Instructions for Schedule A (Form 1040)
taxmap/instr/i1040sca-001.htm#TXMP54274a05You can deduct only the part of your medical and dental expenses
that exceeds 7.5% of the amount on Form 1040, line 38.
Pub. 502 discusses the types of expenses you can and cannot deduct.
It also explains when you can deduct capital expenses and special care expenses
for disabled persons.
 | If you received a distribution from a health savings account
or a medical savings account in 2010, see Pub. 969 to figure your deduction. |
taxmap/instr/i1040sca-001.htm#TXMP273eddb1To the extent you were not reimbursed, you can deduct what you
paid for:
- Insurance premiums for medical and dental care, including
premiums for qualified long-term care contracts as defined in Pub. 502. But see
Limit on long-term care premiums you can deduct
on page A-2. Reduce the insurance premiums by any self-employed health insurance
deduction you claimed on Form 1040, line 29. You cannot deduct insurance
premiums paid with pretax dollars because the premiums are not included in box 1
of your Form(s) W-2. If you are a retired public safety officer, you cannot
deduct any premiums you paid to the extent they were paid for with a tax-free
distribution from your retirement plan.
 | If, during 2010, you were an eligible trade adjustment assistance
(TAA) recipient, alternative TAA (ATAA) recipient, reemployment TAA (RTAA)
recipient, or Pension Benefit Guaranty Corporation (PBGC) pension recipient, you
must reduce your insurance premiums by any amounts used to figure the health
coverage tax credit. See the instructions for line 1 on page A-2. |
- Prescription medicines or insulin.
- Acupuncturists, chiropractors, dentists, eye doctors, medical
doctors, occupational therapists, osteopathic doctors, physical therapists,
podiatrists, psychiatrists, psychoanalysts (medical care only), and
psychologists.
- Medical examinations, X-ray and laboratory services, insulin
treatment, and whirlpool baths your doctor ordered.
- Diagnostic tests, such as a full-body scan, pregnancy test,
or blood sugar test kit.
- Nursing help (including your share of the employment taxes
paid). If you paid someone to do both nursing and housework, you can deduct only
the cost of the nursing help.
- Hospital care (including meals and lodging), clinic costs,
and lab fees.
- Qualified long-term care services (see Pub. 502).
- The supplemental part of Medicare insurance (Medicare B).
- The premiums you pay for Medicare Part D insurance.
- A program to stop smoking and for prescription medicines to
alleviate nicotine withdrawal.
- A weight-loss program as treatment for a specific disease
(including obesity) diagnosed by a doctor.
- Medical treatment at a center for drug or alcohol addiction.
- Medical aids such as eyeglasses, contact lenses, hearing aids,
braces, crutches, wheelchairs, and guide dogs, including the cost of maintaining
them.
- Surgery to improve defective vision, such as laser eye surgery
or radial keratotomy.
- Lodging expenses (but not meals) while away from home to receive
medical care in a hospital or a medical care facility related to a hospital,
provided there was no significant element of personal pleasure, recreation, or
vacation in the travel. Do not deduct more than $50 a night for each eligible
person.
- Ambulance service and other travel costs to get medical care.
If you used your own car, you can claim what you spent for gas and oil to go to
and from the place you received the care; or you can claim 16.5 cents a mile.
Add parking and tolls to the amount you claim under either method.
taxmap/instr/i1040sca-001.htm#TXMP59208200Certain medical expenses paid out of a deceased taxpayer's estate
can be claimed on the deceased taxpayer's final return. See Pub. 502 for
details.
taxmap/instr/i1040sca-001.htm#TXMP7ddda8b2The amount you can deduct for qualified long-term care contracts
(as defined in Pub. 502) depends on the age, at the end of 2010, of the person
for whom the premiums were paid. See the chart below for details.
| IF the person was, at the end of 2010, age . . . | THEN the most you can deduct is . . . |
|---|
| 40 or under | $ 330 |
| 41–50 | $ 620 |
| 51–60 | $ 1,230 |
| 61–70 | $ 3,290 |
| 71 or older | $ 4,110 |
taxmap/instr/i1040sca-001.htm#TXMP050ec2d3
- The cost of diet food.
- Cosmetic surgery unless it was necessary to improve a deformity
related to a congenital abnormality, an injury from an accident or trauma, or a
disfiguring disease.
- Life insurance or income protection policies.
- The Medicare tax on your wages and tips or the Medicare tax
paid as part of the self-employment tax or household employment taxes.
 |
If you were age 65 or older but not entitled to social
security benefits, you can deduct premiums you voluntarily paid for Medicare A
coverage. |
- Nursing care for a healthy baby. But you may be able to take
a credit for the amount you paid. See the instructions for Form 1040, line 48.
- Illegal operations or drugs.
- Imported drugs not approved by the U.S. Food and Drug Administration
(FDA). This includes foreign-made versions of U.S.-approved drugs manufactured
without FDA approval.
- Nonprescription medicines (including nicotine gum and certain
nicotine patches).
- Travel your doctor told you to take for rest or a change.
- Funeral, burial, or cremation costs.
taxmap/instr/i1040sca-001.htm#TXMP0ea6b579taxmap/instr/i1040sca-001.htm#TXMP2ec46410Enter the total of your medical and dental expenses (see page
A-1), after you reduce these expenses by any payments received from insurance or
other sources. See
Reimbursements on this page.
 | Do not forget to include insurance premiums you paid for
medical and dental care. But if you claimed the self-employed health insurance
deduction on Form 1040, line 29, reduce the premiums by the amount on line 29. |
 | If, during 2010, you were an eligible trade adjustment assistance
(TAA) recipient, alternative TAA (ATAA) recipient, reemployment TAA (RTAA)
recipient, or Pension Benefit Guaranty Corporation (PBGC) pension recipient, you
must complete Form 8885 before completing Schedule A, line 1. When figuring the
amount of insurance premiums you can deduct on Schedule A, do not include:
- Any amounts you included on Form 8885, line 4,
- Any qualified health insurance premiums you paid to
U.S. Treasury—HCTC, or - Any health coverage tax credit advance payments shown
in box 1 of Form 1099-H.
|
taxmap/instr/i1040sca-001.htm#TXMP11565be7You can include medical and dental bills you paid for anyone
who was one of the following either when the services were provided or when you
paid for them.
- Yourself and your spouse.
- All dependents you claim on your return.
- Your child whom you do not claim as a dependent because of
the rules for children of divorced or separated parents.
- Any person you could have claimed as a dependent on your return
except that person received $3,650 or more of gross income or filed a joint
return.
- Any person you could have claimed as a dependent except that
you, or your spouse if filing jointly, can be claimed as a dependent on someone
else's 2010 return.
You provided over half of your mother's support but cannot claim
her as a dependent because she received wages of $3,650 in 2010. You can include
on line 1 any medical and dental expenses you paid in 2010 for your mother.
taxmap/instr/i1040sca-001.htm#TXMP7ea91121If your insurance company paid the provider directly for part
of your expenses, and you paid only the amount that remained, include on line 1
only the amount you paid. If you received a reimbursement in 2010 for medical or
dental expenses you paid in 2010, reduce your 2010 expenses by this amount. If
you received a reimbursement in 2010 for prior year medical or dental expenses,
do not reduce your 2010 expenses by this amount. But if you deducted the
expenses in the earlier year and the deduction reduced your tax, you must
include the reimbursement in income on Form 1040, line 21. See Pub. 502 for
details on how to figure the amount to include.
taxmap/instr/i1040sca-001.htm#TXMP0bfda62cDo not include on line 1 insurance premiums paid by an employer-sponsored
health insurance plan (cafeteria plan) unless the premiums are included in box 1
of your Form(s) W-2. Also, do not include any other medical and dental expenses
paid by the plan unless the amount paid is included in box 1 of your Form(s)
W-2.