
Medical bills and insurance records are essential for tracking one's health history, ensuring accurate insurance claims, and securing tax deductions. While the duration for retaining these documents varies based on individual circumstances, it is generally recommended to keep them for at least one to three years after payment or the resolution of any insurance disputes. In the case of chronic or serious illnesses, it is advisable to maintain records for a more extended period, ranging from five to seven years. These documents are crucial for verifying the legitimacy of tax filings, maximizing tax savings, and safeguarding against discrepancies in insurance coverage.
| Characteristics | Values |
|---|---|
| How long to keep medical bills | 1 to 3 years |
| How long to keep medical bills for tax purposes | 3 years |
| How long to keep medical bills for chronic illness | 5 years after the last treatment date |
| How long to keep medical bills if you've claimed a medical tax deduction | 7 years |
| How long to keep medical bills if you didn't report income | 6 years |
| How long to keep medical bills if you have a contract with a Medicare Advantage (MA) organization | 10 years |
| How long to keep medical bills for no reason | 3 years |
| How long to keep medical bills if you omitted 25% of your gross income | 6 years |
| How long to keep medical bills if you didn't file a tax return | No statute of limitations |
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What You'll Learn

Medical bills for tax purposes
Keeping medical bills and records is important for tax purposes, as they can help you save money. If you have medical bills that your insurance company did not fully cover, you may be able to deduct a portion of your medical costs from your taxable income. However, these deductions only apply to expenses that exceed a certain percentage of your adjusted gross income (AGI). For example, for the tax year 2022, you can deduct out-of-pocket expenses that total more than 7.5% of your AGI.
The IRS recommends keeping tax records for three years from the date of filing your original return or two years from when you paid the tax, whichever is later. If you plan to file a claim for a refund, keep your tax documents for three years from the filing date of your original return or two years from when you paid your taxes. If you did not report income that you should have, hold on to your documents for six years.
It is generally recommended to keep medical bills and records for one to three years. You may need them for insurance purposes or to verify medical claims. In the case of a chronic or serious illness, it is advisable to keep medical records for five years after the last treatment date or seven years after claiming a medical tax deduction.
Keeping paper copies of important financial documents is a good idea, but many companies now offer the ability to store records and documents online. This can help reduce clutter and ensure that your documents are safe and easily accessible.
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How long to keep Explanation of Benefits (EOBs)
An Explanation of Benefits (EOB) is a statement from your insurance company that outlines the costs involved for visits to your doctor or clinic. It is not a bill, but rather a report of what your insurance plan will cover based on the care you received. It is a useful tool to help you understand how your insurance works and can be used to track your healthcare costs, find billing errors, and understand what your plan covers.
Given the importance of EOBs, how long should you keep them? Well, that depends on a few factors. Firstly, you should keep an EOB until you receive the final bill from your doctor or healthcare provider. This is to ensure that you can match the amount you owe on the EOB with the amount on the bill. It is also recommended to keep EOBs for at least a year, especially if you are claiming any prescription costs on your taxes. This will help you keep track of your health history and ensure you are receiving all the benefits you are entitled to.
If you are dealing with a serious or chronic illness, it is advisable to keep your EOBs for up to three to five years, or even seven years if you are claiming a medical deduction on your taxes. This will allow you to monitor your condition and associated costs over a longer period. Additionally, retaining EOBs for this extended period can be useful for tax documentation and proving that you have met your deductible.
Finally, it is important to securely store your EOBs, whether physically or electronically, to prevent sensitive information from falling into the wrong hands.
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Medical billing records for insurance claims
Medical billing records are essential for insurance claims, providing a detailed overview of a patient's health history. This helps healthcare providers in diagnosing conditions, planning treatments, and monitoring progress. They also help insurance providers analyse diagnoses and corresponding care given to determine if there is a legal, financial claim.
The duration for which medical billing records should be kept depends on various factors, including the patient's individual circumstances, the nature of their medical condition, and tax-related considerations.
For patients, it is generally recommended to keep medical billing records for at least 1 to 3 years after payment or the resolution of any insurance dispute. This is because insurance companies may request proof of doctor visits or other verification of medical claims. In the case of chronic or serious illness, it is advisable to keep records for 5 years after the last treatment date or 7 years after claiming a medical tax deduction.
For tax-related reasons, the recommended duration for record retention is higher, up to 7 years. This is because medical bills and receipts are important for substantiating healthcare expenses and securing tax deductions. Additionally, the Internal Revenue Service (IRS) can audit tax returns up to 3 years after filing, and up to 6 years if 25% of gross income is omitted.
Medical facilities are also required to retain billing records for a certain period, with Medicare requiring at least 7 years of record-keeping, while state requirements may differ. Contracts with Medicare Advantage (MA) organisations mandate the retention of records for 10 years to accommodate periodic auditing and evaluation of services.
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How long to keep medical receipts
Keeping medical receipts and bills is essential for tracking one's health history, ensuring accurate insurance claims, and securing tax deductions. While it is necessary to retain these documents, it is equally important to know how long to keep them.
The duration for which medical receipts should be retained varies depending on different circumstances. Firstly, it is generally recommended to keep medical receipts for at least one to three years after payment or the resolution of any insurance disputes. This is because your insurance company may request proof of a doctor's visit or other verification of medical claims. Additionally, keeping these records for a few years allows for reviewing annual health expenses, facilitating personal finance management, and ensuring that all payments are accounted for.
Secondly, if you plan to claim any tax deductions related to medical expenses, the recommended duration for retaining medical receipts increases. The Internal Revenue Service (IRS) advises keeping records related to tax deductions for up to seven years. This extended period is crucial for verifying the legitimacy of your tax filings and securing the deductions you are entitled to. Moreover, if you omitted 25% of your gross income, the recommended retention period extends to six years.
For individuals with chronic or serious illnesses, it is advisable to keep medical receipts for five years after the last treatment date or seven years after claiming a medical tax deduction. This ensures that you have comprehensive documentation of your medical history, which is vital for future treatment considerations and insurance claims.
Lastly, it is worth noting that while going paperless can reduce clutter and improve organization, keeping physical copies of important medical receipts in a safe place is always a good idea. This ensures that you have access to your records even if digital storage fails or becomes inaccessible.
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Medical records for chronic illnesses
Keeping accurate and comprehensive medical records is essential for navigating the healthcare system and maintaining your overall health. Medical records are invaluable tools for healthcare providers as they offer a detailed overview of a patient's health history, which is critical for diagnosing conditions, planning treatments, and monitoring progress. They include a wide array of information such as doctor's notes, diagnostic test results, medication records, and summaries of surgeries or treatments.
For those managing a chronic condition, it is recommended to keep medical records and bills for longer periods, and in some cases, indefinitely, especially if legal actions arise. This is because the enduring nature of chronic conditions often necessitates a detailed, ongoing record of treatments, diagnoses, and medical expenditures. These records can also help individuals claim all eligible tax deductions. For tax-related reasons, the stakes and duration of record retention are higher, with the Internal Revenue Service (IRS) recommending that individuals keep records related to tax deductions for up to seven years.
When storing physical medical records, it is important to keep them in a safe, secure, and dry place, such as a combination safe or lockable filing cabinet. It is also recommended to keep paper files separate from any area that may be exposed to moisture, such as a basement. When storing physical Explanation of Benefits (EOB) records and other medical bills, use file folders to keep similar documents together. Label the folders with dates and store them in chronological order.
Once medical records are no longer needed, it is important to ensure they are securely shredded by a trusted and skilled company, rather than using a personal shredder, to protect your personal information.
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Frequently asked questions
It is recommended to keep medical bills and insurance records for at least 1-3 years after payment or the resolution of any insurance dispute.
Medical bills and insurance records are important for several reasons. They provide a detailed overview of an individual's health history, which is critical for diagnosing conditions, planning treatment, and monitoring progress. They are also essential for insurance claims and tax deductions.
If you do not keep your medical bills and insurance records for a sufficient period, you may face difficulties in the following areas:
- Insurance claims: You may not have the necessary documentation to support claims for insurance reimbursements or dispute resolutions with insurance providers.
- Tax deductions: You may not be able to substantiate claims of medical expense deductions if audited by the IRS or other tax authorities.
- Personal finance management: Reviewing annual health expenses and ensuring that all payments are accounted for may become more challenging without the proper records.
Yes, individuals with chronic or serious illnesses may need to keep their medical records for a longer period, such as five years after the last treatment date or seven years after claiming a medical tax deduction. Additionally, if you have not reported income that you should have, it is recommended to keep your records for six years.
You can store your medical bills and insurance records physically or electronically. Physical storage involves using file folders to keep similar documents together, such as EOBs (Explanation of Benefits) and related medical bills or prescription receipts. Label the folders with dates and store them in chronological order. For electronic storage, you can switch to receiving your bank and medical documents online, reducing paper clutter and making it easier to access your records.











































