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Can I Deduct Medical Expenses in Canada?

Updated

The medical expense tax credit is one of the most underutilized deductions in Canada. Hundreds of expenses qualify — from dental to glasses to mobility aids — and strategic timing can significantly increase your claim. Here is how it works.

How the medical expense tax credit works

The medical expense tax credit (METC) is a non-refundable federal tax credit of 15% on eligible medical expenses above a threshold.

The 3% threshold rule:

Your claim starts at the amount above the lesser of:

  1. 3% of your net income (Line 23600 on your T1), or
  2. $2,759 (2026 threshold — indexed to inflation each year)

Eligible claim = Total eligible medical expenses − Threshold Federal credit = Eligible claim × 15%

Example:

Amount
Net income $75,000
3% of net income $2,250
2026 threshold $2,759
Lesser of the two $2,250
Total eligible medical expenses $6,800
Eligible amount for credit $6,800 − $2,250 = $4,550
Federal credit (15%) $682.50

Provinces add their own rates — Ontario adds ~5.05%, BC ~5.06% — making the combined credit typically 20–21% of the eligible amount.


What qualifies as an eligible medical expense

CRA publishes a comprehensive list of eligible medical expenses. The following are among the most commonly claimed:

Dental and vision

  • Dental treatments: fillings, crowns, extractions, root canals, orthodontics, implants
  • Dentures and hearing aids
  • Eyeglasses and contact lenses (prescribed by an optometrist or ophthalmologist)
  • Laser eye surgery (LASIK)
  • Eye exams (if charged by the practitioner)

Medications and devices

  • Prescription medications
  • Insulin, syringes, and diabetic supplies
  • Prescribed medical devices (CPAP machines, glucose monitors, wheelchairs, walkers)
  • Orthotics (custom-made foot orthotics prescribed by a podiatrist or physician)
  • Wigs (for medical conditions causing hair loss)

Professional services

  • Medical doctors, dentists, optometrists, pharmacists, chiropractors, physiotherapists, occupational therapists, psychologists (for covered treatments), nurse practitioners
  • Ambulance services
  • Fertility treatments (IVF and related procedures)
  • Medically necessary cosmetic surgery (reconstruction after illness or injury)

Assistive and accessibility items

  • Wheelchairs, walkers, crutches, scooters
  • Lifts and ramps for home accessibility (subject to conditions)
  • Air conditioners (if prescribed due to a medical condition — partial amounts)
  • Furnace filter (for severe respiratory conditions — specific rules apply)

Travel for medical care

  • If you travel more than 40 km from home to receive medical care not available locally: vehicle expenses (at CRA per-km rates) or actual costs
  • If you travel more than 80 km: lodging costs (up to $75/night) and meal costs (simplified per-diem rates) may also be claimed

What does NOT qualify

Expense Why
Over-the-counter medications (Tylenol, vitamins) Not prescribed
Gym memberships Personal expense
General cosmetic surgery Elective, not medically necessary
Teeth whitening Cosmetic
Massage therapy Depends — only if provided by a licensed practitioner for a medical condition in some provinces
Nutritional supplements (unless prescribed) Not eligible
Premiums paid for private health insurance Not eligible (but may get employer benefit deduction)
Personal support worker for non-medical activities Must be for medical care specifically

The 12-month rule: timing strategy

You do not need to use January 1–December 31 as your expense window. You can claim any 12-month period ending in the current calendar year.

Strategy: If your expenses cluster in the second half of one year and first half of the next, choose a July–June window to capture both clusters in a single CRA claim.

Example:

  • July–December 2025: $1,500 in dental work
  • January–June 2026: $3,200 in physiotherapy and medical devices
  • Using July 2025–June 2026 window: $4,700 total
  • Using calendar year 2026 only: $3,200 total

The July-to-June window generates a much larger claim.


Claiming for dependants

You can claim eligible expenses for dependent relatives (parents, grandparents, adult children, siblings, aunts, uncles, etc. whom you supported) on Line 33199. The threshold for their portion is the lesser of:

  • 3% of the dependant’s net income, or
  • $2,759

This can be very valuable if a dependent parent had significant medical costs and low income (making their threshold low).


Spousal claim allocation

You can claim your own expenses and your spouse’s together on one return. The threshold is based on your net income in this case. It is generally better for the lower-income spouse to claim all family medical expenses, since their 3% threshold is smaller, allowing a larger portion of expenses to exceed it.

Example:

  • Higher earner ($100,000): threshold = $3,000
  • Lower earner ($40,000): threshold = $1,200
  • Family medical expenses: $4,000
  • Claimed by higher earner: $4,000 − $3,000 = $1,000 eligible
  • Claimed by lower earner: $4,000 − $1,200 = $2,800 eligible ← better

How to claim

  1. Total all eligible expenses for your chosen 12-month period ending in the tax year
  2. Enter on Line 33099 (your expenses and your family’s expenses on the same return)
  3. Enter dependant expenses on Line 33199
  4. The credit is calculated automatically; it flows to your federal tax reduction

Keep all receipts for 6 years — CRA frequently requests medical receipts in review.


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