Tax Tips - 2013 Taxation Year
Every year during tax season, The Kidney Foundation prepares general tax tips for dialysis and transplant patients. The income tax assistance measures most often used by kidney patients are the Medical Expense Tax Credit and the Disability Tax Credit.
The information provided below is general in nature and does not necessarily cover all circumstances. While we make every effort to be accurate, we recommend that you seek professional tax advice for your individual questions. The Canada Revenue Agency (CRA) also provides detailed instructions for claiming the various tax credits and deductions that are available. These can be obtained from the CRA web site www.cra-arc.gc.ca/ or your local tax services office, or by calling 1-800-959-8281.
Medical Expense Tax Credit
The Medical Expense Tax Credit is a non-refundable tax credit that can be claimed for a wide range of medical and related expenses such as health care services, travel expenses, home renovations to install a hemodialysis machine, drugs, dental services, and health insurance. Out of country expenses over and above provincial coverage may also be included. You can claim expenses for yourself, for your spouse, and with some limitations, for your other dependents. With some exceptions (see transportation) you must have receipts for all your expenses. You may also qualify for a refundable medical expense supplement for working individuals claiming high medical expenses. A full list of eligible expenses is available at: http://www.cra-arc.gc.ca/tx/ndvdls/tpcs/ncm-tx/rtrn/cmpltng/ddctns/lns300-350/330/llwbl-eng.html
Transportation and Meals
Travel costs to and from medical treatment may be included as medical expenses for individuals who need to travel more than 40 km each way. People who travel more than 80 km each way may also be able to claim expenses for food and accommodations.
You have the option of choosing a detailed or simplified method to calculate your travel and meal expenses.
- Allows you to claim vehicle expenses by multiplying the number of kilometers by the cents/per kilometer rate specified by the CRA for the province or territory from which the travel begins.
- Meal expenses, you may claim a flat rate of $17 per meal, to a maximum of $51 per day per person, without receipts. Keep in mind that you may still be asked to provide some documentation to support your claim.
- You must keep your receipts and records for vehicle expenses you paid for the 12-month period for medical reasons and keep track of the total number of kms you drove specifically for medical reasons.
- For example, if you drove 10,000 km during a year, and you drove 1,000 km for medical reasons, then 10% of your vehicle expenses can be claimed for travel expenses. In the case of meal expenses, you must keep your receipts.
If you require the assistance of an attendant when traveling (the need must be certified by a medical practitioner), the travel costs of the accompanying individual can also be claimed. The cost of travelling by ambulance to or from a hospital is also an eligible medical expense. Receipts are required to claim for all travel expenses, other than vehicle and meal expenses.
CRA Cents per Km. Rates for 2013 by Province or Territory
|Province or territory
Newfoundland and Labrador
Prince Edward Island
We recommend that you keep accurate records of your mileage and receipts for your expenses, and get a letter from your doctor or dialysis unit in case you need to provide proof of the number of trips you made. A sample letter is provided below.
Sample Letter: Trips to Hospital
Kidney dialysis machine and home dialysis
People who have installed a home hemodialysis machine can deduct the following costs:
- Repairs, maintenance and supplies of the machine;
- Water and electricity to operate the machine;
- The cost of housing the machine (ie. municipal taxes, insurance, heating lighting, and maintenance and repairs, but not including capital cost allowance or mortgage interest) or the portion of rent that is attributable to the room where the machine is kept.
If you use a room in your home to store dialysis supplies or as a quiet and sanitary place to do dialysis, you may qualify to claim a portion of your housing costs. For example, if you live in a six-room house, and you use one room as a dialysis room, you may be able to deduct one sixth of the rent, heating and electricity costs.
In addition, other deductions you may claim include:
- additions, renovations, or alterations to a home
- a telephone extension in the dialysis room
- all calls to a hospital for advice or to arrange for repairs, and necessary and unavoidable costs to transport supplies.
The hospital official who approved installation must provide written documentation stating that the additions, renovations or alterations were necessary. A sample letter is provided below.
Sample Letter: Certification for the Installation of a Kidney Dialysis Machine
People may claim reasonable amounts paid to locate a compatible donor, to arrange the transplant including legal fees and insurance premiums, and reasonable traveling costs including board and lodging for the patient, the donor, and their respective attendants. If the donor paid his/her own expenses, and was not reimbursed, the donor may be able to claim them on his/her own income tax return.
Refundable Medical Expense Supplement
A refundable credit of $1,142.00 may be claimed by eligible working people with low incomes and high medical expenses. For more information see the General Income Tax and Benefit Guide available from CRA: http://www.cra-arc.gc.ca/formspubs/t1gnrl/menu-eng.html
Drugs and Health Products
Health Canada provides access to non-marketed drugs and medical devices that have not yet been approved for sale in Canada through its Special Access Programme (SAP) to doctors who are treating patients with serious or life-threatening conditions where conventional therapies have failed, are unavailable or unsuitable. Further information is available at: http://www.hc-sc.gc.ca/dhp-mps/index-eng.phphttp://www.hc-sc.gc.ca/dhp-mps/acces/index-eng.php
Disability Tax Credit
The Disability Tax Credit is a non-refundable tax credit that reduces the amount of income tax that may be owed by people with disabilities or the people who support them. The credit will reduce your income tax payable if you qualify. If you have no tax payable, you may transfer the credit to a spouse or other supporting person. We recommend that all dialysis patients apply for the Disability Tax Credit. The federal disability amount for 2013 is $7,697.00 provided that it is certified by a qualified practitioner. Individuals under the age of 18 years may also qualify for a supplement. The amount may vary by province or territory.
If you receive a transplant you will no longer be eligible for the credit, unless you qualify under a different type of disability (e.g. blindness). You may be able to claim the credit for the portion of that tax year that you were still on dialysis. For example, if you received a transplant on May 1, 2013 you may apply for the credit from January to April 2013.
Important Note: The Disability Tax Credit Certificate (T2201) must be completed by a qualified practitioner (Medical Doctor, Physiotherapist etc.). In Part B under Life Sustaining Therapy, we suggest your doctor answer yes to the question: “Does your patient meet the conditions for life-sustaining therapy?” and specify the “type of therapy” as kidney dialysis to filter blood. The letter below, “Addendum to the Disability Tax Credit Certificate” may also be helpful in explaining the diagnosis of End Stage Renal Disease and the time required for dialysis.
Addendum to the Disability Tax Credit
The application for The Disability Tax Credit Certificate is available at: http://www.cra-arc.gc.ca/E/pbg/tf/t2201/README.html
Disability Supports Deduction
If you have a physical or mental impairment, you may be able to deduct the expenses that you incurred in order to work, go to school or do research for which you received a grant. Further details are available at: http://www.cra-arc.gc.ca/tx/ndvdls/tpcs/ncm-tx/rtrn/cmpltng/ddctns/lns206-236/215/menu-eng.html
Family Caregiver Amount
For 2013 and subsequent years, if you have a dependant (such a child, spouse or common-law partner) with an impairment in physical or mental functions, you may be eligible to claim an additional amount of $2,040 with a signed statement from a medical doctor showing when the impairment began and what the duration of the impairment might be. Further details are available at: http://www.cra-arc.gc.ca/tx/ndvdls/tpcs/ncm-tx/rtrn/cmpltng/ddctns/lns300-350/fmlcrgvr-eng.html
Federal Excise Gasoline Tax Refund Program
If you have a letter from a medical practitioner certifying that you suffer from a permanent mobility impairment that renders the use of public transportation hazardous, you may qualify to have a portion of the federal excise tax on gasoline refunded to you. More information and the application form are available at: http://www.servicecanada.gc.ca/eng/goc/gasoline_tax_refund.shtml
Working Income Tax Benefit (WITB)
This is a refundable tax credit intended to provide tax relief for eligible working low income individuals and families who are already in the workforce and to encourage other Canadians to enter the workforce. The WITB consists of a basic amount and a disability supplement. Further details are available at: http://www.cra-arc.gc.ca/witb/
Other Tax Credits and Deductions
You may be able to claim other tax credits and deductions depending on your individual circumstances. We recommend consulting a tax professional to determine your eligibility.
Volunteer Tax Preparation Clinics
Volunteers, trained by CRA, are available to help you complete your return. The program is designed to help low income people with simple tax situations. To find out about this program in your local community, contact the tax services office of the Canada Customs and Revenue Agency (CRA) or call 1-800-959-8281, or visit http://www.cra-arc.gc.ca/tx/ndvdls/vlntr/clncs/menu-eng.html
Information for People with Disabilities
The booklet, Medical and Disability-Related Information – 2013 (Guide RC 4064 (E) Rev.13), contains detailed information on the Disability Tax Credit and Medical Expenses Credit and other deductions for which you may be eligible. The booklet is available from your local tax services office or on the internet at www.cra-arc.gc.ca/disability or in alternate formats at www.cra-arc.gc.ca/formspubs/hlp/bt_mltpl-eng.html or by calling 1-800-959-8281.
Registered Disability Savings Plan (RDSP)
A registered disability savings plan (RDSP) is a savings plan to help parents and others save for the long-term financial security of a person who is eligible for the disability tax credit.. Further information about this plan is available at: www.cra.gc.ca/rdsp.
For more information on filing your tax return, check the CRA website
Individual Income tax enquiries: 1-800-959-8281
T.I.P.S (Tax Information Phone Service) at 1-800-267-6999 (automated)