What Can Be Deducted If You Itemize?
MEDICAL AND DENTAL EXPENSES
The threshold for these taxpayers is 7.5% of Adjusted Gross Income (“AGI”).
Medical expenses are the costs of diagnosis, cure, treatment, or prevention of a physical or mental illness, disease, or defect. Medical expenses are deductible in the year paid, regardless of when the services were provided. Only amounts paid out-of-pocket with after tax dollars are deductible.
The following items are among those generally deductible as medical expenses:
- Alcohol and drug treatment, including inpatient care
- Ambulance services
- Dental care including cleaning, orthodontia, oral surgery, and dentures
- Education expenses of a physically or mentally impaired individual if the school provides special education for a diagnosed medical condition
- Exercise or weight loss program prescribed by doctor for a specific medical condition
- Eyeglasses, contact lenses and supplies, and laser eye surgery
- Home improvements and specialized equipment if the main purpose is to provide a medical benefit such as ramps and railings or special telephone equipment for hearing impaired
- Hospitalization and medical treatments
- Insurance premiums for medical and dental care (including Medicare)
- Laboratory tests, X-rays, and diagnostics
- Long term care insurance (with limits) and long term care expenses
- Medical equipment and supplies including needles, crutches, bandages, oxygen equipment, prosthetic limbs, wheelchairs, hearing aids and batteries, and guide dogs
- Nursing home care and in-home nursing care
- Prescription medicine and drugs, including insulin
- Services provided by medical professionals including doctors, surgeons, psychiatrists, physical therapists, eye doctors, chiropractors, acupuncturists, etc.
- Smoking cessation programs, with prescription. Drugs that do not require a prescription are not deductible.
- Transportation expenses to obtain medical care including, mileage, parking, tolls, and hotel expenses for overnight stays (per diem limits apply for overnight stays)
Non-Deductible Expenses
• Cosmetic surgery except to correct a deformity due to accident, disease or congenital defect
• Funeral expenses
• Health club dues
• Over-the-counter medicines, medicine purchased from another country, Medical marijuana
• Teeth whitening
• Vitamins and nutritional supplements unless prescribed by a medical professional
TAXES YOU PAID
- State income taxes withheld and/or paid
- Additional tax paid on prior year state return
- State taxes paid on an amended return
- Estimated state taxes paid
- Personal property taxes
- Local income taxes
- Real estate taxes on personal residence, co-op or condo, second home, and all real property owned (not limited to residence and second home)
- Foreign Income Taxes (may be more beneficial to claim a foreign tax credit)
- Auto license fees
- Sales Tax in lieu of state income taxes
INTEREST YOU PAID
- Home mortgage interest and points paid to acquire or improve a primary residence and second home (referred to as Acquisition Debt). Acquisition debt is limited to $1 million ($500,000 if MFS) for determining qualified residence interest. In addition, interest on a maximum of $100,000 of home equity debt may also be deductible. Home equity debt is debt secured by the home that exceeds acquisition debt
- Origination fees or points paid to purchase a home or refinance a loan (Note: Refinanced points may need to be amortized.)
- Investment interest to extent of investment income
GIFTS TO CHARITY
Cash and Non-Cash Contributions to:
• Religious Organizations such as churches and synagogues
• Federal, state and local governments
• Nonprofit schools and hospitals
• Public parks and recreation facilities
• Public Charities such as United Way, Salvation Army, Red Cross, Boy and Girl Scouts, etc.
• War veterans' groups
• Other qualified charitable organizations
Note: Not all "non-profits" qualify. Go to www.lRS.gov/charities for a list of qualifying charities. Deductions for charitable contributions also include:
• Charitable travel miles for charitable organizations or volunteer work (14¢ per mile)
• Charity-sponsored conventions
• Exchange student (transportation and incidentals) up to $50 per month
• Supporting a foster child (expenses exceeding payments)
• Tickets & merchandise purchased - excess of cost over fair market value
• Volunteer out-of-pocket expenses
Note: Your time is not deductible.