Can we deduct medical expenses for our non-dependent adult child on our 2025 taxes?
My wife and I have been covering some pretty hefty medical expenses for our daughter throughout 2024. These costs have basically been paying for her living situation plus all her medical care, and honestly it's added up to more than what we brought in for the year (we're both retired now, so we had to pull from our investments to cover it all). Our daughter only made around $13,500 in 2024 from her part-time work. We're trying to figure out if there's any way we can deduct these medical expenses on our tax return when we file in 2025? And what happens if these medical expenses actually exceed our total income for the year? Can we still get any tax benefit? Also, I remember reading something about using tax-deferred accounts to pay for these kinds of expenses and potentially avoiding some of the taxes you'd normally pay when withdrawing from those accounts. Is there anything to that? Would appreciate any insights as we're trying to plan ahead for tax season.
20 comments


Isabella Ferreira
The IRS rules are pretty specific about medical expense deductions for someone who isn't your dependent. Generally, you can only deduct medical expenses you pay for yourself, your spouse, and your dependents. For your daughter to qualify as your dependent, she would need to meet certain tests - including that her gross income must be less than the dependent exemption amount (which is $4,850 for 2024) and you must provide more than half of her support. Based on her $13,500 income, she wouldn't qualify as your dependent due to the income test, even though you're providing substantial support. However, there is a special rule for medical expenses! You might still be able to deduct medical expenses you paid for your daughter even if she isn't your dependent because of the income test. This works if she would have qualified as your dependent except for the income requirement. Regarding expenses exceeding your income - medical expenses are only deductible to the extent they exceed 7.5% of your adjusted gross income, and you need to itemize deductions rather than taking the standard deduction for this to be beneficial.
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Ravi Sharma
•Thanks for explaining this! So if I understand correctly, we might be able to deduct the expenses even though our daughter makes too much to be our dependent? But what about the part where you said she needs to meet "certain tests" - are there other requirements besides the income test that could disqualify her? Also, if we're pulling money from our retirement accounts to pay these expenses, does that impact anything?
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Isabella Ferreira
•Yes, you might still be able to deduct the medical expenses even though she makes too much to be your dependent. The key is that she must meet all other dependency tests aside from the income test. The other main tests include the relationship test (which she meets as your daughter), the residence test (generally living with you for more than half the year, with exceptions for temporary absences like college), the support test (you provide more than half her support), and that she can't file a joint return with someone else. If she meets all these but just fails the income test, you could potentially still deduct the medical expenses you paid for her. Regarding retirement accounts, if you're withdrawing from traditional IRAs or 401(k)s to pay these expenses, those withdrawals are generally still taxable income to you. However, if the medical expenses are high enough to qualify for deduction (exceeding 7.5% of your AGI), this might help offset some of the tax impact of those withdrawals. There are also some special rules for medical expenses and early withdrawal penalties, but that depends on your specific situation and account types.
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Freya Thomsen
After my dad had a major health crisis last year, I was in a similar situation but got completely lost in all the tax rules. I found this AI tool called taxr.ai (https://taxr.ai) that actually helped me figure out my medical expense deduction situation. I uploaded my dad's medical bills and it analyzed exactly what was deductible and what wasn't. The surprising thing was it caught several expenses I didn't realize qualified! It also explained that special rule about claiming medical expenses for non-dependents that fail only the gross income test - exactly your situation. What really helped was that it walked me through the documentation I needed to keep for the potential audit scenario. For medical expense deductions above a certain threshold, apparently the audit risk increases.
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Omar Zaki
•Wait, did you have to pay for this service? I'm already spending so much on medical bills that I'm hesitant to spend more money just to figure out how to file my taxes. How much did it cost you?
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AstroAce
•How exactly does this work with the documentation? My mother-in-law has massive medical expenses but her record-keeping is... let's just say creative. Would this help organize all that or just analyze what we input?
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Freya Thomsen
•You absolutely don't need to pay for basic tax questions - there are plenty of free resources available. I chose to use the tool because my situation was complicated with multiple family members and different types of medical expenses. The value for me was the time saved and peace of mind. For documentation, it was extremely helpful. You can upload receipts, EOBs from insurance, and other medical documents, and it categorizes everything. It also flags which expenses might need additional documentation in case of an audit. For your mother-in-law's situation, it would both help organize the existing documentation and identify what additional records might be needed. It even has a feature that reminds you what supporting documents the IRS typically wants to see for specific deduction types.
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AstroAce
Just wanted to follow up about using taxr.ai that someone recommended earlier. I decided to try it with my mother-in-law's messy medical records situation, and it was honestly a game-changer. The system automatically categorized her expenses into deductible vs. non-deductible, which saved me HOURS of research. It also explained exactly how the 7.5% AGI threshold worked with her specific numbers. Most helpfully, it flagged several expenses we were missing - like the mileage to and from medical appointments and some medical equipment costs we didn't realize qualified. What I found most useful was how it handled our exact situation with supporting a family member who isn't technically a dependent. It laid out the exact criteria we needed to meet and helped us document everything properly for tax time.
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Chloe Martin
Hey there - I had a similar situation with my brother's medical expenses last year. One thing nobody's mentioned yet is that you might need to contact the IRS directly to get clarification on your specific situation. That's what I ended up having to do. BUT - fair warning - I spent HOURS trying to get through to them. After being on hold for literally 3+ hours multiple times, I found this service called Claimyr (https://claimyr.com) that got me a callback from the IRS in under 45 minutes. You can see how it works here: https://youtu.be/_kiP6q8DX5c The agent I spoke with confirmed I could deduct my brother's medical expenses even though he wasn't technically my dependent because of the income test exception. They also explained exactly what documentation I needed to keep, which saved me from a potential audit headache.
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Diego Rojas
•Wait, how does this even work? The IRS just calls you back because some random website tells them to? That sounds super sketchy to me.
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Anastasia Sokolov
•I don't know about this. The IRS is notorious for not calling people back. Sounds too good to be true. Did you have to pay for this service? And were you actually able to get someone who knew what they were talking about?
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Chloe Martin
•It's not sketchy at all - it uses the IRS's own callback system but gets you into the queue much faster than waiting on hold yourself. The IRS has a callback feature, but the problem is getting into that queue in the first place when call volumes are high. Yes, there is a fee for the service, but for me it was worth it compared to spending entire days trying to get through. And the agent I got was actually really knowledgeable about the medical expense rules. She walked me through the exact paragraph in the tax code that addressed my situation and explained exactly what documentation I needed. I was able to take notes during our call and she even sent me follow-up information through my IRS online account. Definitely better than trying to piece everything together from random internet advice.
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Diego Rojas
So I was super skeptical about that Claimyr service mentioned above (the one that supposedly gets the IRS to call you back). It sounded like total BS to me, but I was desperate after trying for TWO WEEKS to get through to ask about medical expenses for my adult son. I hate to admit when I'm wrong, but... I tried it and got a call back from the IRS in about 35 minutes. The agent actually specialized in medical deductions and confirmed exactly what I needed to know - that I could claim my son's expenses even though he made too much to be my dependent, as long as he met all the other dependent tests. He also explained that I needed to keep records showing I paid the bills directly to the providers (not giving my son money to pay them himself) and that my son would need to provide a statement that he's not claiming these expenses on his own return. Never thought I'd say this, but sometimes the "too good to be true" things actually work!
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Sean O'Donnell
One thing no one has mentioned yet is the potential impact on your investment accounts. Since you mentioned you're funding these medical expenses from investments, be really careful about the tax implications there. If you're selling investments in taxable accounts to cover medical costs, you might be triggering capital gains taxes that could offset any benefit from the medical expense deduction. I learned this the hard way when helping my parents last year.
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Malik Johnson
•That's a great point I hadn't considered. Most of our withdrawals have been from our IRAs, but we did sell some stocks too. Do you know if the medical expense deduction calculation takes into account the capital gains tax hit? Or are those completely separate calculations?
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Sean O'Donnell
•They're completely separate calculations. The capital gains from selling investments become part of your income, which actually raises your AGI. Since medical expenses are only deductible to the extent they exceed 7.5% of your AGI, higher income from capital gains might actually reduce how much of your medical expenses you can deduct. In your case with IRA withdrawals, those are generally treated as ordinary income, which also raises your AGI. The silver lining is that if you're over 59½, you won't face early withdrawal penalties. There is a special rule where if you're under 59½, you can avoid the 10% early withdrawal penalty (but not the income tax) on IRA distributions used for medical expenses that exceed 7.5% of your AGI.
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Zara Ahmed
Has anyone mentioned the possibility of having your daughter claim these expenses on HER return instead? If she paid ANY of these expenses herself, even if you gave her the money to do so, she might benefit more from claiming them on her taxes since her income is lower and the 7.5% threshold would be easier to meet.
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StarStrider
•This is only true if the daughter actually paid the expenses herself though. From what OP described, they paid the medical providers directly. The IRS is very specific that you can only deduct medical expenses YOU actually paid. If they gave money to their daughter and then she paid, that's different than them paying directly.
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Zara Ahmed
•You're absolutely right about that distinction. The key question is who wrote the check or swiped the credit card to the medical provider. If OP paid providers directly, then the daughter can't claim those expenses. One strategy some families use is to consciously decide who should pay which bills based on tax situations. Since the daughter's income is lower, the 7.5% AGI threshold would be much easier to reach. For example, if her income is $13,500, she'd only need medical expenses exceeding $1,012.50 to start benefiting from the deduction.
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Hiroshi Nakamura
I've been following this discussion and wanted to add something important about HSAs that might help your situation. If either you or your wife has a Health Savings Account, you can use HSA funds to pay for your daughter's medical expenses even if she's not your dependent - as long as she qualifies as your dependent for medical expense purposes (which based on the discussion above, she might). The advantage of using HSA funds is that the money comes out tax-free, which is better than taking taxable distributions from your IRAs and then hoping to get a medical expense deduction. HSA distributions for qualified medical expenses are never taxed, regardless of your age. Also, even if you don't have enough in your HSA now, you can pay the expenses out of pocket, keep the receipts, and reimburse yourself from the HSA years later when you have more funds available. There's no time limit on HSA reimbursements as long as the expense occurred after your HSA was established. This could be a much more tax-efficient approach than what you're currently doing with your retirement account withdrawals.
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