Tax season is quickly approaching, and many Americans are looking for deductions to reduce their tax bill. If you are a Medicare applicant who meets specific criteria, your tax savings opportunity might be closer than you think. You might be eligible to offset some of your expenses for the year, including Medicare premiums. Furthermore, maintain a record of your medical invoices to increase your chances of claiming the Medicare tax deductions. You will need proof to confirm every qualifying expense that you submit on your tax return. 

Here are some tips to remember about deducting Medicare expenses to help you get a head start on your tax planning.

What Medicare tax deductions can you get each year?

Medicare costs can exceed what you have planned for each month. Fortunately, you might be able to claim some of your Medicare costs as deductions. These deductions provide you with a tax break, allowing you to reduce your tax obligation for the year. 

To become eligible for Medicare tax deductions, most citizens must list the specific instead of getting the standard deduction. Qualified health expenses that exceed 7.5 percent of your AGI (adjusted gross income) will be approved for tax deductions. Suppose you are self-employed; in that case, you may be able to deduct Medicare premium costs even if you don’t specify the tax deductions. 

Surprisingly, the IRS’ summary of allowable expenses is quite extensive. Many costs associated with the treatment or diagnosis of an injury or illness are considered “acceptable.” This includes everything from routine medical care to medical facilities to preventive care to transportation to healthcare services. You read that correctly: you can deduct your taxi fare, mileage, or Uber ride to your medical appointments. 

Any co-payments or deductibles you pay to obtain Medicare-covered benefits are considered “allowable.” Furthermore, the out-of-pocket expenses you have spent for prescription medications while in the Part D “donut hole” are also qualified for tax deductions. You may also deduct any out-of-pocket expenses you incur to obtain care that Medicare does not cover. This includes some of the costs for regular checkups, nursing home treatment, dental care, and “medically necessary” equipment.  

List of Allowable Expenses for Medicare Coverage

You can obtain detailed records of eligible expenses by visiting the IRS website. The following are some examples of popular health services and benefits that are considered allowable expenses as a Medicare beneficiary.

  • Acupuncture
  • Annual physical exam
  • Ambulance services
  • Artificial teeth
  • Contact lenses
  • Chiropractic services
  • Dental services
  • Eye exams and eyeglasses
  • Home care and nursing services
  • Hearing aids
  • Guide dogs and other service animals
  • Long-term care
  • Laboratory fees
  • Oxygen
  • Psychiatric care, psychological care, and psychoanalysis
  • Therapy
  • Vasectomy
  • Wheelchairs
  • Weight-loss programs
  • X-ray services

How do the income limits for Medicare tax deductions work?

The IRS specifies requirements to determine if you qualify for Medicare tax deduction. Firstly, your eligible medical expenses should exceed 7.5 percent of your AGI (adjusted gross income). Then, add all the costs of the unreimbursed Medicare coverage and other health expenses to see if you’ve contributed enough to qualify for the tax deduction. 

For Example:

Assume your AGI is around $40,000, and your total OOP (out-of-pocket) Medicare expenses for the year are $4,500. Thus, due to the 7.5% threshold value, you will be eligible to deduct the costs beyond the first 3,000 dollars. Your total tax deduction would be $1,500 on your tax return. 

To claim the insurance premium deduction, you must itemize deductions on Schedule A of your income statement. It makes sense to clearly outline if your total expenses exceed the standard deduction amount for the year.

What expenses do not qualify for Medicare tax deduction? 

The IRS provides a comprehensive list of tax-deductible medical expenses. You should, however, be aware of any payments that don’t fit your bills. Reimbursable Medicare expenses, for instance, are ineligible for a tax deduction.

Late registration penalties on Part B and Part D premiums are not approved for the deductible. Typically, you cannot withhold prescription medications purchased online unless legal in other countries and the United States. Nonprescription drugs, such as vitamins or supplements, are generally not accepted unless specifically prescribed by your doctor to treat a specific medical condition. 

Moreover, other expenses that are not deductible for tax purposes

  • Childcare or babysitting
  • Aesthetic surgery
  • Hair removal via electrolysis
  • Funeral costs
  • Hair transplantation
  • Items for personal use (floss, toothbrushes, toilet paper, etc.)
  • Whitening of teeth
  • Veterinary charges

Does supplemental insurance impact the Medicare tax deductions you can take?

Medicare supplementary insurance (also called Medigap policy) can assist you when you have significant out-of-pocket expenses. This additional coverage can fill the gaps left by original Medicare’s (Parts A and B) deductibles, copays, and coinsurance. Moreover, all approved supplemental insurance deductions must exceed 7.5 percent of your AGI to be eligible for a Medicare tax deduction on your financial reports. 

Is it possible to deduct Medicare Part B premiums from Social Security tax-free?

Typically, Part B premiums are automatically extracted from your Social Security health benefits. These premiums may be used to cover doctor visits, outpatient hospital services, and certain types of medical supplies.

You will be eligible for Medicare tax deduction when you register your income taxes, which is a pleasant surprise. Health care premiums are “allowable” expenses that can help you lower your tax liability. To be eligible for the Medicare (Part B) premium tax deduction, you should itemize your payments on your tax return.

Are Medicare premiums deductible monthly?

Medicare consists of four elements: Parts A, B, C (Medicare Advantage), and Part D. The type of additional coverage (if any) you select determines the cost of your monthly premiums.

For Example:

Many beneficiaries with traditional Medicare (Part A & Part B) pay part B and Part D premiums for additional drug coverage. They might need to pay additional costs if they join a Medigap policy to cover Part A & B out-of-pocket expenses. Also, those who choose a zero-premium Medicare Advantage program may only cover Medicare Part B premiums each month. 

Premiums paid for Medicare Parts B, D, and supplementary programs are typically considered “allowable.” The majority of Medicare beneficiaries do not pay a Medicare Part A premium. This holds true if you have spent on Medicare taxes for 40 eligibility quarters (10 years) of your working life. However, if you pay Medicare Part A premiums, you can deduct these expenses. 

What documentation should you maintain for Medicare tax deductions?

Be mindful to keep records of your payments if you want to increase your deductions. It’s crucial to note the purpose of each medical or dental expense to determine whether it is a qualified expense.

Keep records for all of your insurances premiums as well, so you can determine which deductions are appropriate. Therefore, the better prepared you are throughout the year, the easier it will be to calculate qualifying expenses on your financial reports. Also, consult a tax professional for more information.


You will be able to save money by deducting Medicare expenses on your tax return. So, maintain records of your costs and keep your receipts throughout the year. This will help you decide whether it is better to itemize your deductions or take the standard deduction. Medicare costs can quickly add up, so it’s critical to plan ahead of time and take advantage of any savings opportunities that come your way.

Important Takeaways:

  • Note that Medicare expenses above 7.5 percent of your AGI may be deductible.
  • Only costs that the IRS considers allowable, such as Medicare premiums and annual physical exams, can be deducted.
  • Also, keep your slips and plan ahead of time to get the most out of your tax deductions