17.8 Decedent’s Medical Expenses

If you pay the medical expenses of your deceased spouse or dependent (17.7), you may claim the payment as a medical expense in the year you pay the expenses, whether that is before or after the person’s death.

If the executor or administrator of the estate pays the decedent’s medical expenses within one year after the date of death, an election may be made to treat the expenses as if the deceased had paid them in the year the medical services were provided. The executor or administrator may file an amended return for the year the services were provided and claim them as a medical deduction for that year, assuming the period for filing the amended return (47.2) has not passed.

If the election is made by the executor to claim the expenses as an income tax deduction, and an estate tax return is filed, the expenses may not also be claimed as a deduction on the estate tax return. The executor must file a statement with the decedent’s income tax return that the expenses have not been deducted on the estate tax return and the estate waives its right to deduct them for estate tax purposes.

If medical expenses are claimed as an income tax deduction, the portion of the expenses that are not allowed because they are below the AGI floor (17.1) may not be claimed as an estate tax deduction if an estate tax return is filed. Although the expenses were not actually deducted, the IRS considers them to be part of the overall income tax deduction.

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image Filing Tip
Deductible Travel Costs
The costs of trips to receive medical treatment are deductible as medical expenses subject to the AGI floor. The costs of a trip to a conference to learn about medical treatment may be deductible if recommended by a doctor.
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EXAMPLE
Oscar Reyes incurred medical expenses of $5,000 in 2011 and $3,000 in 2012. He timely filed (before April 15, 2013) his 2012 return and died June 1, 2013, without having paid the $8,000 of medical expenses. In August 2013 his executor pays the medical expenses. The executor may file an amended return for 2011, claim a medical expense deduction for the $5,000 of 2011 expenses, and get a refund for the increased deductions. The executor may claim the remaining $3,000 as a medical expense deduction on an amended final return for 2012.

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