Heath Expense/Long Term Care Insurance: ARTICLE

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Tax Benefits Help You Provide Your Long Term Care through Insurance
By Shane Flait, © 2008

Congress passed The Health Insurance Portability and Accountability Act (HIPPA) of 1996 (HIPPA) to help people to take financial responsibility for their long term care (LTC). It provides for deductibility of qualified long term care expenses and excludes from taxable income your qualified long term care benefits[1].  It also provides increasingly higher tax deduction limits for LTC insurance premium payments as you get older.

 Therefore you can add long term care expenses paid for both qualified long-term care services and premiums for qualified long-term care insurance to your medical expenses deduction on your Schedule A of your IRS form 1040. The operable phrase is ‘qualified’.

 Qualified long-term care services are necessary diagnostic, preventive, therapeutic, curing, treating, mitigating, rehabilitative services, and maintenance and personal care services that are required by a chronically ill individual and provided through a plan of care prescribed by a licensed health practitioner. And you’re chronically ill (i.e. needing long term care) when within the last 12 months, a licensed health practitioner has certified you as unable to perform at least 2 of the ADLs (activities of daily living – dressing, eating, toileting, transferring, bathing, and continence) without help for at least 90 days.

 Qualified Long-Term Care insurance contracts are those that provide only coverage of long-term care services. They must be guaranteed renewable and must not provide for a cash surrender value that can be paid, assigned, pledged or borrowed. And lastly it must not pay for expenses that would be reimbursed under Medicare, except as a secondary payer.

 The amounts of these LTC premiums you can include in medical expenses are limited though they increase substantially with age. See the table for includible limits on LTC premiums.

Age

Limit of LTC premiums includible in medical expense (2008)

40 or under

$289

41 to 50

$530

51 to 60

$1,060

61 to 70

$2,830

71 or over

$3580

 Your LTC benefits are generally excludable from taxable income as long as they're used for qualified long term care services (e.g. nursing home, home care, personal care and maintenance services.

 

Shane Flait is a writer and educator. Get more at www.EasyRetirementKnowHow.com

 


[1] IRS  Publication 502