Suggestions

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Limit to only Medical/Health Care Tax Exemptions that exceed 7.5% of AGI

When tagging an expense as tax exempt, and in this case “only when itemized”, it looks like the full amount is being applied as a tax deduction.

My feature request is to correctly account for Medical Tax Deductions which must be in excess of 7.5% of AGI.

I think the most user flexible way would be to have another check box pop up after the user selected “Tax Deductible” that’s titled “Tax Deductible Medical Expense”. When selected PL displays, “Treat this as a tax deductible Medical Expense, and only deduct expenses in excess 7.5% of AGI and when Itemizing.”

Or it could just be it’s own box independent of the current Tax Exempt selection box only allowing one or none to be selected but never both.

Relevant IRS page: https://www.irs.gov/publications/p502

Simplified Turbo Tax page: https://turbotax.intuit.com/tax-tips/health-care/can-i-claim-medical-expenses-on-my-taxes/L1htkVqq9

Note that if the TCJA is allowed to expire the floor goes back to 10%

Related: www.irs.gov/publications/p502

18 votes

Tagged as Suggestion

Suggested 05 September 2023 by user tiger1972

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  • 05 September 2023 tiger1972 suggested this task

  • 06 September 2023 Kyle Nolan approved this task

  • avatar

    Yes - this would be huge. End of life (e.g. skilled nursing facility) care can easily cost 200k out of pocket per person. For many people, this cost is mostly tax deductable. I did not realize that the TCJA impacted the 7.5% medical expense rule - are you saying that the rate might go up to 10%?

    20 January 2024
  • avatar

    With the recent development activity around taxes, this item resurfaced for me. Such a significant part of tax planning are large medical expenses in the last years of retirement/life. I would be great to finally get this tax deduction right. Thanks.

    03 June 2025
  • avatar

    We have a special needs kid and have ridiculous medical expenses. Without this feature the tool calculates taxes very badly for us. I know this is very US specific but it would be very helpful for me. I hate having to do my own clugey and inaccurate workarounds.

    30 September 2025
  • avatar

    Apparently it was claimed on 4 million returns in 2022. https://www.aarp.org/money/taxes/medical-tax-deductions/

    01 October 2025
  • avatar

    This would help with accurity estimating tax deductions. As paying less taxes in retirements are tricky to optimize.

    15 October 2025
  • avatar

    This also comes into play when doing what-if for Roth Conversions. Conversions lose a lot of value if you expect (as we really should) a large chunk of medical expense deductions. Or more specifically, converting ALL of your pre-tax to Roth loses value when you factor in the medical expenses.

    The trick of course is how medical expense to factor in. That is an exercise for the reader ;-)

    15 October 2025
  • avatar

    Yes. I know that some people like to factor in large medical expenses in the last few years of life (which would be deductible subject to the 7.5% of agi limitation) for a live-in carer or the costs of elderly care in a home. These would potentially not be deductible if you did not have enough income because you had already done large roth conversions.

    15 October 2025