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H&r Block Free Tax File 2012

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H&r Block Free Tax File 2012

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

H&r block free tax file 2012 Publication 534 - Introductory Material Table of Contents Important Change for 1995 Introduction How To Use This Publication Important Change for 1995 Major changes to Publications 534 and 946. H&r block free tax file 2012  This publication, as well as Publication 946,How To Depreciate Property, has been changed. H&r block free tax file 2012 Publication 534 has been shortened. H&r block free tax file 2012 It no longer contains general information on MACRS and the section 179 deduction. H&r block free tax file 2012 It contains a discussion of the accelerated cost recovery system (ACRS), the ACRS Percentage Tables, a discussion of other methods of depreciation, and a limited discussion of listed property. H&r block free tax file 2012 We expanded Publication 946 by adding material taken from Publication 534. H&r block free tax file 2012 We added more detail to the discussions of the section 179 deduction, the modified accelerated cost recovery system (MACRS), and listed property. H&r block free tax file 2012 We replaced the partialMACRS Percentage Tables with the complete ones from Publication 534. H&r block free tax file 2012 We also added the Table of Class Lives and Recovery Periods from Publication 534. H&r block free tax file 2012 We made these changes to eliminate most of the duplication that existed in the two publications. H&r block free tax file 2012 This will save money and make it easier for you to decide which publication you need. H&r block free tax file 2012 Use this publication to figure depreciation on property you placed in service before 1987; use Publication 946 to figure depreciation on property you placed in service after 1986. H&r block free tax file 2012 Introduction The law allows you to recover your cost in business or income-producing property through yearly tax deductions. H&r block free tax file 2012 You do this by depreciating your property, that is, by deducting some of your cost on your tax return each year. H&r block free tax file 2012 You can depreciate both tangible property, such as a car, building, or machinery, and certain intangible property, such as a copyright or a patent. H&r block free tax file 2012 The amount you can deduct depends on: How much the property cost, When you began using it, How long it will take to recover your cost, and Which of several depreciation methods you use. H&r block free tax file 2012 Depreciation defined. H&r block free tax file 2012   Depreciation is a loss in the value of property over the time the property is being used. H&r block free tax file 2012 Events that can cause property to depreciate include wear and tear, age, deterioration, and obsolescence. H&r block free tax file 2012 You can get back your cost of certain property, such as equipment you use in your business or property used for the production of income by taking deductions for depreciation. H&r block free tax file 2012 Black's Law Dictionary Amortization. H&r block free tax file 2012   Amortization is similar to depreciation. H&r block free tax file 2012 Using amortization, you can recover your cost or basis in certain property proportionately over a specific number of years or months. H&r block free tax file 2012 Examples of costs you can amortize are the costs of starting a business, reforestation, and pollution control facilities. H&r block free tax file 2012 You can find information on amortization inchapter 12 of Publication 535, Business Expenses. H&r block free tax file 2012 Alternative minimum tax. H&r block free tax file 2012   If you use accelerated depreciation for real property, or personal property that is leased to others, you may be liable for the alternative minimum tax. H&r block free tax file 2012 Accelerated depreciation is any method, that allows recovery at a faster rate in the earlier years than the straight line method. H&r block free tax file 2012 For more information, you may wish to see the following: Form 6251, Alternative Minimum Tax-Individuals, and Publication 542, Tax Information on Corporations. H&r block free tax file 2012 Ordering publications and forms. H&r block free tax file 2012   To order free publications and forms, 1-800-TAX-FORM (1-800-829-3676). H&r block free tax file 2012 You can also write to the IRS Forms Distribution Center nearest you. H&r block free tax file 2012 Check your income tax package for the address. H&r block free tax file 2012   If you have access to a personal computer and a modem, you can also get many forms and publications electronically. H&r block free tax file 2012 See How To Get Forms and Publications in your income tax package for details. H&r block free tax file 2012 Telephone help. H&r block free tax file 2012   You can call the IRS with your tax question Monday through Friday during regular business hours. H&r block free tax file 2012 Check your telephone book for the local number or you can call1-800-829-1040. H&r block free tax file 2012 Telephone help for hearing-impaired persons. H&r block free tax file 2012   If you have access to TDD equipment, you can call 1-800-829-4059 with your tax question or to order forms and publications. H&r block free tax file 2012 See your tax package for the hours of operation. H&r block free tax file 2012 How To Use This Publication This publication describes the kinds of property that can be depreciated and the methods used to figure depreciation on property placed in service before 1987. H&r block free tax file 2012 It is divided into three chapters and contains an appendix. H&r block free tax file 2012 Chapter 1 explains the rules for depreciating property under the Accelerated Cost Recovery System (ACRS). H&r block free tax file 2012 Chapter 2 explains the rules for depreciating property first used before 1981. H&r block free tax file 2012 Chapter 3 explains the rules for listed property. H&r block free tax file 2012 Also this chapter defines listed property. H&r block free tax file 2012 The appendix contains the ACRS Percentage Tables. H&r block free tax file 2012 Prev  Up  Next   Home   More Online Publications