Medical and Dental Expense Deductions: What Qualifies in 2025?

If you’re considering itemizing your deductions in 2025, medical and dental expenses can be a significant factor. However, only the portion of these expenses that exceeds 7.5% of your Adjusted Gross Income (AGI) is deductible. This guide outlines what qualifies as deductible medical and dental expenses, including mileage, eligible treatments, and more.:contentReference[oaicite:6]{index=6}

📊 7.5% AGI Threshold

To determine your deductible medical and dental expenses:

  • Calculate your AGI (found on Form 1040, line 11).
  • Multiply your AGI by 7.5% (0.075).
  • Subtract this amount from your total medical and dental expenses.

Only the amount that exceeds this threshold is deductible. :contentReference[oaicite:11]{index=11}

🛣️ Deductible Mileage and Transportation

You can deduct transportation costs related to medical care, including:

  • Mileage driven for medical appointments (standard rate of 21 cents per mile in 2024; check for 2025 rate). :contentReference[oaicite:14]{index=14}
  • Parking fees and tolls.
  • Public transportation fares (e.g., bus, taxi, train).
  • Ambulance services.

These expenses must be primarily for and essential to medical care. :contentReference[oaicite:17]{index=17}

🩺 Eligible Medical and Dental Treatments

The IRS allows deductions for a wide range of medical and dental expenses, including:

  • Payments to doctors, dentists, surgeons, chiropractors, psychiatrists, psychologists, and other medical practitioners.
  • Hospital and nursing home care, including meals and lodging if the primary purpose is medical care.
  • Prescription medications and insulin.
  • Acupuncture treatments.
  • Weight-loss programs prescribed by a doctor for a specific disease (e.g., obesity).
  • Medical aids such as eyeglasses, contact lenses, hearing aids, and crutches.
  • Insurance premiums for medical and dental care, including long-term care insurance.

These expenses must not be reimbursed by insurance or other sources. :contentReference[oaicite:22]{index=22}

❌ Non-Deductible Expenses

The IRS does not allow deductions for:

  • Cosmetic surgery unless necessary to improve a deformity related to a congenital abnormality, an injury from an accident, or a disfiguring disease.
  • Life insurance premiums.
  • Funeral or burial expenses.
  • Nonprescription medicines (except insulin).
  • General health items like vitamins or dietary supplements.

These expenses are considered personal and are not deductible. :contentReference[oaicite:27]{index=27}

🧾 Reporting on Schedule A

To claim your medical and dental expenses:

  • Complete Schedule A (Form 1040), Itemized Deductions.
  • Enter the total of your medical and dental expenses on line 1.
  • Subtract 7.5% of your AGI from this total.
  • The remaining amount is your deductible medical and dental expenses.

Ensure you have receipts and documentation for all expenses claimed. :contentReference[oaicite:32]{index=32}

💡 Tips for Maximizing Deductions

  • Keep detailed records of all medical and dental expenses.
  • Consider bunching medical expenses into one year to exceed the 7.5% AGI threshold.
  • Review eligible expenses annually, as new treatments or services may become deductible.

For more detailed information, refer to IRS Publication 502, Medical and Dental Expenses. :contentReference[oaicite:35]{index=35}

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