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Elder CareTips:
Mastering The Eldercare Maze

December 15, 2004

 

Use Your Holiday Break To Dig Up
Some IRS Deductions

We all "know" that it's almost impossible to deduct medical expenses from our federal taxes because you have to have spent at least 7.5% of your adjusted gross income before you can even start to take a deduction. What many of us don't realize is that there are many expenses that qualify as "medical" that we might not think of right out of the box. As we wind down 2004, it might pay off to look at some things you might have done this year that would qualify - and push you over the top to a legal deduction.

For instance, if you made any changes or improvements to the home where your elder lives to accommodate a medical condition, the costs may well be deductible. $5 here and $10 there for a grab bar or a door handle, or several hundred dollars for a wheelchair ramp are all eligible, and they can all add up to a significant amount.

Here's some information straight from the IRS:

You can include in medical expenses amounts you pay for special equipment installed in a home, or for improvements, if their main purpose is medical care for you, your spouse, or your dependent. The cost of permanent improvements that increase the value of your property may be partly included as a medical expense. The cost of the improvement is reduced by the increase in the value of your property. The difference is a medical expense. If the value of your property is not increased by the improvement, the entire cost is included as a medical expense.

Certain improvements made to accommodate a home to your disabled condition, or that of your spouse or your dependents who live with you, do not usually increase the value of the home and the cost can be included in full as medical expenses. These improvements include, but are not limited to, the following items:

Constructing entrance or exit ramps for your home
Widening doorways at entrances or exits to your home
Widening or otherwise modifying hallways and interior doorways
Installing railings, support bars, or other modifications to
bathrooms
Lowering or modifying kitchen cabinets and equipment
Moving or modifying electrical outlets and fixtures
Installing porch lifts and other forms of lifts (but elevators generally add value to the house)
Modifying fire alarms, smoke detectors, and other warning systems
Modifying stairways
Adding handrails or grab bars anywhere (whether or not in bathrooms)
Modifying hardware on doors
Modifying areas in front of entrance and exit doorways
Grading the ground to provide access to the residence

Only reasonable costs to accommodate a home to a disabled condition are considered medical care. Additional costs for personal motives, such as for architectural or aesthetic reasons, are not medical expenses.

Don't rely on your tax preparer to ask you about these expenses. Take the initiative and a little time over the next couple of weeks to make a list of everything you've spent money on this year. Then, for complete information on how to handle medical expenses - what is and what isn't allowed for 2004 - I recommend that you download and read IRS Publication 502: Medical and Dental Expenses for Use in Preparing 2004 Returns

You might find that you really did have enough expenses to take a deduction. In my book, that's "found" money.

 

He who deliberates fully before taking a step will spend his entire life on one leg.

~ Chinese Proverb
 

If you're still looking for a gift for someone who has just about everything he *needs,* and who may not have the attention span or the physical abilities he once had, a book  you can read together - or that you can read aloud - may be  just the ticket.

Although it's been around for a while, I just discovered  A Caregiver's Book of More Read-Aloud Stories for the  Elderly. I bought a copy to take along when I visit with some of my clients. They often have trouble managing an  open-ended conversation, and they do get so very tired of
answering questions. This book gives us something entertaining to do, and the stories are a perfect bridge to reminiscence  about the past.

These very short stories aren't written for children, and they don't *talk down* to the reader/listener in any way. They are quite a bit deeper and more intelligent than anything else I have come across for older people. Frankly, I have enjoyed reading it, and my 24-year-old son picked it up one evening and read it straight through.

You still have time to order a copy before Christmas, though you'd better move quickly if you want it before the 25th. A Caregiver's Book of More Read-Aloud Stories for the  Elderly


 

   
 


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