Medical Expense Deductions: How Much Can You Deduct in the United States?

Julian Drago
December 23, 2025

Knowing how much you can deduct in medical expenses is one of the most common questions among taxpayers in the United States, especially for those facing high healthcare costs during the year. While not all medical expenses are deductible, the U.S. tax system allows you to reduce your tax burden when these expenses exceed certain limits set by the IRS.

Understanding how much you can deduct in medical expenses not only helps reduce taxes but also allows for better planning of personal and family finances. Many people fail to take advantage of these deductions simply because they don’t know which expenses qualify or how to apply them.

In this guide, you will learn how much you can deduct in medical expenses, the requirements set by the IRS, the types of expenses that are deductible, who can apply for this deduction, the most common mistakes, and the best practices to maximize this tax benefit.

What Does Deducting Medical Expenses Mean in the U.S.?

When a taxpayer asks, “how much can I deduct in medical expenses?”, they are referring to the ability to subtract certain health-related expenses from their taxable income when filing a tax return. This deduction is regulated by the IRS and only applies under specific conditions.

Deductible medical expenses are payments made for the diagnosis, treatment, mitigation, or prevention of physical or mental illnesses. This includes both your own expenses and those of certain dependent family members.

It is important to note that not all medical expenses automatically qualify, and the deduction only applies if you itemize deductions rather than taking the standard deduction.

Deductible medical expenses cover costs for diagnosing, treating, or preventing illnesses.

How Much Can I Deduct in Medical Expenses According to the IRS?

The answer depends on a key threshold: 7.5% of Adjusted Gross Income (AGI).

IRS Rules to Keep in Mind

  • Only medical expenses exceeding 7.5% of AGI are deductible.
  • The deduction applies only to the amount exceeding this percentage.
  • You must itemize deductions on Schedule A (Form 1040).

Practical Example

If your AGI is $50,000

  • 7.5% equals $3,750
  • If your medical expenses were $6,000
  • You can deduct $2,250

Understanding how much you can deduct in medical expenses requires reviewing both your income and the total expenses incurred during the year.

Which Medical Expenses Are Deductible?

To calculate how much you can deduct in medical expenses, it is essential to know which types of expenses qualify according to the IRS.

Common Deductible Medical Expenses

  • Doctor and hospital visits
  • Specialist services
  • Surgeries and medical treatments
  • Prescription medications
  • Insulin
  • Physical or psychological therapies
  • Medical equipment (wheelchairs, hearing aids, prosthetics)
  • Health insurance premiums (in certain cases)

All these expenses must have been paid during the tax year and not reimbursed, either partially or fully, by insurance, an employer, or another assistance program. Additionally, it is important to have clear and verifiable documentation, as the IRS may request it to confirm payments were made within the declared period and meet the requirements to be considered deductible.

Medical Expenses That Are NOT Deductible

Equally important as knowing which expenses are deductible is identifying non-qualifying expenses, since including them may cause errors or tax adjustments.

Non-Deductible Medical Expenses

  • Cosmetic surgeries without medical necessity
  • Gym memberships
  • Vitamins or general supplements
  • Over-the-counter medications
  • Expenses reimbursed by insurance

Properly separating these expenses prevents issues with the IRS, ensures an accurate tax return, and allows you to calculate exactly how much you can deduct in medical expenses while optimizing tax benefits.

Who Can Claim the Medical Expense Deduction?

Not all taxpayers can apply this deduction. To take advantage of it and calculate how much you can deduct in medical expenses, certain requirements must be met:

  • File a tax return with itemized deductions
  • Exceed the 7.5% AGI threshold
  • Have paid the expenses during the tax year
  • Include only expenses for yourself, your spouse, or qualified dependents

This deduction is often more beneficial for individuals with high medical expenses or moderate income, as it is easier to exceed the threshold required by the IRS. Understanding how much you can deduct in medical expenses helps evaluate whether itemizing deductions is worthwhile and identify real opportunities to legally reduce taxes.

This deduction is often more beneficial for individuals with high medical expenses or moderate income.

How to Correctly Report Medical Expenses

To correctly apply the deduction and answer how much I can deduct in medical expenses, follow these steps:

  • Gather medical bills and receipts
  • Verify which expenses qualify
  • Calculate the total annual medical expenses
  • Subtract 7.5% of your AGI
  • Report the deductible amount on Schedule A

Keeping an organized record throughout the year greatly simplifies this process.

Common Mistakes When Deducting Medical Expenses

Many taxpayers make mistakes when trying to determine how much I can deduct in medical expenses, which can trigger reviews or rejections:

  • Including non-deductible expenses
  • Not exceeding the 7.5% threshold
  • Failing to keep receipts
  • Mixing personal expenses with reimbursed ones
  • Failing to itemize deductions properly

Avoiding these mistakes reduces the risk of IRS audits and tax adjustments.

How to Maximize Your Medical Deduction

To optimize your deduction and clearly know how much you can deduct in medical expenses, it is recommended to:

  1. Keep all medical receipts
  2. Maintain an annual expense record
  3. Review IRS rules each year
  4. Compare standard vs. itemized deductions
  5. Consult a tax advisor if expenses are high

Proper planning can make a big difference in your tax return outcome, especially for health-related expenses. Knowing how much you can deduct in medical expenses allows you to anticipate, organize receipts, and make strategic financial decisions, reducing risks and legally optimizing your tax burden.

Planning well can significantly improve your health-related tax deductions.

Frequently Asked Questions About Medical Expense Deductions

Can I deduct medical expenses if I take the standard deduction?
No. The deduction only applies if you itemize your deductions.

Can I deduct medical expenses for my dependents?
Yes. You can deduct medical expenses paid for qualified dependents, provided you exceed the 7.5% AGI threshold.

Are health insurance premiums deductible?
In some cases, yes, especially for self-employed individuals, depending on your specific tax situation.

Do I need receipts to deduct medical expenses?
Yes. The IRS may request invoices, receipts, or account statements as proof of the expenses deducted.

Can medical expenses paid with a credit card be deducted?
Yes. Medical expenses paid with a credit card are deductible in the year the charge is made, even if you pay the credit card balance later, as long as the expense qualifies and meets IRS requirements.

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