February 2024
2023 tax credit for medical expenses
For the 2023 tax year, Canadian taxpayers could be entitled to a tax credit ranging from 4% to 20% for medical expenses¹ incurred for themselves or their dependants. This credit is subject to certain conditions and depends on the province or territory of residence.
Compared to last year, the only modification to the tax credit calculation is the minimum threshold to qualify for a tax credit at the federal level and in certain provinces and territories. Eligible expenses remain unchanged.
Expenses covered by an insurance plan are not eligible for the tax credit and some maximums may apply for the following:
- Deductibles, co-pays or other medical expenses not reimbursed by insurance plans
- Fees paid to a physician, dentist, nurse or certain other medical professionals
- Payments made to a public hospital or licensed private hospital
- Premiums paid to a private health plan for health and dental insurance coverage. Quebec residents can also include premiums paid by the employer on their provincial income tax return (Box J of the RL-1 slip or box B of the RL-22 slip)
- Payments for glasses, contact lenses or other devices prescribed by a physician or optometrist for the treatment or correction of a visual disorder
- Amounts paid to purchase drugs prescribed by a physician or to obtain artificial limbs, wheelchairs, crutches or hearing aids
For a complete list of eligible expenses, refer to the Canada Revenue Agency document RC4065 Medical Expenses – 2023. Quebec residents can consult the Revenu Québec publication IN-130-V (Medical Expenses).
Taxpayers can claim tax credits for eligible medical expenses for themselves, their spouse and their dependent children under 18 years of age. If applicable, taxpayers may also include medical expenses for their other dependants such as individuals that they supported and who lived with them or depended on them due to a disability. Such a dependant can be a child aged 18 years or older, a parent, or other individuals related to the taxpayer.
To be eligible, the medical expenses must have been paid during a period of 12 consecutive months ending in 2023. Therefore, medical expenses paid in 2022 can qualify as long as the time between the payment of the initial expenses claimed and the payment date of the last expenses claimed does not exceed 12 months. Expenses submitted for a tax credit must not have been used in the 2022 tax return and must have been paid no later than December 31, 2023.
To qualify for a tax credit, the total eligible medical expenses must typically exceed the lesser of the following:
(A) 3% of the taxpayer’s net income for the tax year
or
(B) an amount that varies depending on the government authority and the province or territory of residence.
Tax credits for medical expenses that exceed the amount of income tax to be paid are not reimbursed (non-refundable credits).
At the federal level and in the rest of Canada, excluding the province of Quebec, taxpayers must declare their medical expenses—including those for their spouse and dependent children under 18 years of age—and those for other eligible dependants separately. The total eligible medical expenses for other dependants must therefore exceed the lesser of the aforementioned amounts (A or B); amount A therefore corresponds to 3% of each dependant’s net income.
Other aspects pertaining to eligible expenses and tax credit calculations are specific to the taxpayer’s province or territory of residence. Therefore, it is important to always consult the appropriate income tax guide.
For example, the threshold to qualify for a tax credit in 2023 (see (B) in the previous section) is $2,635 at the federal level and varies between $1,637 and $2,714 in the provinces and territories. Although expenses incurred by dependants other than the spouse and dependent children under 18 years of age are no longer subject to a maximum at the federal level and in most provinces and territories, a maximum still applies in Ontario ($14,476) and the Northwest Territories ($5,000).
Moreover, medical expenses used to calculate the amount claimed on a taxpayer’s tax return cannot be used on the spouse’s tax return. It may therefore be advantageous to claim all medical expenses on the tax return of the spouse with the lower income.
Meanwhile, in Quebec, a single tax credit applies to the taxpayer and all their eligible dependants. To qualify for a tax credit, the total eligible medical expenses must exceed 3% of the family income. Thus, in Quebec, there is no tax benefit to claiming all medical expenses on the tax return of the spouse with the lower income. There is no maximum credit for each dependant. Moreover, medical expenses used to calculate the amount claimed on a taxpayer’s tax return cannot be used on the spouse’s tax return.
The information presented in this bulletin does not constitute an official opinion for tax purposes. For more information on tax returns, please consult a tax professional or visit the Canada Revenue Agency website or, if you’re a Quebec resident, the Revenu Québec website.
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¹ Lines 33099 and 33199 of the federal tax return, 381 of the Quebec tax return, and 58689 and 58729 of the tax form for other provinces and territories.
Would you like more information on this topic? Contact your Normandin Beaudry consultant or email us.