According to the Central Statistics Office the annual medical costs for an average Irish family are €2600, which is equivalent to 5% of the average household’s income. Where an individual pays medical expenses that are not covered by the State or by a private health insurance company, tax can be claimed back on some of these expenses.
You may claim Medical Expenses Tax Relief in respect of any qualifying health expenses paid not only in respect of your own expenses, but in respect of any individual where you have paid for them. You can claim relief only if you cannot recover the expenses from any other source.
You cannot claim tax relief for sums already received or due to be received from:
A public or local authority, for example, the HSE (Health Service Authority)
An insurance policy
Any other source, for example, compensation
You can claim Medical Expenses Tax Relief on:
Costs of doctors and consultants fees
Items or treatments prescribed by a doctor or consultant
Maintenance or treatment in a hospital or a nursing home
Costs of speech and language therapy carried out by a speech and language therapist for a qualifying child
Transport by ambulance
Costs of educational psychological assessments carried out by an educational psychologist for a qualifying child
Certain items of expenditure in respect of a child suffering from a serious life-threatening illness
Kidney patients’ expenses (up to a maximum amount depending on whether the patient uses hospital dialysis, home dialysis or CAPD)
Specialised dental treatment
Routine maternity care
The following, where prescribed by a doctor, also qualify for medical expenses tax relief:
Drugs and medicines
Orthoptic or similar treatment
Orthopaedic bed or chair
Wheelchair or wheelchair lift (no relief is due for alteration to a building to facilitate a lift)
Glucometer machine for a diabetic
Engaging a qualified nurse in the case of a serious illness
Physiotherapy, chiropody/podiatry services or similar treatment
Cost of a computer where there is medical evidence that it is necessary to help a person with a severe disability to communicate
Cost of gluten-free food for coeliacs. As this condition is generally ongoing, a letter (instead of prescriptions) from a doctor stating that the individual is a coeliac sufferer is acceptable. Receipts from supermarkets in addition to receipts from chemists are acceptable.
The tax relief list of treatments and appliances changes from time to time. For more information, see the Revenue information leaflet IT 6, which is also available from your local tax office.
Tax relief is available on the total amount of qualifying expenditure. Relief will be allowed at the standard rate of tax (20%) with the exception of nursing home expenditure which is allowable at the higher tax rate of up to 40%, if applicable.
You must make a claim for tax relief within 4 years after the end of the tax year to which the claim relates. Therefore, to claim for the year 2022 you must submit your claim before the end of the year 2026.
You can claim a refund on any health/medical expenses via PAYE Anytime which can be accessed through myAccount (myAccount is a single access point for all Revenue’s secure online services (except ROS) and is the quickest, easiest, and most convenient way to manage your tax affairs). You can also make a claim by completing the Form Med 1 – Medical Expenses Tax Relief Claim and submitting it to your Revenue office.
If claims require clarification during processing, you will be contacted and asked to submit receipts (including a Form Med 2).
For more on Medical Expenses Tax Relief as well as other benefits and incentives read :
Emily is an honours business graduate. She joined the Paycheck Plus Graduate Programme in 2022 and works with both our UK and Irish payroll teams. She is currently studying to obtain a payroll technician accreditation and is keen to develop her payroll knowledge and skills.