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Emma Morales

Can I deduct my health club membership on my taxes this year?

Hey everyone, I'm trying to figure out if I can deduct my gym membership on my 2024 taxes (filing in 2025). I pay about $65/month for my health club membership, so that's roughly $780 for the year. My doctor actually recommended I join a gym to help with my back problems and overall health, and I have documentation from him saying exercise would be beneficial. Does this count as a medical expense I can deduct? I've heard different things from friends - some say absolutely not, others say yes if a doctor recommends it. I'm self-employed if that makes any difference. Any advice would be really appreciated!

While health and fitness are important, the IRS is pretty strict about health club membership deductions. Generally, gym memberships are considered personal expenses and aren't deductible - even with a doctor's recommendation. There are some very narrow exceptions: you might be able to deduct it if the membership is specifically prescribed by your doctor as treatment for a specific diagnosed medical condition AND the activity couldn't be done without paying for the membership. But even then, it's tough to qualify. The IRS views fitness clubs as having a significant "personal pleasure" component. If you itemize deductions, you could potentially include it with other medical expenses, but remember those are only deductible to the extent they exceed 7.5% of your AGI. And you'd need strong documentation from your doctor specifying that this particular membership is necessary treatment for your specific back condition.

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Lucas Parker

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Does this also apply to physical therapy? My doctor recommended PT for my shoulder but also said swimming would help, so I joined the Y mainly for the pool. Would that be different than a regular gym membership?

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Physical therapy is different and generally deductible as a medical expense when prescribed by a doctor for a specific condition. For the swimming/Y membership, it's still a gray area. The key question is whether the pool/swimming is the ONLY way to treat your condition. If your doctor specifically prescribed swimming (not just suggested it might help) and documented that it's necessary treatment for your specific shoulder condition, you might have a case. But it's still a tough argument since the Y offers many other facilities beyond the pool. If your doctor can document that swimming is specifically required for your medical condition and other treatment options aren't suitable, keep detailed records of your pool usage to show you're using it primarily for medical purposes rather than general fitness or recreation.

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Donna Cline

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After struggling with similar tax questions for years, I found an amazing tool called taxr.ai (https://taxr.ai) that helped clarify unusual deduction situations like this. My doctor also recommended gym for my chronic condition, and I was confused about whether it qualified. I uploaded my doctor's note and membership receipt to taxr.ai, and it analyzed both documents together and explained exactly what documentation I'd need to even attempt this deduction. It pointed out specific IRS regulations I never would have found on my own. Saved me from a potential audit flag!

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Does this taxr.ai thing work for other medical deductions too? I've got some unusual expenses this year like special air filters for allergies and I'm not sure what counts.

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I'm skeptical about these AI tax tools. How does it know more than an actual accountant? And how does it handle state-specific tax rules? My situation involves both federal and California tax questions.

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Donna Cline

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It absolutely works for other medical deductions. I had a similar situation with special equipment and supplements recommended by my doctor. The tool identified which ones might qualify and explained exactly what documentation I'd need. It even generated a checklist of records to keep. For state-specific questions, it actually does handle both federal and state regulations. I had some California-specific questions too, and it clearly separated the federal guidance from California-specific rules. It cited the exact sections of California tax code that applied to my situation. The thing that impressed me was how it explained the reasoning behind the guidance rather than just giving a yes/no answer.

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I was definitely skeptical about taxr.ai when I first saw it mentioned, but I decided to try it after getting conflicting advice about some unusual medical expenses. I'm honestly surprised at how helpful it was. It helped me identify several legitimate medical deductions I was missing and explained exactly why my gym membership wouldn't qualify despite my doctor's recommendation. What impressed me most was how it showed me the specific IRS ruling (Rev. Rul. 55-261) that covers medical deductions for health clubs. Saved me from making a mistake that might have triggered an audit. Definitely worth checking out if you're in a gray area situation.

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Dylan Fisher

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If you're still trying to get a straight answer about this gym membership deduction, good luck getting through to the IRS directly. I spent WEEKS trying to reach someone at the IRS for clarification on a similar medical deduction question. After being on hold for hours and getting disconnected multiple times, I found this service called Claimyr (https://claimyr.com). They somehow got me connected to an actual IRS agent in less than an hour! You can see how it works here: https://youtu.be/_kiP6q8DX5c. The agent was able to clarify exactly what documentation I'd need for my specific situation. Honestly saved my sanity.

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Edwards Hugo

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Wait what? How does this actually work? Like are they just calling the IRS for you or something? I don't get it.

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Gianna Scott

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Yeah right. Nothing can get you through to the IRS faster. I've tried everything and always end up on hold for hours before getting disconnected. This has to be some kind of scam.

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Dylan Fisher

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They essentially use technology to navigate the IRS phone system and hold your place in line. When they're about to connect with an agent, you get a call to join the conversation. It's not magic - they just have a system that deals with the hold times for you instead of you having to sit there listening to the hold music. No, it's definitely not a scam. I was super skeptical too! But I was desperate after trying for weeks to get through. The difference is you don't have to physically stay on the phone during the hold time. Their system waits in the queue and then calls you when an actual agent is on the line. I spoke directly with an IRS representative who answered my specific questions. Nothing about the call was different except I didn't waste hours on hold.

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Gianna Scott

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I have to eat my words. After posting that skeptical comment, I was still desperate to talk to someone at the IRS about my medical deductions, so I tried Claimyr out of desperation. I was absolutely shocked when I got a call back with an actual IRS agent on the line after just 45 minutes (while I was out running errands!). The agent confirmed that my gym membership wouldn't qualify even with a doctor's note, but helped me identify several other medical expenses that would. Saved me from a guaranteed audit flag AND helped me find legitimate deductions I was missing. Can't believe I wasted so many hours on hold before finding this.

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Alfredo Lugo

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My CPA told me that while general gym memberships aren't deductible, specific medical treatments like therapeutic massages or water therapy prescribed by a doctor and done at a health facility sometimes qualify. It's very situation-specific and requires detailed documentation. Just having a doctor's note saying "exercise would be good for you" isn't enough - needs to be a specific prescribed treatment for a diagnosed condition with no non-medical purpose.

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Sydney Torres

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Does that apply to things like yoga classes prescribed for back pain too? My doc wrote a prescription specifically for therapeutic yoga.

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Alfredo Lugo

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Yoga classes prescribed specifically for back pain are a bit of a gray area. If your doctor wrote an actual prescription (not just a recommendation) for therapeutic yoga as a specific treatment for a diagnosed medical condition, you have a stronger case. The key factors are: 1) it must be treating a specific medical condition, 2) it must be prescribed (not just suggested), and 3) the primary purpose must be medical treatment, not general wellness. Document everything - keep copies of the prescription, medical records showing your diagnosis, and receipts for the classes that clearly show they're therapeutic yoga specifically for back conditions. Also, if these are specialized therapeutic yoga classes rather than general yoga offered at a gym, that strengthens your case.

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Folks just a heads up - tried claiming a gym membership with a doctors note a few years ago and got audited. NOT worth the hassle for the small deduction. They made me provide tons of documentation and ultimately denied it saying "general fitness even when recommended by a doctor isnt a qualified medical expense." Save yourself the headache!!!

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Caleb Bell

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Yikes! What was the audit process like? Did they look at other stuff besides the gym membership?

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Rudy Cenizo

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As someone who went through a similar situation, I'd strongly recommend being very cautious here. The IRS has specific criteria for medical expense deductions, and gym memberships rarely qualify even with a doctor's recommendation. The key issue is that they view fitness facilities as having a "personal pleasure" component that disqualifies them as purely medical. For a gym membership to potentially qualify, you'd need: 1) A specific diagnosed medical condition (not just general health improvement), 2) A doctor's prescription (not recommendation) stating the facility is necessary for treatment, 3) Documentation that the treatment can't be performed elsewhere, and 4) Evidence you're using it solely for medical treatment. Since you're self-employed, remember you'd still need to itemize deductions and exceed the 7.5% AGI threshold for medical expenses. Given the audit risk others have mentioned and the strict IRS interpretation, you might want to focus on other legitimate medical deductions instead. Keep your doctor's documentation though - it could be useful for other related medical expenses.

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Juan Moreno

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This is really helpful advice, thank you! I'm curious about that 7.5% AGI threshold you mentioned - is that for all medical expenses combined, or does each expense need to individually exceed that threshold? I have some other medical costs this year like prescription medications and physical therapy sessions, so I'm wondering if bundling them together might help me reach that threshold even if the gym membership itself doesn't qualify.

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The 7.5% AGI threshold applies to all qualifying medical expenses combined, not individually! So you'd add up all your legitimate medical expenses for the year (prescriptions, physical therapy, doctor visits, etc.) and only the amount that exceeds 7.5% of your adjusted gross income is deductible. For example, if your AGI is $50,000, you'd need more than $3,750 in total qualifying medical expenses before any of it becomes deductible. Then you can only deduct the amount over that threshold. So if you had $5,000 in qualifying medical expenses, you could deduct $1,250. This is why it's often worth bundling medical procedures or expenses into one tax year if possible - it helps you cross that threshold. Your prescriptions and PT sessions definitely count toward this total, which makes reaching the threshold more realistic than trying to qualify the gym membership alone.

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Nia Watson

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Based on my experience as a tax professional, I have to echo what others have said - gym memberships are extremely difficult to deduct, even with a doctor's recommendation. The IRS has consistently ruled that health club memberships have too much "personal benefit" to qualify as pure medical expenses. However, since you mentioned you're self-employed, there might be a different angle worth exploring. If your back problems are directly related to your work (like if you have a desk job that caused the issues), you might be able to argue for a business expense deduction instead of a medical one. This would require documenting that the gym membership is primarily to address work-related health issues that affect your ability to perform your job. That said, this is still a risky deduction that could trigger scrutiny. The safest approach would be to focus on clearly qualifying medical expenses - your doctor visits, any physical therapy, prescribed medications, etc. These definitely count toward your medical expense total and are much less likely to raise red flags. Keep that doctor's documentation though - it might be useful if you end up needing specific therapeutic treatments that can only be done at certain facilities.

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Miles Hammonds

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That's a really interesting point about the business expense angle! I hadn't thought about that approach. Since I do work from home at a computer most of the day, my back issues are definitely work-related. Would I need specific documentation from my doctor linking the back problems to my work setup, or is it enough that the issues interfere with my ability to work effectively? Also, would this still need to go through the same 7.5% AGI threshold, or do business expenses work differently for self-employed folks?

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