
Health insurance is a significant monthly expense for many people, and it can be a challenge to keep up with payments. However, in Canada, it is possible to claim health insurance as a medical expense on your tax return, which can help to offset the costs. This is known as the Medical Expense Tax Credit and can be claimed for yourself, your spouse, or your minor children. It is important to note that you can only claim the portion of the premiums you pay yourself and not any amount covered by your employer. Additionally, you must keep receipts and other supporting documents as proof of your expenses.
| Characteristics | Values |
|---|---|
| Who can claim health insurance as a medical expense? | Self-employed individuals, individuals with low incomes and high medical expenses, individuals with an impairment in physical or mental functions, individuals in Ontario, Canada |
| What can be claimed? | Medical expenses beyond what you've been reimbursed for, medical expenses for family members, including children, stepchildren, grandparents, and spouses, health insurance premiums, travel expenses for medical needs, out-of-pocket expenses (e.g. mileage, meals, lodgings), costs of gluten-free products for celiac disease |
| What cannot be claimed? | Over-the-counter medications, plans paid by an employer, expenses covered by your health plan or reimbursed by insurance |
| Documentation required | Receipts, prescriptions, mileage logs, proof of purchase |
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What You'll Learn

Claiming health insurance as a tax deduction
In Canada, health insurance premiums are an eligible tax deduction under the Income Tax Act. This applies to personal health insurance premiums, which are also tax-deductible in Ontario. Self-employed individuals can deduct premiums paid for a private health insurance plan from their self-employment income, instead of claiming them as medical expenses. This can result in greater or equal tax savings and can be a way to provide a tax-free benefit to employees of a small business.
You can claim all eligible medical expenses for which you have not been reimbursed, such as from a health insurance plan. For example, if you went to the dentist and the charges were $750, but your health insurance plan only reimbursed you for $450, you can claim the remaining $300 towards your medical expense tax credit. You can only claim the portion of the premiums you pay yourself, not any amount covered by your employer.
To claim the payments of your health plan premium, include them with your other eligible medical expenses and claim the credit on line 33099 of your return. If you are paying premiums under a plan managed by your employer, you will find the exact amount paid on your T4 Statement of Remuneration slip in Box 85 of the “other information” section. If you do not have this information on a T4 slip, keep your receipts to be able to prove the amounts you paid in the event of a CRA audit.
When filing your income tax return, you don't need to submit receipts for your medical expenses, but you should keep these supporting documents on file in case the Canada Revenue Agency (CRA) requests copies to verify your deductions. Alternatively, you can file your income tax return by mail and must include copies of your supporting documents with your return.
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Claiming health insurance as a self-employed individual
If you are self-employed, you may be eligible to deduct premiums that you pay for medical, dental, and qualifying long-term care insurance coverage for yourself, your spouse, and your dependents. This is known as the self-employed health insurance deduction. This deduction is a tax benefit that helps business owners pay for health insurance. It is particularly beneficial because it is an above-the-line deduction, meaning you don't have to itemize deductions to claim it. This deduction can be applied on a month-to-month basis.
To be eligible for the self-employed health insurance deduction, you must meet certain Internal Revenue Service (IRS) criteria. You cannot claim the deduction if you are an employee or if you have access to an employer-sponsored subsidized health insurance plan. If you are eligible, you can deduct up to 100% of the health insurance premiums you paid during the year on your income tax return. The deduction can be entered on Part II of Schedule 1 as an adjustment to income and transferred to page 1 of Form 1040.
If you have an S-corp or an S corporation, there are additional considerations for claiming the self-employed health insurance deduction. For an S-corp, you should be aware of a 2015 notice regarding reimbursement for health premiums. For an S corporation, your health insurance premiums must be reported as wages on your W-2 to claim the deduction.
Another option for self-employed individuals is to enroll in a Health Savings Account (HSA), which allows you to pay for medical expenses with pre-tax dollars. Contributions to an HSA are tax-deductible, reducing your tax burden. The money in an HSA can be withdrawn without penalties or taxes to pay for qualified medical expenses. However, some people choose to treat their HSAs as secondary retirement accounts, with distributions during retirement (after age 65) taxed as income if used for something other than qualified medical expenses.
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Claiming health insurance for medical travel expenses
When it comes to claiming health insurance for medical travel expenses, there are a few things to keep in mind. Firstly, it's important to understand what constitutes a medical travel expense. These are expenses incurred while travelling, specifically for medical reasons, and can include mileage, meals, and lodgings for the driver or caregiver. It's worth noting that meals aren't always included, and the cost of lodging can only be included if the medical treatment is received from a licensed medical facility. Additionally, some countries require specific types of travel medical insurance as a mandatory entry requirement.
In terms of the actual claiming process, it's essential to keep detailed records of your expenses, including receipts, prescriptions, mileage logs, and proof of payment. When it comes to tax returns, you can claim medical expenses that you paid out-of-pocket, even if you were reimbursed for a portion of them by your insurance. However, you can only claim the part that you paid yourself and wasn't reimbursed. It's important to note that you usually don't need to submit receipts with your tax return, but you should keep them in case they're requested for verification.
If you have travel medical insurance and need to make a claim, the process may vary depending on the insurance provider. Typically, you or your medical provider will need to submit the required information, which often includes proof of loss forms, payment authorization forms, itemized medical bills, and receipts. Some plans may have deductibles or coinsurance requirements, meaning you'll need to pay a certain amount before the insurance company starts paying out. Additionally, claims can be denied for various reasons, such as if they are for treatment received before the plan's effective date or for routine care.
It's worth noting that there are different rules and eligibility criteria depending on your location and specific insurance plan. For example, in Canada, the Canada Revenue Agency (CRA) provides a list of eligible medical expenses, and you can claim expenses for yourself, your spouse, or common-law partner. Similarly, in the United States, the Internal Revenue Service (IRS) provides guidance on eligible medical and dental expenses, including health insurance premiums for self-employed individuals. Therefore, it's always a good idea to review the specific requirements and restrictions of your insurance plan and local regulations before submitting any claims.
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Claiming health insurance for medical expenses outside of Canada
If you are a Canadian citizen and you require medical attention while travelling outside of Canada, you may be able to claim the expenses on your tax return. Under the Canada Health Act, provinces and territories are expected to cover the cost of publicly insured hospital and physician services, up to what they would have paid if the service was provided in Canada.
The amount you can claim depends on several factors, including the province or territory in which you reside, and whether you have private insurance. For example, residents of BC can apply to the province's Medical Services Commission if they have paid for care while abroad. However, it is important to note that reimbursement amounts are typically very limited and may not cover the total cost of your bills.
To claim medical expenses on your tax return, you can use lines 33099 and 33199. On line 33099, you can claim the total eligible medical expenses that you or your spouse or common-law partner paid for any dependent children under 18 years of age at the end of the tax year. On line 33199, you can claim the part of eligible medical expenses that you or your spouse or common-law partner paid for any dependent children 18 years of age or older, or grandchildren. You can also claim expenses for your parents, grandparents, siblings, uncles, aunts, nephews, or nieces who were residents of Canada at any time in the year.
When submitting an out-of-country claim, the amount claimed will be reimbursed in Canadian dollars. If you paid by credit card, your online account or statement will list amounts in both Canadian dollars and the foreign currency. It is important to keep all receipts and supporting documents, as they may be requested by the CRA at a later date.
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Claiming health insurance for medical expenses not covered by a health plan
If you have a health insurance plan, you can only claim the portion of the premiums that you pay yourself. Any amount covered by your employer cannot be claimed.
In the United States, the IRS allows taxpayers to deduct their qualified unreimbursed medical care expenses that exceed 7.5% of their adjusted gross income (AGI). This includes unreimbursed expenses for preventative care, treatment, surgeries, dental and vision care, and visits to psychologists and psychiatrists.
In Canada, you can claim all amounts you paid for a medical expense, even those outside of Canada. However, you can only claim the part of the expense that was not reimbursed by insurance. Self-employed individuals can also deduct premiums they pay for their employees' medical and dental insurance coverage.
To claim medical expenses, you will need to keep supporting documents such as receipts, prescriptions, mileage logs, and proof of payment. These may be requested by the relevant tax authority to verify your deductions.
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Frequently asked questions
In Canada, you can claim health insurance premiums as a medical expense. You can also claim a wide range of medical expenses beyond what you've been reimbursed for in any 12-month period ending in the year you file your taxes.
The Medical Expense Tax Credit is a non-refundable tax deduction that can reduce how much tax you owe after filing your return.
Eligible medical expenses include out-of-pocket expenses such as mileage, meals, and lodgings for the driver or caregiver, as well as food, shelter, and veterinary care for service dogs. You can also claim eligible medical expenses paid outside of Canada.
You can claim the Medical Expense Tax Credit when you file your income tax return. You can file your return electronically without submitting receipts, but you should keep them in case the Canada Revenue Agency (CRA) requests them. Alternatively, you can file your return by mail and include copies of your receipts.
No, you can only claim the portion of the premiums you pay yourself. However, if you are self-employed, you can deduct premiums paid for a private health insurance plan from your self-employment income.









































