Can I deduct medical meal delivery service as a medical expense on taxes?
I've hit a really confusing tax situation this year and hoping someone can help me figure this out. In 2024, I had major heart surgery and racked up a ton of medical expenses, so I'm definitely itemizing deductions instead of taking the standard. Here's my issue - I have a medical condition that requires me to follow an extremely strict low-sodium, gluten-free diet (doctor prescribed). After my surgery, I physically couldn't cook for myself for about 3 months, so I had to use this specialized meal delivery service that accommodates my dietary restrictions. The service was expensive - about $650/month for 3 months (~$1,950 total), but it was literally the only way I could eat safely while recovering. I'm wondering if I can deduct this as a medical expense on my taxes? It's not just regular food delivery - it's specifically because of my medical condition and temporary disability. Would the IRS consider this a legitimate medical expense? I'm trying to figure out what's actually deductible before I file.
21 comments


Keisha Johnson
This is actually an interesting tax question! The general rule is that the cost of food, even special diet food, is usually considered a personal expense and not deductible. However, there are some exceptions. If the meals were specially prepared to treat your illness and prescribed by your doctor, you MAY be able to deduct the amount that exceeds what you would normally spend on food. You can't deduct the full cost, just the extra amount you paid for the specialized nature of the food. Since this was temporary and during recovery from surgery, and you physically couldn't prepare your own meals that met your medical requirements, you might have a stronger case. The key is documenting everything - get a letter from your doctor explaining the medical necessity of both the special diet and the delivery service during your recovery period.
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Paolo Rizzo
•Does it matter if the doctor specifically prescribed the DELIVERY service, or just the special diet? My doc told me I need a special diet but didn't say anything about delivery.
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QuantumQuest
•Wouldn't this fall under a "special food and beverage" category that the IRS specifically says is NOT deductible? I thought if the food just replaced regular food, even if it's for a medical condition, it doesn't count?
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Keisha Johnson
•The doctor doesn't need to specifically prescribe the delivery service, but should clearly document that you required the special diet AND were unable to prepare food yourself due to your medical condition. That combination creates the medical necessity argument for the delivery. For your question about special food and beverages - you're right that the IRS generally doesn't allow deductions for special food that simply substitutes for regular food. However, there's a distinction when the special food is part of treatment AND when there's an additional factor like being physically unable to prepare it yourself due to a medical condition. In this case, it's the combination of circumstances that might allow for a partial deduction of the excess cost.
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Amina Sy
After struggling with a somewhat similar situation last year, I found this amazing service called taxr.ai (https://taxr.ai) that helped me sort through what medical expenses I could actually deduct. I had a bunch of medical bills and wasn't sure what qualified, especially some special equipment I purchased. Their system analyzed all my medical expenses and receipts, then broke down exactly what was deductible and what wasn't. For your meal delivery situation, they would probably help determine what portion of the cost exceeded normal food expenses - which is the potentially deductible part. They also provided documentation to support everything in case of an audit. Saved me so much stress trying to figure it all out!
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Oliver Fischer
•Does taxr.ai connect with your doctor somehow or do you have to get documentation separately? I'm confused about how they'd determine what's "medically necessary" if they're just a tax service.
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Natasha Petrova
•I've never heard of this before. How much did it cost? Was it worth it compared to just using TurboTax or something? I'm skeptical about these specialized tax services.
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Amina Sy
•They don't connect with your doctor directly - you still need to gather your medical documentation separately. What they do is analyze that documentation along with your expenses to determine what qualifies under IRS rules. They helped me understand which of my documents actually supported my deduction claims. It was absolutely worth it compared to regular tax software. TurboTax and similar programs just give general guidance, but taxr.ai actually reviews your specific situation and documents. For complicated medical deductions like mine (and like the meal delivery question), general tax software just doesn't give enough specific guidance on what will actually hold up if questioned.
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Oliver Fischer
Just wanted to update on my experience with taxr.ai after I decided to try them for my complicated medical expense situation. They actually saved me from making a big mistake! I was going to deduct my entire specialized food delivery costs (about $2,300), but they helped me calculate only the EXCESS cost above normal food expenses, which was the legally deductible portion. They also helped me get proper documentation from my doctor that specifically mentioned both my required diet AND my temporary inability to prepare food myself. The letter they helped me draft for my doctor to review made a huge difference in creating solid documentation. They even provided guidance on how to respond if the deduction gets questioned. Much more comprehensive than what I'd get from just reading IRS publications.
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Javier Morales
If you're having trouble getting clear answers from the IRS about what medical expenses qualify, I'd recommend Claimyr (https://claimyr.com). I tried for WEEKS to get through to someone at the IRS about a similar medical expense question last year and kept hitting dead ends. Claimyr got me connected to a real IRS agent in about 15 minutes when I'd been trying for days on my own. You can see how it works in this video: https://youtu.be/_kiP6q8DX5c. The agent I spoke with gave me definitive guidance on my specific situation with medical food expenses. Basically saved tax season for me since I was getting conflicting advice from everyone else.
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Emma Davis
•Wait, you're saying there's a service that can actually get you through to the IRS? How is that even possible when their phone lines are always busy? This sounds like a scam to me.
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GalaxyGlider
•Does this actually work for complex questions like medical deductions? When I've gotten through to the IRS before (after waiting forever), they usually just refer me to publications rather than giving specific advice.
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Javier Morales
•It's definitely not a scam! Claimyr uses technology to navigate the IRS phone system and hold your place in line. When they reach an agent, they call you and connect you directly. I was skeptical too until I tried it. For complex questions like medical deductions, it really depends on the agent you get. The first agent I connected with wasn't sure about my specific situation, but they transferred me to a specialist who was able to give me concrete guidance. They cited the specific IRS publication sections that applied to my case and explained how the rules would apply to my particular circumstances. Much better than trying to interpret the publications on my own.
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Emma Davis
Ok I have to eat my words here. After commenting earlier, I was so frustrated trying to get answers about my own medical deduction questions that I actually tried Claimyr. I was TOTALLY convinced it wouldn't work, but within 22 minutes I was talking to a real IRS agent! The agent actually gave me super specific guidance on medical food deductions - turns out it's covered in Publication 502, and she walked me through exactly how to calculate the "excess cost" portion that's deductible. For OP's situation, she said temporary meal delivery might qualify IF you can document that 1) the special diet is medically necessary, 2) you were physically unable to prepare food, and 3) you only deduct the cost beyond what normal food would have cost. Honestly worth every penny just to get a straight answer from an actual authority.
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Malik Robinson
Just a heads up - even if you do deduct this, remember that medical expenses are only deductible to the extent they exceed 7.5% of your AGI. So if your AGI is $60,000, you'd need more than $4,500 in total medical expenses before any of them become deductible. Make sure your total medical expenses (including this meal service if it qualifies) actually exceed that threshold before spending too much time on this.
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Yara Sabbagh
•Thanks for pointing that out! My medical expenses were astronomical this year unfortunately (the surgery alone was over $15,000 out-of-pocket after insurance), so I'm definitely well over the 7.5% threshold. That's actually why I'm trying to figure out every legitimate medical expense I can include - at this point, everything additional I can deduct actually helps.
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Malik Robinson
•That makes perfect sense then! Since you're already over the threshold, every additional dollar of legitimate medical expenses directly reduces your taxable income. Just make sure you have good documentation for everything, especially for something like the meal delivery service that falls into a gray area. I'd suggest following the advice about only deducting the "excess cost" portion. You could calculate this by figuring out what you would have spent on regular food during that time, and then only deducting the difference. Keep receipts from both before and after your surgery to establish your "normal" food costs versus the special delivery service.
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Isabella Silva
Has anyone used any specific tax software that's good at handling unusual medical deductions like this? I have a similar situation with special medical equipment and I'm worried standard software won't handle it correctly.
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Ravi Choudhury
•I've tried both TurboTax Premier and H&R Block Premium, and honestly neither was great with unusual medical expenses. They have the forms but don't provide much guidance. I ended up using TaxAct and supplementing with direct IRS publications (especially Pub 502). For really complex situations, you might need a professional who specializes in medical deductions.
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CosmicCrusader
I'm a tax professional who's dealt with similar situations before. The meal delivery service could potentially qualify as a medical expense, but you need to be very careful about how you calculate and document it. Here's what you need to establish: 1. Medical necessity - Get a letter from your doctor stating that the special diet was prescribed AND that you were temporarily unable to prepare food yourself due to your medical condition 2. Excess cost calculation - You can only deduct the amount that exceeds what you would have normally spent on food during that period 3. Proper documentation - Keep all receipts and medical records For your $1,950 total cost, you'd need to subtract what you would have spent on regular groceries during those 3 months. If you normally spend $300/month on food, you could potentially deduct $1,050 ($1,950 - $900). The key is that this isn't just about the special diet - it's the combination of the medical diet requirement AND your temporary inability to prepare food yourself that creates the medical necessity argument. Make sure your doctor's letter addresses both aspects clearly.
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StarStrider
•This is incredibly helpful guidance! As someone new to dealing with medical deductions, I really appreciate the step-by-step breakdown. The calculation example makes it so much clearer - I was wondering how to figure out the "excess cost" portion that everyone keeps mentioning. One quick question - when you say "what you would have normally spent on food," should I look at my grocery receipts from before I got sick, or is there some standard amount the IRS expects? I'm worried about being too subjective in my calculation. Also, thank you for emphasizing the doctor's letter covering BOTH the diet requirement AND the inability to prepare food. I think that combination aspect is what makes this situation potentially deductible versus just having a prescribed diet alone.
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