Long-Term Care (LTC) Insurance Costs

You might be able to deduct a portion of your long-term care (LTC) insurance premiums as a medical expense if both of these apply:

However, you can only deduct your total medical expenses if the total is more than 7.5% of your adjusted gross income. Your total expenses include the deductible portion of your LTC insurance premiums.

The amount you can include for LTC insurance costs depends on the ages in this chart:

AgeLimit per person
40 and under$330
Age 41 to 50$620
Age 51 to 60$1,230
Age 61 to 70$3,290
Age 71 and over$4,110

The amounts allowed for 2010 are for each person who's covered.

Ex:, If you and your spouse both fall within the 61-70 age range, your total medical deduction for your LTC premiums could be as much as $6,580 ($3,290 multiplied by 2). However, your deduction can't be higher than your insurance costs. So if you had only $6,000 in insurance costs, you could claim only a $6,000 deduction.

The dollar limits are annually adjusted for inflation.

The IRS doesn't allow a deduction if you paid your premiums with certain funds. You can't pay with tax-free distributions from a qualified employer retirement plan that also provides LTC insurance benefits.

You can also deduct amounts you pay for qualified long-term care services that you aren't reimbursed for.

Qualified long-term care includes:

Your benefit from this deduction might be further limited if you're subject to the Alternative Minimum Tax.

See IRS Publication 502 to learn more.




Amounts Received From Long-Term Care Contracts

Amounts not taxable are those not on a per-diem basis under a qualified long-term care contract. This includes contracts that only reimburse qualified expenses incurred.

If you receive per-diem payments under a qualifying long-term care contract, you might be able to exclude some benefits from your income. The contract issuer can tell you if the contract qualifies.

We'll take care of the amount you can exclude by subtracting the amount of per-diem benefits you receive from the larger of these:




Retirement Plan Losses

You might be able to claim a loss in a retirement plan account. You can deduct a loss if 1 of these situations applies:

In each case, claim the loss as a miscellaneous itemized deduction. It's also subject to the general limit for miscellaneous itemized deductions.




Required Minimum Distributions

Beginning with the year you reach age 70 1 / 2, you're generally required to begin taking distributions from your retirement plan. These distributions include those from employer-sponsored and traditional IRAs.

The amount you're required to take is based on these:

See IRS Publication 590 for computation rules and life-expectancy tables. Some plan administrators will inform you of your required minimum distribution each year.

The government suspended the requirement to take distributions for most taxpayers for calendar year 2009 only.




Selling Your Home

If you're selling your main home, you might qualify to exclude up to $250,000 of the profit on the sale.

To qualify, you must have owned and used the home as your main home for at least 2 of the last 5 years, ending on the date of sale. If you're married filing jointly, you can exclude up to $500,000 of the profit if both of these apply:

If you're an unmarried surviving spouse, you can still exclude up to $500,000 of the profit - instead of only the $250,000 individual limit. To exclude that amount, you must have sold your main home within 2 years after your spouse's death. This special rule for survivors applies only if both of these apply:

If you meet the ownership and use requirements, but used the home for purposes other than as your main home after 2008, you can't exclude the amount of gain allocable to the other use. Ex: If you used your main home as a rental or a vacation home after 2008, you can't exclude the amount.

See IRS Publication 523 to learn more.




Nursing Home Expenses

If you itemize your deductions, you might qualify to claim a medical deduction of the entire amount you paid to a facility like a:

To qualify for the deduction, the facility must provide qualified long-term care services. A licensed health-care practitioner must prescribe a care plan for these services.

The services must be those necessary for:

These services include maintenance or personal-care services a chronically ill person requires. A chronically ill person is someone who a licensed health-care practitioner certifies in the previous 12 months as either:

The deductible cost of long-term care services includes:




Taxes and Retirement

Some considerations for deciding where to retire include:

Real estate and sales taxes can vary substantially depending on the location.

Income tax will usually be the same in a particular state - no matter where you live within the state. The exception is when cities within a state impose an income tax. This city tax might apply to those who work part-time.




Travel for Medical Care

You can deduct the expense of traveling to obtain medical care if the travel costs are mainly for and essential to the medical care. You're not required to:

Eligible expenses include:

If a family member is required to accompany the patient who seeks medical care, you can deduct that family member's travel costs.

If you qualify to claim travel as a medical expense, keep supporting records to prove your deduction. Keep your records for at least 6 years after you file your return.




Taxable Social Security Benefits

Your Social Security benefits might be taxable if you had other income for the year.

You might pay tax on up to 50% of your Social Security benefits if half your benefits plus all your other income is more than:

You might pay up to 85% of your Social Security benefits if half of your benefits plus all your other income is more than:

See IRS Publication 915 to learn more.