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You can only deduct medical expenses that exceed the limitations under the new tax rules, but the IRS and court decisions have expanded the definition of deductible medical costs. Plan ahead to take advantage of as many medical expenses as possible.
Medical deductions can be taken for the costs of diagnosis, treatment or prevention of disease or for affecting any structure or function of the body (except for unnecessary cosmetic surgery). Limitations: Treatment must be specific and not for general health improvement.
Example: The IRS successfully denied deductions for the cost of weight control and stop-smoking classes that were designed to improve general health, not to treat a specific ailment or disease. On the other hand, a person with a health problem specifically related to being overweight such as high blood pressure might be allowed the deductions.
If an employer tells an overweight employee to lose weight or leave, and the boss has previously enforced such a rule, the plump employee can deduct the cost of a weight-loss program, because money spent to help keep a taxpayer’s job is deductible. The IRS says it will allow a deduction if a physician prescribes a weight reduction program for the treatment of hypertension, obesity or hearing problems. The same could go for a person whose doctor certifies that an end to cigarette smoking is necessary for a specific medical reason (such as emphysema).
The same logic applies to home improvements. The cost of a swimming pool might be deductible if it is specifically necessary for a person who has polio, as would the cost of an elevator for a heart patient.