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Olivia Evans

Is Bus Fare Deductible? Mom Took Public Transportation to 35 Doctor Visits - Need Receipts to Claim Medical Travel?

My mother had an unusually high number of medical appointments last year - she went to 39 different doctor visits throughout 2023. For 35 of these visits, she took public transportation (bus and subway) to get there and back. For the other 4 visits, we used rideshare services where we do have electronic receipts. I've been helping her prepare her taxes, and I believe these transportation costs for medical care are potentially deductible. The issue is that she never kept receipts from the public transit rides - you just pay cash or tap a transit card that doesn't maintain a detailed history of trips. The public transit in her city costs $4.50 each way, so that's $9.00 round trip. With 35 trips using public transit, that comes to $315 total for the year. I can easily print out documentation from her healthcare provider's patient portal showing all the appointment dates that occurred in 2023. I can also find official documentation showing what the bus/subway fare was during that time period. Would this documentation be sufficient for claiming the medical travel deduction? Is she required to have actual receipts from each bus/subway trip? For context, my mom doesn't own a car and can't drive due to her medical conditions, and I don't have a vehicle either, so public transportation was her only real option.

You're on the right track! Medical transportation costs are indeed deductible as part of medical expenses if you itemize deductions on Schedule A. The IRS does understand that not all transportation methods provide detailed receipts. For public transportation used to get to and from medical appointments, you need to show: 1) the medical appointments actually occurred, and 2) a reasonable basis for the transportation costs claimed. Your plan to print out the appointment history from the healthcare provider covers the first requirement perfectly. For the second part, documentation of the standard fare rates in your city should be sufficient. The IRS doesn't expect the impossible - they know bus and subway systems often don't provide individualized receipts. Keep in mind that medical expenses are only deductible to the extent they exceed 7.5% of your mother's adjusted gross income (AGI).

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Aiden Chen

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Thanks for explaining! I have a similar situation but with parking fees at the hospital. Do I need individual parking receipts for each visit, or would my medical appointment records along with documentation of the hospital's daily parking rate be enough?

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For parking fees at medical facilities, the same principle applies - you need to demonstrate the appointments occurred and establish a reasonable basis for the parking costs. Your medical appointment records paired with documentation of the hospital's standard parking rates would generally be sufficient. If you have some parking receipts but not all of them, keep what you have and use the standard rate documentation for the rest. The key is creating a reasonable connection between your documented medical visits and the associated transportation costs.

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Zoey Bianchi

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I wanted to share my experience with this exact situation! Last year I had weekly physical therapy appointments and used public transit for all of them. I was stressing about not having bus receipts too until I found a lifesaver tool at https://taxr.ai that helped me organize all my medical deductions properly. I uploaded my appointment records and the local transit fare information, and it created a complete documentation package showing how the transportation costs directly related to necessary medical care. It even calculated exactly how much I could claim based on the 7.5% AGI threshold. Made the whole process so much simpler than trying to figure it out myself.

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Did it actually help you document the bus fares specifically? My dad took taxis to his dialysis treatments and I'm trying to figure out if his medical expenses will even hit the threshold for deducting them.

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Seems a bit suspicious that a website would know IRS requirements better than tax professionals. Did they actually have you upload anything to verify the trips happened? How much did this service cost?

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Zoey Bianchi

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Yes, it specifically helped with the bus fare documentation by creating a proper log connecting each medical appointment date with the corresponding transportation costs. It generated a spreadsheet showing each date, provider, purpose, and transit cost that I included with my tax documents. It doesn't claim to know more than tax professionals - it just automates the documentation process based on established IRS guidelines. You upload your appointment records and transportation cost documentation, and it organizes everything into a format that clearly shows the connection between the medical necessity and transportation expenses.

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I was really skeptical about using an online service for my tax documentation, but after trying https://taxr.ai I'm actually impressed. I had a similar situation with my father's medical transportation costs with no receipts, and the documentation package it created was accepted without any issues when we filed. The system helped me properly document not just the appointments but also created a mileage and transportation log that established a clear pattern of medical necessity. My accountant said it was exactly what we needed to substantiate the deduction properly!

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Grace Johnson

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If you're having trouble getting through to the IRS to confirm whether your documentation is sufficient, I highly recommend using https://claimyr.com to get connected to an actual IRS agent without the endless hold times. You can see how it works at https://youtu.be/_kiP6q8DX5c I was trying for WEEKS to get an answer about medical transportation deductions and kept getting disconnected. Claimyr got me through to an IRS representative in under 20 minutes who confirmed that appointment records plus documentation of public transit fares is perfectly acceptable. Saved me so much stress and uncertainty!

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Jayden Reed

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How does this actually work? I've been on hold with the IRS for literally hours trying to get answers about medical expense deductions. Does it really get you through faster?

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Nora Brooks

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This sounds like BS to me. Nobody can magically get you through IRS phone lines. They're backed up for everyone. Sounds like you're selling something...

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Grace Johnson

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It works by using their system to navigate the IRS phone tree and wait on hold for you. When they reach a live agent, you get a call connecting you directly to that agent. It's not "magic" - they're just doing the waiting for you. The service was developed specifically because of how difficult it is to reach the IRS. I was skeptical too until I tried it. I had been trying for over a week with no success, getting disconnected after 2+ hour holds. With Claimyr I was speaking with an actual IRS representative in about 18 minutes.

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Nora Brooks

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Ok I need to eat my words and apologize to @19. I was so frustrated after spending HOURS trying to get through to the IRS about my medical expense questions that I lashed out. I decided to try Claimyr as a last resort and IT ACTUALLY WORKED. Got through to an IRS agent in about 25 minutes who confirmed that for public transportation to medical appointments, having the appointment records plus documentation of standard fares is completely acceptable. They said they understand not everyone can get individual receipts for every bus or subway ride. The agent specifically said "we're reasonable about this kind of documentation.

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Eli Wang

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Just a tip from someone who went through a medical transportation audit - create a simple spreadsheet showing: - Date of each appointment - Doctor/facility name - Medical purpose of visit - Transportation method - Cost each way - Total cost Print this out along with your appointment records and the fare documentation. This makes it super clear and organized if you ever get questioned. My mom had over 40 medical appointments in 2022, and this approach worked perfectly.

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Olivia Evans

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That's really helpful! Did you have to submit this spreadsheet with your return or just keep it with your records in case of questions later?

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Eli Wang

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You don't submit the spreadsheet with your tax return - just keep it with your tax records. When you file, you'll just enter the total medical transportation expense amount along with other medical expenses on Schedule A. The spreadsheet is documentation you keep in case of an audit or questions. Think of it as your supporting evidence that shows how you calculated the deduction and connects the appointments to the transportation costs. I also kept a printout of the bus fare rates and all the appointment confirmations in the same file.

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Remember that medical expenses including transportation are only deductible if you itemize AND they exceed 7.5% of your AGI. So if your mom's AGI is $40,000, only medical expenses over $3,000 would be deductible. Do the math first to see if it's even worth the effort!

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This! I spent hours documenting all my dad's medical trips last year only to find out we didn't reach the threshold. Standard deduction was way better for us. Calculate before you put in all the work!

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Great advice from everyone here! I'd also recommend checking if your mom's city has a transit app or website that might show her card transaction history. Some transit systems now keep records of tap-in/tap-out data that you can access online, even if you didn't think to save receipts at the time. Also, don't forget that if she had to pay for parking at any medical facilities during those other 4 visits with rideshare, those parking fees are also deductible medical expenses. Sometimes people overlook the small additional costs that add up. The documentation approach everyone's suggesting is solid - the IRS really does understand that public transit doesn't always provide individual receipts. Your appointment records plus the standard fare documentation should be more than sufficient to support the deduction.

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