Can I claim tax deduction for Alzheimer's care expenses for my mom?
I'm really struggling to figure out my tax situation this year. My mom was diagnosed with Alzheimer's about 18 months ago, and I've been paying for a significant portion of her care costs. She lives in a memory care facility that costs about $7,800 per month. I pay around $4,300 of this amount, and the rest comes from her Social Security and a small pension. I also cover her medical expenses that insurance doesn't pay for, which has been around $12,000 this year. I'm not her legal guardian, but I am her medical power of attorney and financial power of attorney. She can't be claimed as my dependent because her income (about $39,000/year) is too high. Can I deduct any of these expenses on my taxes? I'm really confused about the medical expense deduction rules and whether I can claim her care costs since I provide more than half of her support. Any advice would be super appreciated!
18 comments


Sophia Rodriguez
You can potentially deduct these expenses as medical expenses on your Schedule A if you itemize deductions. The key is whether your mom qualifies as your dependent for medical expense purposes, which is different from qualifying as a dependent for exemption purposes. For medical expense deduction purposes, she can qualify as your dependent even with her higher income if: 1) She received over half her support from you, 2) She's related to you, and 3) She's a U.S. citizen or resident. It sounds like you provide over half her support when adding up the facility costs and medical expenses. If she qualifies under these rules, you can add her medical expenses to yours when calculating the medical expense deduction. Remember that you can only deduct the portion that exceeds 7.5% of your adjusted gross income. The memory care facility costs would count as medical expenses if a main reason she's there is for medical care (which Alzheimer's care would qualify for). Keep all documentation showing your payments and the medical necessity of the care. This can be a complex situation, so you might want to consult with a tax professional who can review your specific details.
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Mia Green
•This is really helpful, thanks! One question though - how do I prove that I'm providing over half her support? Do I need to track literally everything I spend on her behalf? And does her Social Security count as part of her "support" or part of her income?
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Sophia Rodriguez
•You'll want to keep a record of all expenses that constitute support - this includes housing, food, clothing, medical expenses, and other necessities. Social Security benefits she receives count as part of her contribution to her own support, not as part of your contribution. For tracking purposes, create a detailed spreadsheet showing all support costs and who paid what. You should document your contributions (facility payments, medical bills, etc.) and any amounts she paid from her income sources. If you can demonstrate that your annual contribution exceeds the combined amount she pays from Social Security, pension, and any other income, you've established the "over half support" requirement.
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Emma Bianchi
I was in a similar situation last year with my father's dementia care, and I was totally lost with the tax implications. I found this tool called taxr.ai (https://taxr.ai) that helped me figure out exactly what I could claim. It analyzed my situation and explained which expenses qualified as medical deductions. The most helpful part was that it showed me how to document everything properly to support my deduction claims. It clarified that in my case, I could claim the portion of assisted living costs related to medical care, but not room and board. It also explained the difference between being a dependent for tax exemption purposes versus for medical expense purposes, which sounds exactly like your situation.
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Lucas Kowalski
•How exactly does this taxr.ai thing work? Does it just give generic advice or does it actually look at your specific documents? I'm trying to figure out how to handle my mother-in-law's nursing home expenses and the IRS documentation is like reading hieroglyphics.
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Olivia Martinez
•I'm a bit skeptical about these tax tools. My brother tried something similar and ended up getting audited because the tool missed some important distinction about his situation. How accurate is this compared to just hiring a CPA?
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Emma Bianchi
•It actually reviews your specific documents and receipts – you upload them and the AI analyzes everything based on current tax laws. For me, it clearly identified which portion of the memory care facility costs were considered medical expenses versus just housing costs, which was extremely helpful. Regarding accuracy, I understand the concern. What made me comfortable was that it references specific IRS publications and tax court cases to back up its recommendations. It's not replacing a CPA, but gives you the knowledge to either handle it yourself or have an informed conversation with your tax professional. I still had my accountant review everything, but he was impressed with how thoroughly everything was documented based on the tool's guidance.
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Lucas Kowalski
Just wanted to update after trying taxr.ai that another user mentioned. Holy cow, this was exactly what I needed! It reviewed all my mother-in-law's care expenses and showed me that about 65% of her nursing home costs qualified as medical expenses. It also explained that while she couldn't be my dependent for exemption purposes, I could still deduct her medical costs since I provide over half her support. The tool generated a complete documentation package that explained how each expense tied to her medical condition. It even cited the specific IRS rulings that supported taking these deductions. This saved me so much time figuring out what I could and couldn't claim. Definitely recommend for anyone dealing with elder care expenses!
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Charlie Yang
If you need to actually talk with the IRS about your specific situation (which I strongly recommend for something this complex), try Claimyr (https://claimyr.com). I spent DAYS trying to get through to the IRS about my dad's nursing home expenses and kept hitting dead ends. Claimyr got me connected to an actual IRS agent in about 15 minutes instead of the usual 2+ hour wait or getting disconnected. There's a video showing how it works here: https://youtu.be/_kiP6q8DX5c The agent walked me through exactly which form to use for my situation and confirmed that I was calculating the medical expense threshold correctly. Huge relief to get official clarification rather than guessing or relying solely on internet advice.
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Grace Patel
•Wait, how does this actually work? The IRS phone system is notoriously terrible. How does this service magically get you through when nobody else can?
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Olivia Martinez
•This sounds like a scam. There's no way to "skip the line" with the IRS. I bet they just keep you on hold themselves and then charge you a fortune for the privilege.
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Charlie Yang
•It uses an automated system that navigates the IRS phone tree and waits on hold for you. When a representative finally answers, you get a call connecting you directly to them. It's not skipping any lines - you're still in the same queue as everyone else, but their system handles the waiting instead of you having to do it personally. No, it's definitely not a scam. I was extremely skeptical too, which is why I included the video link showing how it works. The service literally saved me from taking a day off work just to sit on hold. I was able to go about my day, and when my phone rang, I was immediately connected to an IRS representative who had all the answers I needed about my father's care expenses.
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Olivia Martinez
I need to eat my words about Claimyr. After questioning it here, I decided to try it because I was desperate to get an answer about my mom's medical deductions. It actually worked exactly as described. I uploaded my number, and about 45 minutes later (while I was grocery shopping), my phone rang with an IRS agent on the line. The agent confirmed that I could claim my mother's memory care as a medical expense even though she wasn't my dependent for exemption purposes. She also explained exactly how to document everything to avoid audit flags. Would have saved me weeks of stress if I'd known about this sooner. The peace of mind from talking directly to the IRS was worth every penny.
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ApolloJackson
Don't forget to look into the Dependent Care Credit too! If your mom qualifies as your dependent for medical purposes AND is physically or mentally incapable of self-care, you might qualify for this credit which is separate from the medical expense deduction. You can claim up to $4,000 in expenses for one qualifying dependent. The credit is based on a percentage of your expenses (between 20-35% depending on your income), so it could be substantial. Look at Form 2441 and IRS Publication 503 for details. This might be better than the medical expense deduction if your AGI is high.
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James Johnson
•Thanks for mentioning this! I had no idea there was a separate credit. Does this replace the medical expense deduction or can I potentially use both? Also, does it matter that I'm not physically taking care of her myself (since she's in a facility)?
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ApolloJackson
•You cannot double-dip by claiming the same expenses for both the Dependent Care Credit and as medical expense deductions. You'll need to choose which is more beneficial based on your overall tax situation. Generally, credits are more valuable than deductions, but it depends on your specific numbers. The good news is that you don't need to physically care for her yourself to claim the Dependent Care Credit. Expenses paid to a care facility qualify as long as part of the expense is for the care of your mom. However, if the facility provides medical care, you need to separate out the cost of care from the medical expense portion if you want to use both benefits for different expenses.
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Isabella Russo
Something important that hasn't been mentioned yet - make sure all your payments for her care go directly to the providers! If you give money to your mom and then she pays the facility or doctors, the IRS might consider that a gift rather than you paying medical expenses. I learned this the hard way when trying to claim my father's expenses.
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Rajiv Kumar
•Is there any way to fix this if you've already been giving the money to the parent? My sister and I deposit money in our dad's account and he pays his care facility.
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