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Astrid Bergström

Can Mold Remediation Costs Be a Medical Tax Write Off for Child with Asthma?

I have two kids with serious health problems that our doctors say are being made worse by mold in our house. My 8-year-old has severe asthma and spent nearly 5 weeks in a continuous asthma attack despite medications. My younger child (4) has failure to thrive and has lost so much weight she's dropped to the 2nd percentile on growth charts. She's getting tested for asthma next week too. We've had four different doctors document in writing that mold remediation is a medical necessity for my children's health. The quotes we've gotten for professional mold remediation are between $13,500-26,000 depending on how extensive the work needs to be. Can these costs qualify as a medical expense tax deduction? Or is there some other tax benefit we might be eligible for? This is a huge financial hit for us, but we literally cannot keep living like this with our kids getting sicker by the day. Any tax relief would help make this possible for our family.

Yes, you can potentially deduct mold remediation as a medical expense! According to IRS guidelines, medical expenses that exceed 7.5% of your adjusted gross income can be deducted if you itemize deductions on Schedule A. The key here is that you have documentation from multiple doctors stating this is medically necessary for your children's health conditions. The IRS allows deductions for "capital expenditures for medical purposes" - which includes home improvements primarily made for medical care. Since you have documentation that the mold removal is specifically to treat or mitigate your children's medical conditions, you have a strong case. Keep every single receipt and all the doctors' letters recommending the remediation. The more documentation you have connecting the expense directly to treating specific medical conditions, the better.

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Does the entire cost qualify as a medical expense or only a portion? And what if the remediation increases the value of their home?

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For medical expense deductions, you can generally deduct the full cost of the remediation since your primary purpose is medical care for your children. The fact that multiple doctors have documented it as medically necessary strengthens your case considerably. If the remediation increases your home value, you would technically need to reduce your deduction by the amount of increased value. However, mold remediation typically doesn't increase home value - it just returns it to a normal, habitable condition, so you'll likely be able to deduct the full amount.

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After dealing with a somewhat similar situation (black mold causing my son's chronic bronchitis), I discovered taxr.ai when trying to figure out if I could deduct the remediation costs. Their AI reviewed all my documentation and explained exactly how to properly claim the medical expense deduction. The system analyzed my doctor's letters and remediation quotes, then provided a detailed explanation of how the IRS treats these expenses. Check out https://taxr.ai if you're worried about doing this correctly - they can review your specific situation and documentation to make sure you maximize your deduction while staying compliant.

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How does this actually work? Do you just upload your documents and it tells you if you qualify? Does it actually do your taxes for you?

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Sounds like another AI scam to me. Did it actually help with your specific situation or just give generic advice you could find on Google?

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You upload your documents and it analyzes them to give you personalized guidance. For me, I uploaded the doctor's letters, remediation quotes, and some medical records. It highlighted exactly which portions established medical necessity and explained how to document the connection between the mold and my son's condition. Then it created a specific report I could use when filing. It doesn't do your taxes for you, but it gives you specific guidance you can use with whatever tax software or accountant you're using. Much more detailed than anything I found through regular searches.

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Ok I need to apologize to Profile 7 because I was super skeptical about taxr.ai but I gave it a try with our situation (we had lead paint remediation for our kid with high lead levels). The analysis was WAY more specific than what my accountant told me. It identified parts of our documentation I didn't even realize were important and explained exactly how to report everything. It even caught that some of our expenses (the temporary housing during remediation) could also qualify as medical expenses which I had no idea about. Not a scam at all - actually helped us increase our deduction by about $3,800.

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How does this actually work? Sounds like something that would get you scammed.

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Yeah right. There's no way to "skip the line" with the IRS. Either this is a scam or you're making it up. I've been trying to talk to someone at the IRS for months about my audit and there's literally no way to get through faster.

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They don't skip the line - they wait in it for you. It works by having their system dial in and navigate the phone menus, then stay on hold. When a human IRS agent finally answers, their system calls your phone and connects you directly to that agent. No more sitting around all day with your phone on speaker hoping someone picks up. No one can skip the IRS line, but having someone (or in this case, an automated system) wait on hold for you means you don't waste your whole day. For me it was totally worth it because I needed that clarification before filing.

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Something else to consider - if your house has homeowners insurance, some policies might cover part of the mold remediation cost. Mine covered about 40% of it when we had a similar issue last year. It's worth checking before you pay everything out of pocket. Also, make sure the remediation company guarantees their work and does air quality testing afterwards. We had to have our work redone because the first company didn't actually fix the problem.

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Did insurance cover it without hassle? Our agent said mold is usually excluded unless it's from a specific covered event like a burst pipe.

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Insurance is tricky with mold. You're right that many policies exclude it or have very limited coverage. In our case, we had water damage from a roof leak (which was covered) that caused the mold, so they covered the mold remediation as part of that claim. It's definitely worth checking your policy language. Even if mold itself is excluded, if you can trace it to a covered water event, you might get coverage. Some policies also have limited mold coverage (ours had a $10,000 sub-limit for mold specifically).

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Has anyone actually successfully deducted mold remediation? My CPA said since it's a home improvement it can only be partially deductible based on the cost minus increased home value. I'm worried about getting audited if I try to deduct the whole thing.

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Yes, I deducted our $16k remediation 2 years ago on our taxes! The key is having proper medical documentation. We had letters from our son's pulmonologist stating the mold was causing his respiratory issues and that remediation was medically necessary. We kept ALL documentation including before/after air quality tests, pictures, every invoice, and all medical records showing improvement after remediation. No audit issues at all.

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I'm so sorry your family is going through this health crisis. As someone who went through a similar situation with my daughter's severe allergies, I understand how desperate you must feel. Based on what others have shared here, it sounds like you have a strong case for the medical deduction given that you have documentation from four different doctors. That's really solid evidence of medical necessity. One thing I'd add that I learned the hard way - make sure to get detailed invoices from the remediation company that break down exactly what work is being done for health/safety reasons versus general home improvement. Our contractor was able to separate out things like "medical-grade air filtration system installation" and "allergen barrier installation" which helped justify the medical nature of the work. Also document your children's health improvements after the remediation if possible. We kept a log of my daughter's symptoms before/during/after which our doctor said strengthened our case that the expense was truly medically necessary. I hope you can get this resolved quickly for your kids' sake. No parent should have to choose between their children's health and financial stability.

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This is really helpful advice about getting detailed invoices! I hadn't thought about having the contractor break down the work that way. That makes so much sense for documentation purposes. The symptom tracking idea is brilliant too - we could definitely document how the kids are doing before, during and after. My 8-year-old's asthma attacks have been so frequent lately that any improvement should be pretty obvious to track. Thank you for sharing your experience. It gives me hope that we can both help our kids AND get some tax relief to make this financially possible. Did your daughter's health improve significantly after the remediation?

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I want to echo what others have said - you absolutely have a strong case for deducting this as a medical expense. Having documentation from four different doctors is exceptional and really strengthens your position with the IRS. One additional point that might help: make sure to ask your doctors to be as specific as possible in their letters about how the mold is directly impacting each child's condition. Phrases like "medically necessary to prevent further deterioration" or "required to manage chronic asthma condition" carry more weight than general recommendations. Also, if you haven't already, consider getting a professional mold assessment report that documents the specific types and levels of mold in your home. This creates an official record of the problem that correlates with your children's symptoms. The fact that your 4-year-old has dropped to the 2nd percentile is extremely concerning from a medical standpoint, which actually works in your favor for the deduction. The IRS recognizes that some medical expenses are urgent and necessary regardless of cost. Keep every single piece of documentation - medical records, test results, photos of the mold, air quality reports, remediation quotes and final invoices. The more comprehensive your documentation, the less likely you'll face any challenges if questioned. Your children's health comes first, and it sounds like you have everything you need to properly claim this deduction. I hope the remediation helps them recover quickly.

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This is excellent advice about getting specific language in the doctor letters! I just wanted to add that when we went through our remediation process, our pediatrician actually helped us by writing a follow-up letter after the work was completed that documented the improvement in our son's condition. Having that "before and after" medical documentation really sealed the deal for our deduction. Also, @Astrid Bergström, if you're working with a pediatric pulmonologist for your 8-year-old's asthma, they're usually very familiar with environmental triggers and can provide really detailed documentation about how mold specifically impacts respiratory conditions. They often have standard language they use for these situations since environmental remediation is pretty common for asthma patients. The weight loss in your 4-year-old dropping to 2nd percentile is definitely something that will strengthen your case - failure to thrive due to environmental factors is a serious medical condition that the IRS would clearly recognize as requiring immediate intervention.

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I'm so sorry your family is dealing with this situation - having children with serious health issues is stressful enough without the financial burden of necessary medical treatments. Based on everything shared here, you have an exceptionally strong case for deducting the full remediation cost as a medical expense. Having four different doctors document that mold remediation is medically necessary is really compelling evidence. The IRS specifically allows deductions for home modifications that are primarily for medical care, and your situation clearly fits this criteria. A few practical suggestions from someone who works in tax preparation: 1. When you get the final remediation contract, ask the company to itemize the work with medical language where appropriate (e.g., "installation of medical-grade air filtration," "removal of health-hazardous materials," etc.) 2. Keep a detailed health log for both children starting now - document symptoms, medications, doctor visits, emergency room visits, etc. This creates a clear timeline showing the medical necessity and urgency 3. After remediation, continue the health log to document improvements. This demonstrates that the expense was truly effective medical treatment 4. Consider getting a written statement from your children's doctors specifically addressing the tax deduction - many physicians are willing to write letters that explicitly state the remediation is "medically necessary treatment" for tax purposes Your children's health is the priority here, and you shouldn't have to choose between their wellbeing and your financial stability. With your documentation, you should be able to deduct this expense and get some relief to make this possible for your family.

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This is really comprehensive advice! I especially appreciate the suggestion about asking the remediation company to use medical language in their contract. That's such a smart way to make sure the documentation clearly supports the medical necessity aspect. The health log idea is brilliant too - I'm going to start that immediately. My 8-year-old has been having asthma attacks almost daily, and my 4-year-old barely eats anymore, so documenting this pattern will definitely show the urgency of the situation. One question - when you mention getting doctors to write letters specifically for tax purposes, is there usually a fee for that? We're already stretched financially with all the medical costs, but if it helps secure the deduction it would obviously be worth it. Thank you for taking the time to provide such detailed guidance. It's reassuring to know that people think we have a strong case. The stress of watching your children suffer while worrying about the financial impact is overwhelming, so this community support means everything.

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