,” etc. Priortax unless they are recommended by a medical practitioner as treatment for a specific medical condition diagnosed by a physician. Priortax Otherwise, these items are taken to maintain your ordinary good health, and are not for medical care. Priortax 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. Priortax For example, the cost of a toothbrush and toothpaste is a nondeductible personal expense. Priortax 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. Priortax 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. Priortax (See Braille Books and Magazines under What Medical Expenses Are Includible, earlier. Priortax ) Swimming Lessons See Dancing Lessons , earlier. Priortax Teeth Whitening You cannot include in medical expenses amounts paid to whiten teeth. Priortax See Cosmetic Surgery , earlier. Priortax 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. Priortax 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. Priortax 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). Priortax 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. Priortax Also, you cannot include membership dues in a gym, health club, or spa. Priortax 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. Priortax See Weight-Loss Program under What Medical Expenses Are Includible, earlier. Priortax 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. Priortax 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. Priortax This includes payments from Medicare. Priortax 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. Priortax Example. Priortax You have insurance policies that cover your hospital and doctors' bills but not your nursing bills. Priortax The insurance you receive for the hospital and doctors' bills is more than their charges. Priortax 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. Priortax Health reimbursement arrange