Chapter 8: Itemized Deductions Flashcards
Medical expenses
Expenses incurred for the medical care of qualified individuals, in amounts exceeding 7.5% of the taxpayer’s AGI may be deducted. (Though not if reimbursed by insurance or otherwise)
Who counts as a qualified individual for medical deductions?
Self
Spouse
Dependents (including those who could be taken as a dependent but fail to meet gross income or joint return tests)
Medical expenses for children of divorced parents
Parent taking the medical expense deduction need not be the parent who claims dependency
Qualified medical expenses for medical expense deductible deduction
- diagnosis, cure, mitigation, treatment, or prevention of disease
- the purpose of affecting any structure or function of the body
- transportation primarily form and essential to the two items above
- qualified long term care services
- insurance covering the items above
Determination if an expense is a medical expense
With the exceptions of routine physical and dental checkups qualified expenses are confined strictly to expenses incurred primarily for the prevention or alleviation of a physical or mental defect or illness (expenses about a specific ailment)
Medical milage deduction
2021: 16 cents/mile plus any tolls or parking
Cost of meals and lodging en route to medical facility
Deductible, but limited
- only if trip is “long enough to warrant a stop
- only 50% of means deductable (100% of restaurant meals in 2020 and 2021)
- $50/ night for lodging per individual traveling (has to be no significant element of personal pleasure or recreation)
Qualified long term care
Medical services under a prescribed plan of care
Chronically ill individual
Person who for a period of at least 90 days cannot perform at least two “daily living tasks” unassisted (eating, toileting, bathing, dressing)
Long term care services provided by spouse or realtive
Payments not deductable unless spouse or relative is licensed professional
Also if services are provided by a corp/partnership in which taxpayer owns 50%+ they are not deductible
Capital expenditures incurred for personal medical purposes
Not depreciable or amortizable
But can be a current deduction if expenditure is made to acquire an asset primarily for the medical care of a qualified individual. Purchase must be necessary and reasonable
Categories of deductible capital expenditures for medical care
- expenditures that relate only to the sick/handicapped individual, not to the permanent improvement of taxpayer’s property
- expenditures that permanently improve or better the taxpayer’s residence for the purpose of providing medical care
- expenditures to remove structural barriers in the home of a physically disabled person
Expenditures that relate only to the sick/handicapped individual, not to the permanent improvement of taxpayer’s property
Fully deductable in the year paid
Expenditures that permanently improve or better the taxpayer’s residence for the purpose of providing medical care
Deductible only to the extent that the amount of the expenditure exceeds the increase in FMV of the residence
Expenditures to remove structural barriers in the home of a physically disabled person
Deductible in full
Increase in FMV of home considered to be 0
Operations and maintenance of capital assets for medical care
Deductible as long as medical reason for capital expenditure continues to exist
Cost of living in institutions
Depends on principal reason for stay. If medical (like a hospital) entire cost is deductible. If not principally medical then only specifically medical costs are deductible
Nonrefundable advanced payments for lifetime care
Deductible in the year paid for situations where spouse or dependants eventual acceptance into an institution for care is dependant on the current payments.
Medical insurance premiums
Deductible if medical care insurance. If combined with insurance against loss of life/limb/ sight/income can only deduct medical portion if can get cost of each type separated out
Medicare withholding
Not deductible
Premiums for group medical insurance
Employed taxpayers may deduct their own payments but not their employer’s
Self-employed taxpayers can deduct 100% of insurance payments TO ARRIVE AT AGI (not subject to limitations about exceeding 7.5% AGI)
When medical expenses are deductible
Generally in the year the payment is made (not necessarily care received)
Charges on credit card deemed paid on date of the charge
Deduction for prepaid medical expenses
Deferred until taxpayer receives care unless there was a legal obligation to prepay or prepayment was requirement to receive care
Medical insurance reimbursements
- if received in same year as deduction simply reduces allowed deduction
- if received in subsequent year reimbursement must be included in gross income to the extent the taxpayer derived a benefit from a deduction in the prior year (if no deduction no need to report as income)