Can medical bills be written off?

Asked by: Prof. Alphonso Wunsch  |  Last update: September 25, 2025
Score: 4.7/5 (8 votes)

The IRS allows you to deduct unreimbursed payments for preventative care, treatment, surgeries, dental and vision care, visits to psychologists and psychiatrists, prescription medications, appliances such as glasses, contacts, false teeth and hearing aids, and expenses that you pay to travel for qualified medical care.

How much medical bills can you write off?

You can deduct on Schedule A (Form 1040) only the part of your medical and dental expenses that is more than 7.5% of your adjusted gross income (AGI). This publication also explains how to treat impairment-related work expenses and health insurance premiums if you are self-employed.

Is it worth claiming medical expenses on taxes?

The medical expense deduction covers a wide variety of expenses. However, because of the high Standard Deduction and the 7.5% of AGI threshold requirement, it can be difficult to benefit unless you have a lot of out-of-pocket costs.

What proof do I need to deduct medical expenses?

You should also keep a statement or itemized invoice showing:
  • What medical care was received.
  • Who received the care.
  • The nature and purpose of any medical expenses.
  • The amount of the other medical expenses.

When can medical bills be written off?

If you itemize your deductions for a taxable year on Schedule A (Form 1040), Itemized Deductions, you may be able to deduct the medical and dental expenses you paid for yourself, your spouse, and your dependents during the taxable year to the extent these expenses exceed 7.5% of your adjusted gross income for the year.

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24 related questions found

Can I throw away medical bills?

Yes. After you've paid your bill, you can pretty much shred these unless they contain tax-deductible expenses. In that case, you'll need to keep them with your “tax stuff.”

Can doctors write off bad debt?

Doctors may write off unpaid bills as bad debt when a patient fails to pay their portion of the bill despite multiple collection attempts. These unpaid amounts are typically considered uncollectible after efforts such as reminders, phone calls, or even referrals to collection agencies have been exhausted.

What Cannot be claimed as a medical expense?

Examples of Medical and Dental Payments you CANNOT deduct:

Health club dues, gym membership fees, or spa dues. Electrolysis or hair removal. The cost of diet food or nutritional supplements (vitamins, herbal supplements, "natural medicines") Teeth whitening.

How much medical expenses can I claim without being audited?

Key Takeaways. The IRS allows all taxpayers to deduct their qualified unreimbursed medical care expenses that exceed 7.5% of their adjusted gross income.

What is the IRS rule for deducting medical expenses?

Medical Expense Deduction

On Form 1040, medical and dental expenses are deducted on Schedule A, Itemized Deductions. You can deduct only the amount of your medical and dental expenses that is more than 7.5 percent of your adjusted gross income shown on Form 1040, line 38.

Can medical bills affect your taxes?

You can claim qualified, out-of-pocket medical expenses as deductions on your taxes and use them to reduce the amount of taxes you pay for the year. When you enroll in California health insurance through the Covered California Health Exchange, you may qualify for up-front tax credits based on your income.

What can you deduct if you don't itemize?

You can deduct these expenses whether you take the standard deduction or itemize:
  • Alimony payments.
  • Business use of your car.
  • Business use of your home.
  • Money you put in an IRA.
  • Money you put in health savings accounts.
  • Penalties on early withdrawals from savings.
  • Student loan interest.
  • Teacher expenses.

How much do you get back in taxes for medical expenses?

You can deduct unreimbursed, qualified medical and dental expenses that exceed 7.5% of your AGI. 1 Say you have an AGI of $50,000, and your family has $10,000 in medical bills for the tax year. You could deduct any expenses over $3,750 ($50,000 × 7.5%), or $6,250 in this example ($10,000 - $3,750).

Is car insurance tax deductible?

If you only use your car for personal use, then you likely can't deduct your car insurance premiums from your taxable income. Generally, you need to use your vehicle for business-related reasons (other than as an employee) to deduct part of your car insurance premiums as a business expense.

Is it good to pay off medical bills?

You may be tempted to jump at a quick fix for your medical debt — or to ignore it entirely. But doing so could cost you more in interest and may put your credit scores at risk. Taking a proactive approach to paying off your medical bills can help you avoid delinquent medical debt on your credit report.

Are glasses tax deductible?

The money spent on reading or prescription eyeglasses can be considered a tax-deductible medical expense. By categorizing glasses under "medical expenses" and itemizing deductions on form 104, Schedule A, you may be able to lower your tax burden.

Does the IRS check medical expenses?

Claiming deductions for things like charitable donations or medical expenses to lower your tax bill doesn't in itself make you prime audit material. But claiming substantial deductions in proportion to your income does.

What triggers an IRS investigation?

Not reporting all of your income is an easy-to-avoid red flag that can lead to an audit. Taking excessive business tax deductions and mixing business and personal expenses can lead to an audit. The IRS mostly audits tax returns of those earning more than $200,000 and corporations with more than $10 million in assets.

Are medical expenses a red flag?

Medical Expenses

This is not a huge red flag for everyone. As you get older in age, the IRS likely becomes more tolerant of medical expense deductions and, therefore, would be less likely to select you for examination based on this category alone.

How do you qualify for medical expense deduction?

If you're itemizing deductions, the IRS generally allows you a medical expenses deduction if you have unreimbursed expenses that are more than 7.5% of your Adjusted Gross Income. You can deduct the cost of care from several types of practitioners at various stages of care.

What is an ineligible medical expense?

Ineligible expenses. Expenses that have been labeled as ineligible for reimbursement are those that are usually used for personal, cosmetic or general health purposes. Even if these expenses are accompanied by a letter of medical necessity, the treatments also must be permissible under regulatory provisions.

Can you write off hair expenses?

The IRS does not let you deduct personal expenses from your taxes. The Court states, expenses such as haircuts, makeup, clothes, manicures, grooming, teeth whitening, hair care, manicures, and other cosmetic surgery are not deductible.

What debts Cannot be written off?

For example, if you have any accounts that are in arrears or secured against an asset, such as a mortgage, they can't be written off. You can ask your lender to write off your mortgage debt but it is unlikely they will agree unless you come to an agreement to repay some of what you owe.

Can a hospital take your house for unpaid medical bills?

The short answer is yes, it is possible to lose your home over unpaid medical bills though the doctor or hospital would have to be willing to go to a lot of effort to make that happen. Medical debt is classified as unsecured debt. This means that your debt isn't tied to any collateral.

Can you ignore medical bills?

Well, no. Depending on the state, hospitals and providers could still sue, foreclose, or affect the chance of a person getting hired or being able to rent an apartment. “All the other ways to collect continue,” a CFPB official told me.