Is joining a stop smoking program considered a medical deduction?

Asked by: Jovan Erdman  |  Last update: December 10, 2025
Score: 4.2/5 (26 votes)

Q6: Is the cost of a smoking-cessation program a medical expense that can be paid or reimbursed by an HSA, FSA, Archer MSA or HRA? (added March 17, 2023) A6: Yes, because the smoking cessation program treats a disease (tobacco use disorder).

Are stop smoking programs tax deductible?

Quit Smoking and Save Taxes

Your participation in a smoking cessation program can be considered a medical tax deduction. This deduction can also apply to prescription drugs used to ease nicotine withdrawal. The law is specific about what is considered a deductible expense.

What qualifies as a deductible medical expense?

Medical treatments such as surgeries and preventative care are tax-deductible. Prescription medications and necessary items such as glasses and hearing aids are also tax-deductible, and you can even deduct travel expenses such as parking fees, bus fare and gas mileage on your car.

Can nicotine be a tax write-off?

You typically can't deduct the cost of nonprescription drugs (except insulin) or other purchases for general health, such as toothpaste, health club dues, vitamins, diet food and nonprescription nicotine products.

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.

3 Little Known Benefits of Quitting Smoking

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What is not considered a qualified medical expense?

Medical care expenses must be primarily to alleviate or prevent a physical or mental disability or illness. They don't include expenses that are merely beneficial to general health, such as vitamins or a vacation.

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.

Can you deduct gym membership as a medical expense?

A10: Yes, but only if the membership was purchased for the sole purpose of affecting a structure or function of the body (such as a prescribed plan for physical therapy to treat an injury) or the sole purpose of treating a specific disease diagnosed by a physician (such as obesity, hypertension, or heart disease).

Is there a federal tax on nicotine?

In the United States, cigarettes are taxed at both the federal and state levels, in addition to any state and local sales taxes and local cigarette-specific taxes. Cigarette taxation has appeared throughout American history and is still a contested issue today.

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.

What doesn't count towards medical deductible?

Copays and coinsurance don't count toward your deductible. Only the amount you pay for health care services (like the medical bill you receive) count toward your plan's deductible.

Are prescription glasses tax deductible?

You can deduct the costs for prescription eyeglasses and eye exams on your tax return. But they must be a part of your itemized medical deductions, which need to exceed 7.5% of your adjusted gross income.

Is smoking cessation a wellness program?

The plan is offering a reward based on an individual's ability to stop smoking. This is considered an outcome-based wellness program.

What does the IRS consider qualified medical expenses?

Medical care expenses include payments for the diagnosis, cure, mitigation, treatment, or prevention of disease, or payments for treatments affecting any structure or function of the body.

How long does nicotine stay in your system?

People also process nicotine differently depending on their genetics. Generally, nicotine will leave your blood within 1 to 3 days after you stop using tobacco, and cotinine will be gone after 1 to 10 days. Neither nicotine nor cotinine will be detectable in your urine after 3 to 4 days of stopping tobacco products.

Is Nicorette tax deductible?

However, under section 213(b), A's costs for nicotine gum and nicotine patches are not deductible because they contain a drug (other than insulin) and do not require a prescription of a physician.

What state has the highest cigarette tax?

The highest combined state-local tax rate is $7.16 in Chicago, IL, with New York, NY second at $6.85 per pack. Other high state-local rates include Evanston, IL at $6.48 per pack, Glenwood Springs, CO at $6.24 per pack, and Juneau, AK at $5.00 per pack.

Is nicotine 21 federally?

Upon the President's signature on December 20, 2019, the age change became effective immediately. Highlights and FAQs are below: It is now a violation of federal law for any retailer to sell any nicotine or tobacco products to anyone under the age of 21.

What type of medical expenses are tax deductible?

If you incurred substantial medical expenses not covered by insurance, you might be able to claim them as deductions on your tax return. These costs include health insurance premiums, hospital stays, doctor appointments, and prescriptions.

How to get a letter of medical necessity for gym membership?

How Can I Get an LMN? Speak with your doctor. They'll assess your medical history, current health status, and the necessity of the equipment in treating your condition. This evaluation might involve a physical examination and reviewing your records.

Can I write off my YMCA membership?

The IRS typically does not allow taxpayers to deduct gym memberships or other costs associated with general health and wellness. The main reason is that these expenses are considered personal, even if they contribute indirectly to improved work performance, stress reduction, or overall well-being.

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.

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?

Calculating Your Medical Expense Deduction

You can get your deduction by taking your AGI and multiplying it by 7.5%. If your AGI is $50,000, only qualifying medical expenses over $3,750 can be deducted ($50,000 x 7.5% = $3,750). If your total medical expenses are $6,000, you can deduct $2,250 of it from your taxes.