Authorized medical practitioners by province or territory
Transcription
Authorized medical practitioners by province or territory
Canada Revenue Agency Home / Individuals and families / Tax return / Deductions / Medical expenses / List of allowable medical expenses / Authorized medical practitioners by province or territory for the purposes of claiming medical expenses Authorized medical practitioners by province or territory for the purposes of claiming medical expenses The following list summarizes publicly available provincial and territorial information identifying those health care professionals authorized to practice as medical practitioners. This is not an all inclusive list of every profession that is authorized by each province or territory. For the most up to date information, see the provincial or territorial website that applies to you. Medical practitioners: A to E Medical practitioners: H to O Medical practitioners: P to T Medical practitioners: A to E Profession AB BC Acupuncturist ✔ ✔ Audiologist ✔ ✔ Chiropodist Chiropractor ✔ Combined lab and x-ray technologist ✔ ✔ MB NB ✔ ✔ ✔ ✔ ✔ ✔ NL NS NT NU ON PE QC SK ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ YT ✔ ✔ Counselling therapist ✔ ✔ ✔ ✔ ✔ Dental assistant ✔ Dental hygienist ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Dental nurse Dental technician or technologist ✔ ✔ ✔ ✔ ✔ Dental therapist ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Dentist ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Denturist, dental mechanic, denturologist ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Dietician ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Emergency medical technician ✔ ✔ ✔ ✔ Medical practitioners: H to O Profession AB BC MB Hearing aid practitioner ✔ ✔ ✔ NB NL NS NT NU PE ✔ QC SK YT ✔ ✔ ✔ Kinesiologist Licensed or registered practical nurse ON ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Marriage and family therapist ✔ ✔ ✔ Medical laboratory technologist ✔ Medical radiation ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ technologist Midwife ✔ ✔ ✔ ✔ ✔ Naturopath ✔ ✔ ✔ Occupational therapist ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Ophthalmic medical assistant ✔ Optician ✔ ✔ ✔ ✔ ✔ ✔ Optometrist ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Medical practitioners: P to T Profession AB BC MB NB NL NS NT NU ON PE QC SK YT Pharmacist ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Physician ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Physiotherapist or physical therapist ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Podiatrist ✔ ✔ ✔ ✔ ✔ ✔ ✔ Professional technologist in orthoses/prostheses ✔ Psychological associate Psychologist ✔ Registered massage therapist or massage therapist Registered nurse ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ (including nurse practitioner) Registered nursing ✔ ✔ ✔ ✔ assistant Registered nutritionist ✔ Registered psychiatric nurse ✔ Respiratory therapist ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Sexologist ✔ ✔ ✔ ✔ ✔ Speech language pathologist ✔ ✔ ✔ ✔ ✔ Surgeon ✔ ✔ ✔ ✔ ✔ Date modified: 2015-02-04 ✔ ✔ Social worker Traditional chinese medicine practitioner ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Medical Expense Credit Quick Reference Table M-1 Overview (Medical Expense Credit Quick Reference Table) The Medical Expense Credit Quick Reference Table (M-2) lists and describes over 350 itemized expenses, stating if they do or do not qualify for the medical expense tax credit under section 118.2 of the Income Tax Act, and identifying the authority, including sections of the Income Tax Act and Income Tax Regulations, case law, CRA Views Documents, Interpretation Bulletins, Folio Views, Guides, and other relevant CRA publications. The table has been updated to include references to every paragraph of new Folio View S1-F1-C1: Medical Expense Tax Credit, which replaced IT-519R2. The table is intended to serve as a guideline only. Section 118.2 of the Act and the Income Tax Regulations should be consulted for precise wording, exceptions and restrictions. At the end of the Medical Expense Credit Quick Reference Table is a summary of claimable attendant care or care in an establishment expenses reproduced from CRA Guide RC4064 (M-3), and a list of authorized medical practitioners by province or territory, reproduced from the CRA website (M-4). M-2 – Itemized Expense List (Medical Expense Credit Quick Reference Table) Last updated: December 2013 Item Acne treatment Acoustic coupler Acupuncturist Qualifies Description of Medical Expense/Conditions for Qualification Depends Cosmetic procedures to treat common acne would generally not qualify; however, cosmetic procedures to treat acne that is severe, persistent and disfiguring would be considered to have a medical or reconstructive purpose, and may qualify if the conditions in 118.2(2)(a) are met. See also “Cosmetic surgery” Yes Amount paid for an acoustic coupler (prescription not required) Yes Amount paid to an acupuncturist licensed to practise under the laws of the province or territory as a medical practitioner. The CRA's view is that a person is authorized by the laws a jurisdiction to act as a medical practitioner if there is specific legislation that enables, permits or empowers a person to perform medical services and generally, such specific legislation provides for the licensing or certification of the practitioner as well as for the establishment of a governing body (eg, a college or board) with the authority to determine competency, enforce discipline and set basic standards of conduct. In Couture, an acupuncturist in Ontario was held not to be a “medical practitioner” as “authorized to practice” Reference 118.2(2)(a), 118.2(2.1), 2011-0412591E5, S1-F1C1 (paras 1.143-1.146) 118.2(2)(i), CRA Guide RC4064 118.2(2)(a), S1-F1-C1 (paras 1.20-1.23, 1.131), 2009-0337771E5, Couture, [2009] 2 C.T.C. 80 (FCA, reversing the TCC), Murphy, [2010] 6 C.T.C. 2341 (TCC), Power, 2012 CarswellNat 977 (TCC), 2009-0337771E5 Item Qualifies Air conditioner (prescribed) Yes Air filter, cleaner, or purifier (prescribed) Yes Description of Medical Expense/Conditions for Reference Qualification means specifically authorized by legislation, not simply permitted. As well, in Power, acupuncture services performed by an unlicensed practitioner in Ontario were not eligible. However, in Murphy, an acupuncturist was held to be a “medical practitioner” in 2007 because Ontario had passed the Traditional Chinese Medicine Act (Couture was distinguished from Murphy by virtue of the enactment of the TCMA). The CRA looks for specific legislation that enables, permits or empowers a person to perform medical services Amount paid for an air conditioner to cope with 118.2(2)(m), Reg an individual's severe chronic ailment, disease or 5700(c.3), 2007disorder qualify if prescribed by a medical 0251291I7, S1-F1-C1 (para practitioner. The claimable portion of the expense 1.122) is limited to the lesser of: 1) $1,000 and 2) 50% of the amount paid for the air conditioner. The cost of electricity used to operate an air conditioner that qualifies for the medical expense credit is not eligible for the medical expense credit. A central air conditioner may qualify under this provision; 2009-0314751E5 (document numbers provided throughout this table refer to CRA Views Documents, available in TaxnetPro and TaxPartner) Amount paid for an air filter, cleaner, or purifier 118.2(2)(m), Reg for use by an individual who is suffering from a 5700(c.1), 2002-0140205, severe chronic respiratory ailment or a severe 2010-0379331E5, S1-F1chronic immune system disregulation to cope C1 (para 1.122) with or overcome that ailment or disregulation qualify (prescription required). If an air exchanger and an air purifier are separate units such that each may be purchased separately (ie, the functions of purifying and exchanging the air are not engineered to work together inextricably as one unit), the CRA's view is that only the cost of the air purifier may qualify as a medical expense under 118.2(2)(m) and 5700(c.1). If the device acts as an air exchanger in addition to an air purifier, this fact will not generally preclude it from qualifying for the medical expense credit No Altered auditory feedback device (prescribed) Yes Amount paid for an altered auditory feedback device designed to be used by an individual who has a speech impairment (prescription required) 118.2(2)(m), Reg 5700(z.1), S1-F1-C1 (para 1.122) Item Qualifies Alternative medicine No Ambulance service fees Yes Amount claimed under section 64 (disability supports deduction) No Anaesthetist fees (prescribed) Yes Animals (specially trained to assist impaired person) Yes Description of Medical Expense/Conditions for Reference Qualification The medications for which the medical tax credit 118.2(2)(n), Banman v. R., is available must be prescribed by a medical [2001] 2 C.T.C. 2111 practitioner (TCC) Amount paid for ambulance service fees for 118.2(2)(f), S1-F1-C1 (para transportation to or from a public or licensed 1.64) private hospital An amount claimed under section 64 cannot be 64(a)A(iv), S1-F1-C3, S1deducted under section 118.2. Section 64 allows a F1-C1 (para 1.148) deduction for various eligible expenditures paid in the year by a disabled individual for services, devices, or supports that enable the individual to perform the duties of an office or employment, carry on a business, attend a designated educational institution or secondary school, or carry on research or similar work for which a grant was received. A section 64 deduction is generally limited to the amount of disability support costs paid in the year to enable a disabled individual to earn certain sources of income less reimbursements and other forms of assistance the disabled individual received in respect of the disability support cost. Individuals do not have to be eligible for the disability tax credit to claim a deduction under section 64 (except in the case of the deduction of part-time attendant care costs). Also, the disability tax credit can be claimed in addition to a deduction under section 64 Amount paid in respect of anaesthetist fees not 118.2(2)(o), S1-F1-C1 covered by provincial health insurance (para 1.130) (prescription required) The cost of an animal specially trained to assist a 118.2(2)(l), S1-F1-C1 (para patient who is blind or profoundly deaf or has 1.92); 2010-0378461E5 severe autism, severe epilepsy or a severe and prolonged impairment that markedly restricts the use of the patient's arms or legs may qualify for the credit. The animal must be provided by a person or organization one of whose main purposes is such training of animals. Eligible expenses include amounts paid for the care and maintenance of such an animal, including food and veterinary care; for reasonable travel expenses of the patient incurred for the purpose of attending a school, institution or other facility that trains, in the handling of such animals, individuals who are so impaired; and for reasonable board and lodging expenses of the patient incurred for the purpose of the patient's Item Antiseptic Appointment cancellation fee Artecoll injections Artificial eye Artificial kidney machine Artificial limbs Assessment, medical Associations Qualifies Description of Medical Expense/Conditions for Reference Qualification full-time attendance at a school, institution or other facility just described. A certificate from a medical practitioner that the animal is required by the patient is not required No Amount paid for antiseptic 2009-0332141E5 No A fee paid in respect of a missed appointment 118.2(2)(a), Zaffino, [2007] with a medical practitioner 5 C.T.C. 2560 (TCC) Depends For expenses incurred after March 4, 2010, 118.2(2.1), CRA 2004expenses incurred for purely cosmetic procedures 0078231I7, S1-F1-C1 no longer qualify for the credit (unless required (paras 1.143-1.146) for medical or reconstructive purposes). See also “Cosmetic surgery” Yes Including expenses in respect of (prescription not 118.2(2)(i), S1-F1-C1 required) (paras 1.73-1.74) Yes Amount paid for a kidney machine, including the 118.2(2)(i), CRA Guide cost of repairs, maintenance, and supplies; RC4064, S1-F1-C1 (paras additions, renovations, or alterations to a home 1.73-1.74, 1.82-1.86) (the hospital official who installed the machine must certify in writing that the additions, renovations, or alterations were necessary for installation); the portion of the operating costs of the home that relate to the machine (excluding mortgage interest and CCA); a telephone extension in the dialysis room and all calls to a hospital for advice or to obtain repairs; and necessary and unavoidable costs to transport supplies. A prescription is not required Yes Amount paid for an artificial limb, including the 118.2(2)(i), S1-F1-C1 cost of repairs and parts and other expenses in (paras. 1.73-1.74) respect of (prescription not required) Yes Costs for a medical assessment qualify if the fee 118.2(2)(a), (o), 2011is paid to a medical practitioner. If the fee is not 0427011E5 paid to a medical practitioner, it may qualify if it is for diagnostic purposes (2011-0427011E5). Yes Payments made to partnerships, societies and 118.2(2)(a), S1-F1-C1 associations for medical services rendered by (para 1.28) their employees or partners qualify for the credit as long as the person who provided the service is a medical practitioner, dentist or nurse authorized to practice as a medical practitioner (for example, the Victorian Order of Nurses and The Canadian Red Cross Society Home Maker Services). The CRA has stated that “payments qualify only to the extent that they are for the period when the patient is at home. Payments for a period when the nurse is simply looking after a home and Item Qualifies Athletic or fitness club fees No Attendant care (patient qualifies for the disability credit) Yes Attendant care at a retirement home, home for seniors, or other institution Yes Description of Medical Expense/Conditions for Reference Qualification children when the patient is in hospital or otherwise away from home do not qualify since these would be personal or living expenses. In some instances, such as that of the Canadian Mothercraft Society, the visiting worker instead of the society may give the receipts but, if the worker can be regarded as a practical nurse, those receipts will be accepted.” Amounts paid for athletic or fitness club CRA Guide RC4064, 2011membership 0402881E5, 20100361011E5, Roberts, 2012 CarswellNat 3320 Amount paid as remuneration for one full-time 118.2(2)(b), CRA Guide attendant for a patient who qualifies for the RC4064, S1-F1-C1 (paras disability credit, or the cost of full-time care in a 1.31-1.39) nursing home for such a patient, may qualify for the credit. At the time the remuneration is paid, the full-time attendant cannot be under 18 years of age or be the individual's spouse or commonlaw partner. It is the CRA's view that a taxpayer's private home would not be considered a “nursing home” for purposes of 118.2(2)(b). The CRA accepts that a particular place need not be a licensed nursing home but is of the view that it must have the equivalent features and characteristics of a nursing home (see 20070253621E5). If a patient claims the medical expense credit under 118.2(2)(b), the patient cannot claim the disability tax credit. See also under “Nursing home (full-time care)” and 20110418081E5, 2009-0346431E5, 2008-0285321C6, 2005-0142361E5. See also the summary of claimable attendant care expenses in Chapter 8 Amounts paid for attendant care at a retirement 118.2(2)(b), CRA Guide home, home for seniors, or other institution as RC4064, S1-F1-C1 (paras remuneration for a full-time attendant may 1.31-1.39), 2009quality. A disability tax credit certificate is 0346431E5 required. Also, the CRA requires a detailed statement from the establishment showing the amount paid for staff salaries that apply to attendant care services. Qualifying costs include: food preparation; housekeeping services for a resident's personal living space; laundry services for a resident's personal items; health care (registered nurse, practical nurse, certified health care aide, personal support worker); activities (social programmer); salon services (hairdresser, barber, manicurist, pedicurist), if included in the Item Qualifies Attendant care (parttime) Yes Attendant care provided at a group home in Canada Yes Description of Medical Expense/Conditions for Reference Qualification monthly fee; transportation (driver); and security for a secured unit. Ineligible costs include: rent; food; cleaning supplies; other operating costs (such as the maintenance of common areas and outside grounds); and salaries and wages paid to the following employees: administrators; receptionists; groundskeepers; and janitors or maintenance staff. If a claim is made under 118.2(2)(b) rather than 118.2(2)(b.1) (limited to $10,000; see below), the disability tax credit cannot be claimed. See also the summary of claimable attendant care expenses in Chapter 8 Amounts paid as remuneration for part-time 118.2(2)(b.1), CRA Guide attendant care may qualify for the credit, The RC4064, S1-F1-C1 (paras attendant cannot be the patients spouse or 1.31-1.36, 1.40-1.43), common-law partner and must be over 17 years of 2006-0172181I7 age when the amounts were paid. The care must be provided in Canada and a disability tax credit certificate (Form T2201) is required. Where amounts are paid to an establishment, the CRA requires a detailed statement from the establishment showing the amount paid for staff salaries that apply to attendant care services (all amounts paid to a nursing home generally qualify). The claim is limited to $10,000 (or $20,000 if the individual dies in the year). While most claims under 118.2(2)(b.1) will be for a parttime attendant, the CRA acknowledges that expenses for a full-time attendant may also be claimed under 118.2(2)(b.1). The $10,000 limit applies to each person paying for attendant care. A person can claim the disability credit and make a claim under 118.2(2)(b.1); however, where a claim is made under 118.2(2)(b.1), no part of the remuneration can be included in computing a deduction claimed in respect of the patient under section 63 or 64 or 118.2(2)(b), (b.2), (c), (d) or (e) for any taxation year. See under “Attendant care at a retirement home, home for seniors, or other institution” regarding qualifying costs (see also 2004-0101081E5) Amounts paid as remuneration for an individual's 118.2(2)(b.2), CRA Guide care or supervision provided in a group home in RC4064, S1-F1-C1 (paras Canada maintained and operated exclusively for 1.31-1.36, 1.44-1.46) the benefit of individuals who have a severe and prolonged impairment may qualify. A disability tax credit certificate (Form T2201) is required. Also, the CRA requires a detailed statement from Item Qualifies Attendant care in a self-contained domestic establishment (fulltime) Yes Attendant care (fulltime at a nursing home; patient lacks normal mental capacity) Yes Description of Medical Expense/Conditions for Reference Qualification the establishment showing the amount paid for staff salaries that apply to attendant care services. A claim under 118.2(2)(b.2) does not preclude a person from claiming the disability credit; however, where a claim is made under 118.2(2)(b.2), no part of the remuneration can be included in computing a deduction claimed in respect of the patient under section 63 or 64 or 118.2(2)(b), (b.1), (c), (d) or (e) for any taxation year. See also the summary of claimable attendant care expenses in Chapter 8 Amounts paid as remuneration for a full-time 118.2(2)(c), CRA Guide attendant at a person's personal residence may RC4064, S1-F1-C1 (paras qualify for the credit. The attendant cannot be the 1.31-1.36, 1.47-1.50) patients spouse or common-law partner and must be over 17 years of age when the amounts were paid. Additionally, ether: 1) a disability tax credit certificate (Form T2201) is required or 2) a letter from a medical practitioner has to certify that the patient is likely to continue to be dependent on others for his or her personal needs and care for the long-term and needs a full-time attendant because of an impairment in mental or physical functions. Fees claimed must be for salaries and wages paid for attendant care services. If an individual issues the receipt for attendant care services, the receipt must include the attendant's social insurance number. Several attendants can qualify as one full-time attendant as long as there is only one attendant for any given period of time (2007-0253621E5). If a claim is made under 118.2(2)(c) rather than 118.2(2)(b.1) (limited to $10,000), the disability tax credit cannot be claimed. See also the summary of claimable attendant care expenses in Chapter 8 The cost of receiving full-time care in a nursing 118.2(2)(d), CRA Guide home is an eligible medical expense not only in RC4064, S1-F1-C1 (paras respect of a patient with a severe and prolonged 1.31-1.36, 1.51-1.55), mental or physical impairment (see 118.2(2)(b)), 2005-0149621E5, 2007but also in respect of a patient who is and will in 0253621E5 the foreseeable future continue to be dependent on others for his/her personal needs and care because of a lack of normal mental capacity. Such a condition must be certified by a medical practitioner in either a letter or by completing Form T2201. An individual can generally claim the entire amount paid for full-time care in a nursing home. The care does not have to be Item Qualifies Description of Medical Expense/Conditions for Reference Qualification provided in Canada. Where a claim is made under 118.2(2)(d), the disability tax credit cannot be claimed (see para 118.3(1)(c)). Though the term “nursing home” in paragraph 118.2(2)(b) does not include a retirement residence even if it provides 24-hour nursing care (see Miles Estate v. R., [2000] 2 C.T.C. 2165), the CRA accepts that where a portion of retirement home costs is identified as being paid for attendant care, it will qualify under paragraph 118.2(2)(b.1) (20050142361E5). A taxpayer's home also does not qualify as a nursing home. See also the summary of claimable attendant care expenses in Chapter 8 Audible signal device Yes Amount paid for an audible signal device 118.2(2)(i), CRA Guide (prescription not required) RC4064, S1-F-C1 (paras 1.73-1.74, 1.80) Autistic child day Depends For an institute to qualify, the CRA's view is that 118.2(2)(e), 2010care, school, certification would need to clearly indicate that 0403181E5, 2004institution or other the centre has specialized equipment, facilities, or 0065621E5, S1-F1-C1 place trained personnel to provide care, or care and (paras 1.31-1.36, 1.56-1.63) training, of a person with an autistic disorder Baby formula No Amounts paid for baby formula, even if 118.2(2)(n), 2011(prescribed) prescribed by a medical practitioner, do not 0399851E5 qualify if it is also available over-the-counter (see also “Over-the-counter medications”). Baby wipes/moist No It is CRA's view that the reference to “other 118.2(2)(i.1), 2010wipes products” in 118.2(2)(i.1) is restricted to the same 0356391E5, 2012class of products as diapers, disposable briefs, etc. 0437351E5, S1-F1-C1 and would not include baby wipes or moist wipes (para 1.87) Baby's cry signal See “Infants” device Balance disorder Yes Amount paid for a pressure pulse therapy device 118.2(2)(m), Reg (prescribed device) designed to be used by an individual who has a 5700(z.4), S1-F1-C1 (para balance disorder (prescription required) 1.122) Bathroom aids See “Device or equipment (bathtub or shower)” Bicycle, batteryNo The CRA's view is that a battery powered two2009-0323571E5 powered wheeled bicycle cannot be considered a wheelchair Bicycle, motorized No The CRA’s view is that a motorized stationary 2012-0440931E5 stationary bicycle (designed for people with medical conditions such as Parkinson’s disease, muscular dystrophy and arthritis) cannot be considered a device Birth control devices Depends The CRA has stated that birth control pills which 118.2(2)(n), S1-F1-C1 a medical practitioner has prescribed are (para 1.127) considered to qualify under 118.2(2)(n) if a Item Bite-activated nipples for sippy-cup Blind individuals (braille note-taker; prescribed) Qualifies No Yes Blind individuals (guide dog) Yes Blind individuals (intervening services) Yes Blind individuals (optical scanner; prescribed) Blind individuals (reading software; prescribed) Yes Blind individuals (special computer devices; prescribed) Yes Bliss symbol board or similar device (prescribed) Yes Block fees Yes Blood coagulation monitors (prescribed) Yes Yes Description of Medical Expense/Conditions for Reference Qualification pharmacist has recorded the prescription Amount paid for bite-activated nipples for sippy2009-0332141E5 cup Amount paid for a braille note-taker designed to 118.2(2)(m), Reg 5700(y), be used by a blind individual to allow them to S1-F1-C1 (para 1.122) take notes (that can be read back to them or printed or displayed in Braille) with the help of a keyboard and that is for the individual's use as prescribed by a medical practitioner (prescription required) The purchase of a guide dog for a blind individual 118.2(2)(l), S1-F1-C1 (para from an institution that trains such dogs, as well 1.92) as related expenses (for a list of qualifying expenses, see under “Animals”) Amount paid for deaf-blind intervening services 118.2(2)(l.44), S1-F1-C1 used by a person who is both blind and (para 1.106) profoundly deaf and paid to someone in the business of providing such services Amount paid for an optical scanner (or similar 118.2(2)(m), Reg 5700(l), device) designed to be used by a blind individual S1-F1-C1 (para 1.122) to enable him to read print (prescription required) Amount paid for a device or software designed to 118.2(2)(m), Reg 5700(l.1), be used to enable the individual to read print and S1-F1-C1 (para 1.122) that is for the individual's use as prescribed by a medical practitioner (prescription required) Amount paid for a device or equipment, including 118.2(2)(m), Reg 5700(o), a synthetic speech system, Braille printer and CRA Guide RC4064, S1large print-on-screen device, designed exclusively F1-C1 (para 1.122) to be used by a person who is blind in the operation of a computer (prescription required) Amount paid for a bliss symbol board or similar 118.2(2)(m), Reg 5700(x), device designed to be used to help an individual 2010-0383021E5, S1-F1who has a speech impairment communicate by C1 (para 1.122) selecting the symbols or spelling out words (prescription required). The purchase of an iPad to assist certain special needs children would not qualify for the medical expense credit, nor would a digital camera used to make Bliss symbol boards (Henschel, 2010 CarswellNat 1783 (TCC)) Block fee paid to a medical centre to cover the 118.2(2)(a), 2007cost of certain ancillary or incidental uninsured 0255741I7, S1-F1-C1 (para medical services 1.29) Prescribed blood coagulation monitor for 118.2(2)(m); Reg individuals who require anti-coagulation therapy, 5700(s.1), S1-F1-C1 (para including associated disposable peripherals such 1.122) as pricking devices, lancets and test strips Item Blood pressure monitors Blood transfusion (prescribed) Bone conduction receiver Bone marrow transplant Boots (Orthopaedic) Botox injections Brace (for a limb) Brace (spinal) Braille note-taker Braille printer Breast prosthesis Breast pump Buzzer Qualifies No Yes Description of Medical Expense/Conditions for Reference Qualification Purchase of a blood pressure monitor CRA Guide RC4064 Amount paid for a blood transfusion (prescription CRA Guide RC4064, required) 118.2(2)(a) Yes Purchase of a bone conduction receiver 118.2(2)(i), CRA Guide (prescription not required). See also “Hearing RC4064, S1-F1-C1 (para aid” 1.80) Yes Reasonable amounts paid to locate a compatible 118.2(2)(l.1), S1-F1-C1 donor, to arrange the transplant including legal (paras 1.93, 1.147) fees and insurance premiums, and reasonable travelling costs including board and lodging for the patient, the donor, and their respective companions See “Brace (including related costs)” and “Orthopaedic shoe or boot (and an insert for a shoe or boot)” Depends For expenses incurred after March 4, 2010, 118.2(2.1), 2004expenses incurred for purely cosmetic procedures 0078231I7, S1-F1-C1 no longer qualify for the credit (unless required (paras 1.143-1.146) for medical or reconstructive purposes). See also “Cosmetic surgery” Yes Amounts paid for braces for a limb, including 118.2(2)(i), CRA Guide woven or elasticized stockings made to measure, RC4064, S1-F1-C1 (paras qualify for the credit (prescription not required). 1.73-1.74, 1.77) The CRA has stated that “a “brace for a limb” does not necessarily have to be something of a rigid nature, although at least one of the functions of the brace must be to impart some degree of rigidity to the limb which is being braced. Accordingly, that phrase is considered to include woven or elasticized stockings where these are of a kind that are carefully fitted to measurement or are made to measure. When a brace for a limb is necessarily built into a boot or shoe in order to permit a person to walk, the brace will be considered to include the boot or shoe. A rehabilitative splinting system to stretch the tissue in the elbow would likely qualify as a “brace for a limb” (2011-0429871E5). Yes Amount paid for a spinal brace (prescription not 118.2(2)(i), S1-F1-C1 required) (paras 1.73-1.74) See “Blind individuals” See “Blind individuals” See “External breast prosthesis” No Purchase of a breast pump 2007-0248701E5 See “Hearing aid” Item Qualifies Canadian Red Cross Society Home Maker Services Cancellation fee Cancer treatment Yes Car seat No Cardiograph (prescribed) Yes Care or care and training at institutions or other places Yes Care or care and training at special schools Yes Description of Medical Expense/Conditions for Reference Qualification See “Associations” See “Appointment cancellation fee” Cost of cancer treatments provided by a medical 118.2(2)(a), CRA Guide practitioner, including treatment received outside RC4064 Canada for drugs not approved in Canada. An infant car seat, even if specially designed for a 2003-0046145 disabled child Amount paid in respect of cardiograph tests not 118.2(2)(o), CRA Guide covered by provincial health insurance RC4064 (prescription required) Amounts paid for care at an institution or other 118.2(2)(e), CRA Guide place may qualify for the credit. An RC4064, S1-F1-C1 (paras “appropriately qualified person” (normally a 1.31-1.36, 1.56-1.63) medical practitioner; preferably who does not work for the institution) has to certify in writing that the person has an impairment in mental or physical functions and confirm the person “requires” the equipment, facilities, or personnel available at the establishment. A private home adapted to the needs of its owner/occupant would not qualify as an “other place” for purposes of 118.2(2)(e) (2007-0253621E5). A retirement home was found to qualify in McKinley, [2004] 2 C.T.C. 2672 (TCC), but not in Lister, [2007] 1 C.T.C. 137 (FCA) or in Shultis, [2007] 1 C.T.C. 2182 (TCC). The expense of renting an accommodation near the school or institution would not qualify; however, transportation expenses to and from the school may qualify under 118.2(2)(g) (2009-0349551E5). Amounts paid for care or training at a school may 118.2(2)(e), CRA Guide qualify for the credit. An “appropriately qualified RC4064, S1-F1-C1 (paras person” (normally a medical practitioner; 1.31-1.36, 1.56-1.63), preferably who does not work for the school) has 2006-0213231E5, Scott, to certify in writing that the person has an [2009] 1 C.T.C. 224 (FCA) impairment in mental or physical functions and confirm the person “requires” the equipment, facilities, or personnel available at the establishment. Under former 110(1)(c)(vi), private school fees incurred for a child with behavioral problems were held to be ineligible (see Somers v. MNR, [1979] C.T.C. 2001 (TRB)) since there was no evidence of mental or physical handicap and the school in question was not an institution of the type specified. Also, in Flower Item Qualifies Caregiver training Yes Catheters and catheter trays Yes Certificates Yes Chair (poweroperated) Chiropodist (or podiatrist) Yes Chiropractor Yes Christian Science practitioner No Description of Medical Expense/Conditions for Reference Qualification v. R., [2005] 2 C.T.C. 2730 (TCC), fees to an Academy for children with learning disabilities did not qualify. However, in Rannelli v. MNR, [1991] 2 C.T.C. 2040, the Court concluded that fees paid to a school for dyslexic children qualified under former 110(1)(c)(vi). Fees paid to a disciplinary school for children with attention disorders were found to qualify in Marshall, [2003] 4 C.T.C. 2794 (TCC). Fees paid to the Calgary Academy qualified in Karn, 2013 CarswellNat 1382, since the school was only for students with learning disabilities; however, tuition fees paid did not qualify in Bauskin, 2013 CarswellNat 342, because there was no evidence of special equipment, facilities or personnel in the school’s mainstream program. An amount paid for reasonable expenses (other 118.2(2)(l.8), S1-F1-C1 than amounts paid to a person who was at the (paras 1.113-1.114) time of the payment the individual's spouse or common-law partner or a person under 18 years of age) to train the individual (or a person related to the individual) if the training relates to the mental or physical infirmity of a person who is related to the individual and is a member of the individual's household (or is dependent on the individual for support) Amounts paid for catheters and catheter trays 118.2(2)(i.1), CRA Guide required by the patient by reason of incontinence RC4064, S1-F1-C1 (para caused by illness, injury or affliction (including 1.87) catheter trays, tubing, or other products required for incontinence caused by illness, injury, or affliction); a prescription is not required Amount paid to a medical practitioner for 118.2(2)(a), CRA Guide completing and providing additional information RC4064 in regard to Form T2201 and other certificates See “Power-operated guided chair”, “wheelchair”, and “Scooter” Amount paid to a chiropodist (or podiatrist) 118.2(2)(a), S1-F1-C1 licensed to practise under the laws of the province (paras 1.20-1.23) or territory as a medical practitioner Amount paid to a chiropractor licensed to practise 118.2(2)(a), S1-F1-C1 under the laws of the province or territory as a (paras 1.20-1.23) medical practitioner Payments to a Christian Science practitioner 118.2(2)(a), 2006where the practitioner is not otherwise a medical 0180991M4, 2005doctor or a nurse acting within the scope of his or 0126931E5, 2006her profession (none of the provinces or territories 0180991M4, 2007- Item Circumcision procedure Clinic or corporation (amount paid for medical services) Clinical counsellor Cochlear implant Colostomy and ileostomy pads Commodes Compression stockings Contact lenses (prescribed) Cosmetic surgery (purely cosmetic procedures) Qualifies Description of Medical Expense/Conditions for Reference Qualification license Christian Science practitioners as being 0224311E5, 2009medical practitioners). Amounts paid to a 0337771E5, S1-F1-C1 Christian Science nurse authorized to practise as a (paras 1.20-1.23) nurse according to the relevant laws referred to in subsection 118.4(2) would qualify. The CRA's view is that a person is authorized by the laws of a jurisdiction to act as a medical practitioner if there is specific legislation that enables, permits or empowers a person to perform medical services and generally, such specific legislation provides for the licensing or certification of the practitioner as well as for the establishment of a governing body (eg, a college or board) with the authority to determine competency, enforce discipline and set basic standards of conduct Depends Cost of infant male circumcision would generally 118.2(1), 118.2(2.1), 2011qualify if it can be shown that it is not done 0411641E5, S1-F1-C1 purely for cosmetic purposes (paras 1.143-1.146) Yes Amounts paid to a clinic or corporation for 118.2(2)(a), Mudry, 2008 medical services provided by or supervised by a CarswellNat 715 (TCC), medical practitioner 2003-0045561E5, 20100361011E5, S1-F1-C1 (para 1.28) See “Counsellor” Yes Amount paid for a cochlear implant (prescription 118.2(2)(i), CRA Guide not required) RC4064, S1-F1-C1 (para 1.80) Yes Amount paid for colostomy and ileostomy pads, 118.2(2)(i), CRA Guide including pouches and adhesives (prescription not RC4064, S1-F1-C1 (paras required) 1.73-1.74, 1.78) See “Device or equipment (bathtub, shower or toilet)” Depends Cost of compression stockings required to be 118.2(2)(i), S1-F1-C1 (para worn after treatment for varicose veins would 1.77), 2011-0411181E5 qualify if fitted to measurement or made to measure Yes Amount paid for contact lenses (prescription 118.2(2)(j), CRA Guide required from a medical practitioner or RC4064, S1-F1-C1 (para optometrist) 1.89) No After March 4, 2010, expenses incurred for purely 118.2(2.1) cosmetic procedures no longer qualify for the 2004-0078231I7, 2006credit. This generally includes surgical and non0180991M4, 2010surgical procedures purely aimed at enhancing 0362981M4, 2010one's appearance, such as the following: 0365801E5, 2011augmentations (such as chin, cheek, lips); body 0429431E5, 2012modifications (such as tongue splits); body 0448691E5, S1-F1-C1 Item Qualifies Description of Medical Expense/Conditions for Reference Qualification shaping, contouring or lifts (such as breasts, (paras 1.143-1.146) buttocks, face and stomach); botulinum injections; chemical peels; implants (such as jewellery implanted into an eye or a tooth, or microdermal, transdermal, and subdermal cosmetic implants); filler injections for removal of wrinkles; hair removal and replacement procedures; laser treatments (such as skin resurfacing and removal of age spots); liposuction; reshaping procedures (such as rhinoplasty and otoplasty); rib removal; tattoo removal; and teeth whitening, contouring or reshaping. A cosmetic procedure will continue to qualify if required for medical or reconstructive purposes (see directly below). The CRA's former position was that an amount paid to a medical practitioner for surgery of any kind, whether cosmetic or elective, generally qualified as a medical expense. Cosmetic surgery (for Yes After March 4, 2010, expenses incurred for purely 118.2(2.1) medical or cosmetic procedures no longer qualify for the 2004-0078231I7, 2010reconstructive credit. A cosmetic procedure will continue to 0362981M4, 2010purposes) qualify if required for medical or reconstructive 0365801E5, 2010purposes (for example, those that would 0378051E5, 2012ameliorate a deformity arising from, or directly 0439481E5, 2013related to, a congenital abnormality, a personal 0480831E5, S1-F1-C1 injury resulting from an accident or trauma, or a (paras 1.143-1.146) disfiguring disease), including the following: breast implant and related procedures for reconstructive purposes after a mastectomy; breast reduction to reduce back and shoulder pain; dental braces, if required to correct a misaligned bite; dental veneers to correct decayed or misaligned teeth; gastric bypass surgery, gastric sleeve surgery or gastric stapling; laser eye surgery; removal of excess skin after rapid weight loss due to a risk of infection; and the treatment of melasma that is severe, persistent and disfiguring. The cost of sex reassignment surgery and related surgeries would likely qualify (2012-0463201E5). The CRA's former position was that and amount paid to a medical practitioner for surgery of any kind, whether cosmetic or elective, generally qualified as a medical expense. Counsellor Depends The CRA has stated that counselling services are 2002-0171795, 2005considered to qualify if: 1) the counsellor is 0153591E5, 2006working in a recognized mental health clinic, 0213231E5 community agency or hospital; 2) the counsellor Item Qualifies Description of Medical Expense/Conditions for Reference Qualification is a member of an association governing their profession; and 3) the treatment is at the request of, or in association with, a medical practitioner Courses, pain Yes Expenses related to pain management courses if 2011-0397731E5 management incurred for diagnosis, therapy or rehabilitation purposes in relation to a pre-existing medical problem and paid to a certified medical practitioner or public or private hospital. Crutches Yes Amount paid for crutches, including related costs 118.2(2)(i), S1-F1-C1 (prescription not required) (paras 1.73-1.74) Cushion (wheelchair Depends Amount paid for a wheelchair cushion would 118.2(2)(i), S1-F1-C1 or bath qualify as a medical expense, but amount paid for (paras 1.73-1.74), 2010a bath cushion would not 0361221E5 Cycle monitoring Yes Amount paid in respect of cycle monitoring fees 118.2(2)(o), S1-F1-C1 fees (prescribed) not covered by provincial health insurance (para 1.130), 2011(prescription required), including diagnostic 0401711E5 procedures relating to cycle monitoring fees Deaf individual Yes Amount paid for deaf-blind intervening services 118.2(2)(l.44), S1-F1-C1 (intervening services) used by a person who is both blind and (para 1.106) profoundly deaf and paid to someone in the business of providing such services Deaf individual (teletypewriter; prescribed) Yes Dental appliance (used to treat sleep apnea) Yes Dental crowns Yes Dental hygienist Yes Dental implants Yes Dentist Yes Dentures Yes Amount paid for a teletypewriter or similar 118.2(2)(m), Reg 5700(k), device, including a telephone ringing indicator, S1-F1-C1 (para 1.122) that enables a deaf or mute individual to make and receive telephone calls (prescription required) Amount paid for a dental appliance would qualify 118.2(2)(m), Reg 5700(c), as a medical expense if the individual is suffering 2011-0429541E5, S1-F1from a “severe chronic respiratory ailment” and C1 (para 1.122) the dental appliance was “designed exclusively for use by” the individual for that ailment. Amount paid to a dentist or medical practitioner 118.2(2)(a), 2010for dental crowns 0362981M4 Amount paid to a dental hygienist licensed to 118.2(2)(a), S1-F1-C1 practise under the laws of the province or territory (paras 1.20-1.23) as a medical practitioner Amount paid to a dentist or medical practitioner 118.2(2)(a), 2006for dental implants 0218021E5, 20110397151E5 Amount paid for dental services 118.2(2)(a), S1-F1-C1 (paras 1.20-1.23) Amount paid to a person authorized under the 118.2(2)(p), S1-F1-C1 laws of a province to carry on the business of a (para 1.132) dental mechanic for the making or repairing of an upper or lower denture, or for the taking of Item Qualifies Detoxification clinic for a person addicted to drugs or alcohol Yes Device or equipment (bathtub, shower or toilet; prescribed) Yes Device or equipment (cold therapy; prescribed) Device or equipment (electrotherapy; prescribed) No Yes Device or equipment (general) No Device or equipment (respiratory ailment; prescribed) Yes Description of Medical Expense/Conditions for Qualification impressions, bite registrations and insertions in respect of the making, producing, constructing and furnishing of an upper or lower denture (prescription not required) Amount paid to attend a detoxification clinic where a medical practitioner certifies in writing that the person requires the specialized equipment, facilities, or personnel provided. There is no requirement that the detoxification clinic be a public or licensed private hospital Amount paid for a mechanical device or equipment designed to be used to assist an individual to enter or leave a bathtub or shower or to get on or off a toilet (prescription required). Eligible devices would include a raised toilet seat. Commodes designed for the purpose of assisting individuals to get on or off a toilet (or enter or leave a bathtub or shower) may also qualify. Bath cushions would not qualify Cost of a cold therapy device (such as a CryoCuff or Polar Care Cube) prescribed by a doctor to control and reduce knee swelling Amount paid for an electrotherapy device designed to be used by an individual with a medical condition or by an individual who has a severe mobility impairment (prescription required). An electrical muscle stimulation (EMS) device used for muscle stimulation and strengthening is an electrotherapy device (20110428191E5). A medical device or equipment that was not prescribed by a medical practitioner and that is not otherwise described in section 118.2 does not qualify (see list of eligible expenses in this table; for example, see under “Altered auditory feedback device”, “Blind individuals”, “Bliss symbol board”, “Diabetics”, “Drugs”, “Heart disease”, “Infants”, “Mobility impairment”, “Pressure pulse therapy device”, “Reading services”, “Standing device”, “Teletypewriter (or similar device)”, “Vibratory signalling device”, “Visual signalling device” Amount paid for a device or equipment designed exclusively for use by an individual suffering from a severe chronic respiratory ailment or a severe chronic immune system disregulation Reference 118.2(2)(a), CRA Guide RC4064, S1-F1-C1 (paras 1.56-1.63) 118.2(2)(m), Reg 5700(g), 2009-0332141E5, 20100361221E5, S1-F1-C1 (para 1.122) 2011-0395281E5 2011-0428191E5 118.2(2)(m), Reg 5700(z.2) 2011-0428191E5, S1-F1C1 (para 1.122) 118.2(2), Young, 2009 CarswellNat 4364 (TCC) 118.2(2)(m), Reg 5700(c), S1-F1-C1 (para 1.122) Item Qualifies Diabetics (blood sugar measure; prescribed) Diabetics (infusion pump; prescribed) Yes Diabetics (insulin) Yes Diabetics (scales) No Diapers Yes Diathermy Yes Dietician Yes Disposable briefs Yes Yes Description of Medical Expense/Conditions for Qualification (prescription required). An air conditioner, humidifier, dehumidifier, heat pump or heat or air exchanger specifically does not qualify under Regulation 5700(c) Amount paid for a device designed to enable individual to measure blood sugar level (prescription required) Infusion pump (including disposable peripherals) for the treatment of diabetes (prescription required) The cost of insulin or substitutes, as prescribed by a medical practitioner, purchased by a person suffering from diabetes qualifies. The CRA has stated that when such a person has to take sugarcontent tests using test-tapes or test tablets and a medical practitioner has prescribed this diagnostic procedure, the tapes or tablets qualify as devices or equipment under 118.2(2)(m) and Part LVII of the Regulations The cost of various kinds of scales, which diabetics frequently use for weighing themselves or their food Diapers required by the patient by reason of incontinence caused by illness, injury or affliction qualify; a prescription is not required. Amounts paid to a diaper service do not qualify Amount paid to a medical practitioner or a licensed private hospital Payments to a dietician would not qualify as eligible medical expenses unless the amounts were paid for “medical services” performed by a medical practitioner authorized to practise as such according to the laws of the jurisdiction in which the service was rendered (the CRA's view is that a person is authorized by the laws of a jurisdiction to act as a medical practitioner if there is specific legislation that enables, permits or empowers a person to perform medical services and generally, such specific legislation provides for the licensing or certification of the practitioner as well as for the establishment of a governing body (eg, a college or board) with the authority to determine competency, enforce discipline and set basic standards of conduct) Amounts paid for disposable briefs required by the patient by reason of incontinence caused by Reference 118.2(2)(m), Reg 5700(s), S1-F1-C1 (para 1.122) 118.2(2)(m), Reg 5700(s), S1-F1-C1 (para 1.122) 118.2(2)(k), (n), S1-F1-C1 (paras 1.90-1.91) S1-F1-C1 (paras 1.91, 1.131) 118.2(2)(i.1), CRA Guide RC4064, S1-F1-C1 (para 1.87) 118.2(2)(a), CRA Guide RC4064 118.2(2)(a), 20090337771E5, S1-F1-C1 (paras 1.20-1.23) 118.2(2)(i.1), S1-F1-C1 (para 1.87) Item Qualifies Doctor Yes Dogs (guide) Driveway alterations Yes Driving lessons for disabled person Drugs bought under Health Canada's Special Access Program No Yes Drugs, medicaments or other preparations or substances (overthe-counter) No Drugs, medicaments or other preparations or substances (prescribed) Yes Description of Medical Expense/Conditions for Reference Qualification illness, injury or affliction; a prescription is not required Amounts paid to a medical practitioner (meaning 118.2(2)(a) discussed in CRA Guide RC4064 and S1-F1-C1 (paras 20-23) for medical services See “Guide dogs” Reasonable amounts paid to alter the driveway of 118.2(2)(l.6), 2011the main residence of a person who has a severe 0404911E5, S1-F1-C1 and prolonged mobility impairment to allow (para 1.108) easier access to a bus qualify. Also, the CRA has stated that “reasonable expenses relating to alterations to the driveway would also qualify under this provision if they facilitate access to whatever mode of transportation, bus or otherwise, that is ordinarily used by the patient.” However, the cost of installing a walkway would generally not qualify as an eligible medical expense (see 2011-0404911E5). The cost of tuition fees and exams for driver 2007-0244411E5 training for a disabled individual Drugs and medical devices bought under Health 118.2(2)(s), (t), S1-F1-C1 Canada's Special Access Program (ie, amounts (para 1.137) paid for drugs and medical devices that have not been approved for use in Canada if they were purchased under this program). Visit Health Canada's Web site at www.mdall.ca Over-the-counter medications, vitamins, and CRA Guide RC4064, supplements, even if prescribed by a medical 118.2(2)(n), S1-F1-C1 practitioner. Subparagraph 118.2(n)(ii) refers to (paras 1.123-1.125) drugs, medicaments or other preparations or substances “that can lawfully be acquired for use by the patient only if prescribed by a medical practitioner or dentist”. See also 20100362941E5, 2008-0264631M4, 2008-0270031E5 and 2007-0231171E5 Amounts paid for drugs, medicaments or other 118.2(2)(n), S1-F1-C1 preparations or substances that are manufactured, (paras 1.123-1.127), Reg sold or represented for use in the diagnosis, 5701 treatment or prevention of a disease, disorder or abnormal physical state, or its symptoms, or in restoring, correcting or modifying an organic function qualify for the credit if a medical practitioner or dentist prescribed the medication and the medication is purchased from a pharmacist who recorded the prescription in a prescription record. Additionally, such amounts also qualify where they are available without a Item Elastic support hose (prescribed) Elective medical procedures performed by a medical practitioner Electric breast pump Electric shock treatments (prescribed) Electrocardiograms (prescribed) Qualifies Description of Medical Expense/Conditions for Reference Qualification prescription and a medical practitioner or dentist has prescribed the medication for the patient and the medication is only available with the intervention of a medical practitioner (eg a pharmacist) Yes Amount paid for elastic support hose designed 118.2(2)(m), Reg 5700(u), exclusively to relieve swelling caused by chronic S1-F1-C1 (para 1.122) lymphedema (prescription required) Depends For expenses incurred after March 4, 2010, 2006-0180991M4, expenses incurred for purely cosmetic procedures 118.2(2.1), S1-F1-C1 no longer qualify for the credit (unless required (paras 1.143-1.146) for medical or reconstructive purposes). See also “Cosmetic surgery” No Purchase of an electric breast pump 2007-0248701E5 Yes Amount paid for electric shock treatments CRA Guide RC4064, (prescription required) 118.2(2)(a) Yes Amount paid in respect of electrocardiogram tests 118.2(2)(o), CRA Guide not covered by provincial health insurance RC4064 (prescription required) Electrolysis Depends Amounts paid to a medical practitioner for CRA Guide RC4064, S1electrolysis F1-C1 (paras 1.143-1.146) Electronic bone Yes Amount paid for electronic bone healing device 118.2(2)(m), Reg healing device (prescription required) 5700(z.2), CRA Guide (prescribed) RC4064, S1-F1-C1 (para 1.122) Electronic speech Yes Amount paid for a speech synthesizer (electronic) 118.2(2)(m), Reg 5700(p), synthesizer that enables a mute individual to communicate by S1-F1-C1 (para 1.122) (prescribed) use of a portable keyboard (prescription required) Electrotherapy device Yes Amount paid for an electrotherapy device 118.2(2)(m), Reg (prescribed) designed to be used by an individual with a 5700(z.2), S1-F1-C1 (para medical condition or by an individual who has a 1.122) severe mobility impairment (prescription required) Elevators or lifts Yes Amount paid for elevators or lifts designed 118.2(2)(m), Reg 5700(m), (power-operated) exclusively for use by a person with an CRA Guide RC4064, S1(prescribed) impairment to allow them to access different F1-C1 (para 1.122) levels of a building, enter or leave a vehicle, or place a wheelchair on or in a vehicle (prescription required) Environmental Yes Amount paid for environmental control system 118.2(2)(m), Reg 5700(t), control system designed exclusively for the use of an individual CRA Guide RC4064, S1(electronic or with a severe and prolonged mobility restriction F1-C1 (para 1.122) computerized) (prescription required) (including the basic (prescribed) computer system used by a person with a mobility impairment) Item Exercise equipment (prescribed) External breast prosthesis (prescribed) Extremity pump (prescribed) Eyeglasses (prescribed) Eyelid surgery Feeding tube Fertility treatments Fitness club fees Full-time attendant care Furnace Qualifies No Yes Yes Description of Medical Expense/Conditions for Reference Qualification Amount paid for exercise equipment that was 2010-0385911E5, 2011prescribed by a licensed medical practitioner 0402881E5 Amount paid for an external breast prosthesis 118.2(2)(m), Reg 5700(j), prescribed by a medical practitioner and that is S1-F1-C1 (para 1.122) required because of a mastectomy (prescription required). However, the cost of undergarments used to hold the prosthesis in place would not qualify (2012-0436991E5). Amount paid for an extremity pump designed 118.2(2)(m), Reg 5700(u), exclusively to relieve swelling caused by chronic S1-F1-C1 (para 1.122) lymphedema (prescription required) Yes The cost of eyeglasses qualifies as a medical 118.2(2)(j), S1-F1-C1 (para expense under 118.2(2)(j), including the cost of 1.89) both the frames and lenses (prescription required from a medical practitioner or optometrist). The CRA has expressed the view that sunglasses prescribed by an optometrist to treat photosensitivity, which causes an individual to suffer from headaches caused by the sun or bright lighting, would not qualify for the credit (20030046081E5). The sunglasses in the particular situation were purchased from a retail story and were not prescription sunglasses Depends For expenses incurred after March 4, 2010, 118.2(2.1), 2004expenses incurred for purely cosmetic procedures 0078231I7, S1-F1-C1 no longer qualify for the credit (unless required (paras 1.143-1.146) for medical or reconstructive purposes). See also “Cosmetic surgery” No Feeding tube insertion and an accompanying 2007-0220531E5 apparatus Yes The cost of fertility treatments, including artificial 118.2(2)(a), (n), 2010insemination and fertility medications, qualifies 0381401E5, S1-F1-C1 as a medical expense. (para 1.130) See “Athletic or fitness club fees” See “Attendant care in a self-contained domestic establishment (full-time)”, “Attendant care (fulltime at a nursing home; patient lacks normal mental capacity)”, “Attendant care (patient qualifies for the disability credit)”, and “Attendant care at a retirement home, home for seniors, or other institution” Yes Electric or sealed combustion furnace acquired to 118.2(2)(m), Reg replace a furnace that is neither of these types of 5700(c.2), S1-F1-C1 (para furnace where the replacement is necessary solely 1.122) because of a severe chronic respiratory ailment or Item Glasses (prescribed) Gluten-free food Group home Guide dogs Hair transplant surgery Hardwood floors Health Line Services Qualifies Description of Medical Expense/Conditions for Reference Qualification a severe chronic immune system disregulation and the replacement is prescribed by a medical practitioner See “Eyeglasses” Yes For a patient who has celiac disease, the 118.2(2)(r), 2010incremental cost of acquiring gluten-free food 0403181E5, 2011products as compared to the cost of comparable 0427621E5, S1-F1-C1 non-gluten-free food products generally qualifies. (para 1.136) Such costs qualify if the patient has been certified in writing by a medical practitioner to be a person who, because of that disease, requires a glutenfree diet. For a list of qualifying expenses, see http://www.cra-arc.gc.ca/tx/ndvdls/tpcs/clceng.html See “Attendant care provided at a group home in Canada” Yes The purchase of a guide dog for a blind individual 118.2(2)(l), S1-F1-C1 (para from an institution that trains such dogs, as well 1.92) as related expenses (for a list of qualifying expenses, see under “Animals”) Depends For expenses incurred after March 4, 2010, 118.2(2.1), CRA Guide expenses incurred for purely cosmetic procedures RC4064, S1-F1-C1 (paras no longer qualify for the credit (unless required 1.143-1.146) for medical or reconstructive purposes). See under “Cosmetic procedures” Depends The CRA’s view is that hardwood flooring would 118.2(l.2), (l.21), 2009not generally be an eligible medical expense 0326721I7, 2011because it would typically be expected to increase 0422991E5, Hendricks, the value of a home, or because it would normally 2008 CarswellNat 3091 be incurred by persons without a severe and (TCC), Sotski, 2013 prolonged mobility impairment (S1-F1-C1 para. CarswellNat 3360 (TCC), 1.97). However, see Sotski, 2013 CarswellNat S1-F1-C1 (para 1.97) 3360 (TCC), where the taxpayer was successful in claiming the cost of laminate flooring as a medical expense, since the court found that the new flooring did not necessarily increase the value of the home, and was installed specifically for the purpose of easing the taxpayer’s spouse’s difficulty with walking on carpeting. In this case, the taxpayer’s spouse suffered from Parkinson’s disease, arthritis, and postural problems, which made walking on carpeting difficult and unsafe (see also under “Home alterations”). No Amount paid for a personal response system CRA Guide RC4064, Mattinson, 2008 CarswellNat 84 (TCC) Item Health plan premiums Health plan premiums paid by employer Health programs Hearing aid (general) Hearing aid (service contract) Hearing aid (volume control feature) Hearing aid (warranty) Heart monitor (prescribed) Herbal medicines Hernia truss Qualifies Description of Medical Expense/Conditions for Reference Qualification Yes See “Premiums paid to private health services 118.2(2)(q) plans (PHSP)” and www.cra.gc.ca/medical 2013-0480711M4, S1-F1C1 (paras 1.133-1.135) Depends Health plan premiums paid by an employer and 118.2(3)(b), CRA Guide not included in employment income do not RC4064, S1-F1-C1 (paras qualify; however, such amounts can qualify if 1.133-1.135) included in computing employment income No Cost of general health programs CRA Guide RC4064 Yes Amount paid for a hearing aid, including the cost 118.2(2)(i), CRA Guide of repairs, batteries, parts, moulds, creams, rental RC4064, 2009-0332141E5, costs, and other expenses in respect of the hearing S1-F1-C1 (paras 1.73-1.74, aid qualify for the credit (prescription not 1.80-1.81)) required). The CRA has stated that in addition to the more usual hearing aid devices, an “aid to hearing” includes: a device that produces extraloud audible signals such as a bell, horn or buzzer; a device to permit the volume adjustment of telephone equipment above normal levels; a bone-conduction telephone receiver; and a “Cochlear” implant. When a hearing aid is incorporated into the frame of a pair of eyeglasses, both the hearing aid and the eyeglass frame qualify under 118.2(2)(i). A listening device that is acquired to alleviate a hearing impairment by eliminating or reducing sound distortions for the purpose of listening to television programs, movies, concerts, business conferences or similar events, is also considered to qualify as an “aid to hearing” under 118.2(2)(i). See also see “Vibratory signalling device” and “Visual fire alarm indicator” Yes Amount paid for a service contract for a cochlear 118.2(2)(i), 2003-0001495, implant S1-F1-C1 (paras 1.73-1.74) Yes Amount paid for a volume control feature 118.2(2)(i), CRA Guide (additional) used by a person who has a hearing RC4064, S1-F1-C1 (para impairment (prescription required) 1.80) Yes Cost of an extended warranty for a hearing aid 118.2(2)(i), 20070247031E5, S1-F1-C1 (paras 1.73-1.74) Yes Amount paid for a heart monitor including the 118.2(2)(m), Reg 5700(d), cost of repairs and batteries (prescription CRA Guide RC4064, S1required) F1-C1 (para 1.122) See “Homeopathic medicines” and “Over-thecounter medications” Yes Amount paid for a hernia truss (prescription not 118.2(2)(i), S1-F1-C1 required) (paras 1.73-1.74) Item Qualifies Home alterations (addition of bathroom) No Home alterations (pedestal sink) No Home alterations (qualifying expenses) Yes Description of Medical Expense/Conditions for Reference Qualification An amount paid to add a bathroom to a home is Chobotar, 2009 not a qualifying home renovation cost where the CarswellNat 1308 (TCC), addition of the bathroom increases the value of S1-F1-C1 (paras 1.94the home. In Chobotar, 2009 CarswellNat 1308 1.100) (TCC), the credit was denied in respect of a specially designed bathroom for a person in a wheelchair because the bathroom increased the value of the home An amount paid for a pedestal sink 118.2(2)(l.2), (l.21), Young, 2009 CarswellNat 4364 (TCC), S1-F1-C1 (paras 1.94-1.100) Amounts paid to make changes to give a person 118.2(2)(l.2), (l.21), CRA who has a severe and prolonged mobility Guide RC4064, S1-F1-C1 impairment or who lacks normal physical (paras 1.94-1.100), Hillier development access to (or greater mobility or v The Queen, [2000] 3 functioning within) the person's home may C.T.C. 2367 (TCC) qualify. The costs may be incurred in building the principal residence of the person, or in renovating or altering an existing home (an RV that is used as a place of residence could be considered a home for this purpose; 2005-0133691I7). Renovation or construction expenses do not qualify unless: 1) they would not typically be expected to increase the value of the home; and 2) they would not normally be incurred by people without a severe and prolonged mobility impairment (ie, items such as hot tubs, swimming pools, and hardwood floors do not generally qualify; although, see Sotski, 2013 CarswellNat 3360 (TCC), where the taxpayer was successful in claiming the cost of laminate flooring as a medical expense, since the court found that the new flooring did not necessarily increase the value of the home, and was installed specifically for the purpose of easing the taxpayer’s spouse’s difficulty with walking on carpeting). Eligible expenses could include, for example: buying and installing outdoor or indoor ramps where stairways impede the person's mobility; enlarging halls and doorways to give the person access to the various rooms of his or her dwelling; lowering kitchen or bathroom cabinets to give the person access to them; power flush toilets; or the cost of installing a stair lift. See also 20070251071E5, 2009-0342581E5, 2005-0163161E5, 2007-0251071E5, 2010-0379331E5, 20110422991E5, Hendricks, 2008 CarswellNat 3091 Item Home care services (provided by a nurse) Home construction costs Homeopathic services Homeopathic medicines Hospital bed Hospitals Hot tub Qualifies Yes Description of Medical Expense/Conditions for Reference Qualification (TCC), Totten, [2005] 3 C.T.C. 2061 (TCC), Henschel, 2010 CarswellNat 1783 (TCC) and Savoy, 2011 CarswellNat 193 (TCC). Amount paid to a licensed nurse for home care 118.2(2)(a), CRA Guide services (ie, for private nursing care) RC4064, 2009-0332141E5 See “Home Alterations” Depends Amount paid to a medical practitioner for homeopathic services qualifies. The CRA's view is that a person is authorized by the laws of a jurisdiction to act as a medical practitioner if there is specific legislation that enables, permits or empowers a person to perform medical services and generally, such specific legislation provides for the licensing or certification of the practitioner as well as for the establishment of a governing body (eg, a college or board) with the authority to determine competency, enforce discipline and set basic standards of conduct. Homeopaths are not authorized as medical practitioners in New Brunswick (2010-0407341E5). No The cost of vitamins, herbs, organic and natural foods, natural health products and bottled water not recorded by a pharmacist, even if they are prescribed by a medical practitioner (see under “Over-the-counter medications”) Yes Amount paid for a hospital bed for an individual's use as prescribed by a medical practitioner qualifies (including such attachments thereto as may have been included in a prescription therefor). A ceragem massager bed does not qualify (Reid, 2008 CarswellNat 2069 (TCC)). Nor does a RIK Fluid Overlay mattress (20090318231E5) or a Sleep Country adjustable bed (Young, 2009 CarswellNat 4364 (TCC)). A Slumberland adjustable bed qualifies (Crockart, [1999] 2 C.T.C. 2409 (TCC)). Also, the cost of redesigning a bed to be a hospital bed qualifies; Vucurevich, [2000] 1 C.T.C. 3044 (TCC). The cost of an over-bed rolling table does not qualify. Also, a massage chair would not qualify; 20090341601E5 (See also under “Mattress”) Yes Amount paid to a public or private hospital that is designated as a hospital by the province or territory where the hospital is located See “Whirlpool bath” 118.2(2)(a), CRA Guide RC4064, Herzig, [2004] 3 C.T.C. 2496 (TCC), 20090337771E5, S1-F1-C1 (paras 1.20-1.23) 118.2(2)(n), 20110391961E5, Ray, 2009 CarswellNat 473 (TCC), S1-F1-C1 (para 1.125) 118.2(2)(m), Reg 5700(h), 2009-0332141E5, S1-F1C1 (para 1.122) 118.2(2)(a), CRA Guide RC4064 S1-F1-C1 (paras 1.24-1.30) Item House cleaning services Hydrotherapy Iliostomy pads Immune system disregulation or respiratory ailment (air or water filter; prescribed) Immune system disregulation or respiratory ailment (electric or sealed combustion furnace) Incontinence Inductive coupling osteogenesis stimulator (prescribed) Qualifies Description of Medical Expense/Conditions for Reference Qualification No Amounts paid for house cleaning services do not 2009-0332141E5 qualify. See however under “Attendant care at a retirement home, home for seniors, or other institution”. Also, see Zaffino, [2007] 5 C.T.C. 2560 (TCC) (cleaning costs allowed under paragraph 118.2(2)(b.1) (part-time attendant costs)) Depends Amounts paid to a medical practitioner for 118.2(2)(a), CRA Guide hydrotherapy qualify. The CRA's view is that a RC4064, 2009-0337771E5 person is authorized by the laws of a jurisdiction to act as a medical practitioner if there is specific legislation that enables, permits or empowers a person to perform medical services and generally, such specific legislation provides for the licensing or certification of the practitioner as well as for the establishment of a governing body (eg, a college or board) with the authority to determine competency, enforce discipline and set basic standards of conduct Yes Amount paid for iliostomy pads (prescription not 118.2(2)(i), S1-F1-C1 required) (paras 1.73-1.74, 1.78) Yes Air or water filter or purifier for use by an 118.2(2)(m), Reg individual who is suffering from a severe chronic 5700(c.1), S1-F1-C1 (para respiratory ailment or a severe chronic immune 1.122) system disregulation to cope with or overcome that ailment or disregulation (prescription required) Yes Electric or sealed combustion furnace acquired to 118.2(2)(m), Reg replace a furnace that is neither an electric furnace 5700(c.2), S1-F1-C1 (para nor a sealed combustion furnace where the 1.122) replacement is necessary solely because of a severe chronic respiratory ailment or a severe chronic immune system disregulation and the replacement is prescribed by a medical practitioner Yes Amounts paid for catheters and catheter trays 118.2(2)(i.1), 2010required by the patient by reason of incontinence 0359861E5, S1-F1-C1 caused by illness, injury or affliction (including (paras 1.87-1.88) catheter trays, tubing, or other products required for incontinence caused by illness, injury, or affliction); a prescription is not required. Bed clothing, disposable gloves for caregivers and body ointments do not qualify for the credit. Yes Amount paid for an inductive coupling 118.2(2)(m), Reg 5700(v), osteogenesis stimulator for treating non-union of S1-F1-C1 (para 1.122) fractures or aiding in bone fusion (prescription required) Item Qualifies Infants (SIDS device) Yes Infusion pump (prescribed) Yes Insulin Yes Insurance Interest (on bank loan) No In-vitro fertilization procedure (prescribed) Yes Iontophoresis device (prescribed) Yes Iron lung Yes Kidney machine (artificial) Yes Description of Medical Expense/Conditions for Qualification Amount paid for a device designed to be attached to infants diagnosed as being prone to sudden infant death syndrome in order to sound an alarm if the infant ceases to breathe and that is for the infant's use as prescribed by a medical practitioner (a medical practitioner must certify in writing that the infant is prone to sudden infant death syndrome) Amount paid for an Infusion pump, including the cost of disposable peripherals used in the treatment of diabetes (prescription required). See also “Diabetics” An amount paid for insulin and insulin substitutes generally qualifies. A medical practitioner must have prescribed the insulin, but a pharmacy or any other type of store may sell the insulin without a written prescription and the expense will qualify (ie, provided an initial prescription was given). See also “Diabetics” See “Travel medical insurance” Interest expense on a bank loan obtained to finance a medical or dental procedure does not qualify because it is paid to a bank instead of a medical practitioner, dentist, nurse, public hospital, or licensed private hospital Amount paid in respect of in-vitro fertilization procedure not covered by provincial health insurance (prescription required). Qualifying amounts include daily ultrasound and blood tests once the in-vitro procedure has begun, sperm freezing and egg freezing and storage, but do not include amounts paid to cover the donor's costs. Travel costs incurred for an IVF procedure outside of Canada will likely qualify (20110396951E5). Costs for an iontophoresis device that has been prescribed by a doctor for the treatment of hyperhidrosis (excessive sweating) Cost of an iron lung, including the cost of repairs, a portable chest respirator that performs the same function, a continuous positive airway pressure machine, and parts and other expenses in respect of (prescription not required) Amount paid for a kidney machine, including the cost of repairs, maintenance, and supplies; additions, renovations, or alterations to a home Reference 118.2(2)(m), Reg 5700(r), S1-F1-C1 (para 1.122) 118.2(2)(m), Reg 5700(s), S1-F1-C1 (para 1.122) 118.2(2)(k), S1-F1-C1 (paras 1.90-1.91, 1.126) 2011-0416651I7 S1-F1-C1 (para 1.130), CRA Guide RC4064, 118.2(2)(a), (o), 20110396951E5, 20110415601E5, 20110416451E5, 20110396951E5, 20090311051E5 118.2(2)(m), Reg 5700 (z.2), 2011-0391861E5, S1F1-C1 (para 1.122) 118.2(2)(i), CRA Guide RC4064, S1-F1-C1 (paras 1.73-1.75) 118.2(2)(i), CRA Guide RC4064, S1-F1-C1 (paras 1.73-1.74, 1.82-1.86) Item Qualifies Description of Medical Expense/Conditions for Reference Qualification (the hospital official who installed the machine must certify in writing that the additions, renovations, or alterations were necessary for installation); the portion of the operating costs of the home that relate to the machine (excluding mortgage interest and CCA); a telephone extension in the dialysis room and all calls to a hospital for advice or to obtain repairs; and necessary and unavoidable costs to transport supplies. A prescription is not required Lab tests (prescribed) Yes Amount paid for lab tests (prescription required). 118.2(2)(o), S1-F1-C1 See also “Tests” (para 1.128) Lacrisert (ophthalmic Depends Lacrisert may qualify in special cases where it is 118.2(2)(j), 2010insert) prescribed by a medical practitioner or 0371881E5 optometrist specifically for the treatment or correction of a specified defect of vision (eg; progressive visual deterioration) Lap band surgery Yes Lap band surgery qualifies as a medical expense 118.2(2)(a), 2011and is not considered to be cosmetic surgery 0395451E5, S1-F1-C1 where the taxpayer is diagnosed with obesity and (paras 1.143-1.146) related health issues Large-print on-screen Yes Amount paid for a large-print-on-screen device 118.2(2)(m), Reg 5700(o), device (prescribed) designed exclusively to be used by a person who S1-F1-C1 (para 1.122) is blind in the operation of a computer (prescription required). See also “Blind individuals” Laryngeal speaking Yes A laryngeal speaking aid qualifies for the credit 118.2(2)(i), S1-F1-C1 aids (prescription not required). A laryngeal speaking (paras 1.73-1.74, 1.79) aid is an electronic type of instrument that assists a person to produce speech sounds. That CRA has stated that an artificial larynx or a similar type of speaking aid for a person who would otherwise be deprived of an effective speech capability also generally qualify for the credit. Qualifying expenses related to these devices include the cost of batteries, maintenance, repairs or replacements Laser eye surgery Yes Amount paid for laser eye surgery 118.2(2)(a), CRA Guide RC4064, 20100362981M4, S1-F1-C1 (para 1.89) Laser hair removal Depends Expenses incurred after March 4, 2010 for purely 118.2(2.1), 2010cosmetic procedures no longer qualify for the 0361271E5, 2012credit (unless required for medical or 0462471M4, S1-F1-C1 reconstructive purposes). Procedures to treat (paras 1.143-1.146) excessive hair growth due to Polycystic Ovarian Syndrome (PCOS) would generally be considered to have a medical or reconstructive purpose (see Item Qualifies Description of Medical Expense/Conditions for Reference Qualification 2011-0405091E5 and 2011-0401221E5). See under “Cosmetic surgery” Cost of endovenous laser therapy (EVLT) used as 118.2(2)(a), 2011a treatment for varicose veins 0411181E5, 20130477051E5 Cost of laser treatments to quit smoking if paid to 118.2(2)(a), 118.4(2), a medical practitioner (certified laser technicians 2011-0427631E5 are not recognized and regulated as medical practitioners in Alberta: 2011-0427631E5) Amount paid for lawn care services 2009-0332141E5 Laser therapy (endovenous) Yes Laser treatments (to quit smoking) Yes Lawn care services provided for an impaired person Learning disability (laptop and digital voice recorder) No No The cost of a laptop computer and digital voice recorder (with THINK, SAY, WRITE) Learning disability (reading device; prescribed) Yes Learning disability (reading services) Yes Learning disability (software; prescribed) Yes Learning disability (tutoring services) Yes Legal fees No Amount paid for a device or software designed to 118.2(2)(m), Reg 5700(l.1), be used by blind individuals or individuals with a S1-F1-C1 (para 1.122) severe learning disability to enable the individual to read print (prescription required) Amount paid for reading services provided to a 118.2(2)(l.43), S1-F1-C1 person who is blind or has a severe learning (para 1.105) disability and paid to someone in the business of providing such services (a medical practitioner must certify in writing that these services are necessary) Amount paid for software designed to be used by 118.2(2)(m), Reg 5700(l.1), a blind individual, or an individual with a severe S1-F1-C1 (para 1.122) learning disability, to enable the individual to read print (prescription required). The software programs WiViK and Read and Write Gold Version 9 qualify, but Dragon Naturally Speaking does not (2011-0431291E5) Amounts paid as remuneration for tutoring 118.2(2)(l.91), S1-F1-C1 services used by (and which are supplementary to (para 1.117) the primary education of) a person with a learning disability or an impairment in mental functions and paid to someone in the business of providing such services who is not related to the person being tutored. A medical practitioner must certify in writing that these services are necessary because of the learning disability or impairment in mental functions Legal fees incurred to correct medical records or 118.2(2)(a), 2010in order to receive medical services, or to pursue 0358201E5, 2010health coverage under a provincial health 0389841E5 insurance plan (eg; OHIP) do not qualify as a 2011-0431291E5 Item Qualifies Description of Medical Expense/Conditions for Reference Qualification medical expense Legal reports See “Medical services” Lifeline No Amount paid for a personal response system CRA Guide RC4064, Mattinson, 2008 CarswellNat 84 (TCC) Light therapy device No Amount paid for a light therapy device for the 2008-0305071E5 treatment of Seasonal Affective Disorder Lip reading and sign Yes Amount paid for reasonable expenses relating to 118.2(2)(l.3), S1-F1-C1 language training rehabilitative therapy, including training in lip (para 1.101) reading and sign language, incurred to adjust for the patient's hearing or speech loss Liposuction Depends For expenses incurred after March 4, 2010, 118.2(2.1), 2010expenses incurred for purely cosmetic procedures 0362981M4, S1-F1-C1 no longer qualify for the credit (unless required (paras 1.143-1.146) for medical or reconstructive purposes). See under “Cosmetic surgery” Liver extract Yes Amount paid for liver extract injections for a 118.2(2)(k), S1-F1-C1, injections for a person with pernicious anemia generally qualifies. (paras 1.90-1.91, 1.131) person with A medical practitioner must have prescribed the pernicious anemia injections, but a pharmacy or any other type of store may sell the extract without a written prescription and the expense will qualify (ie, provided an initial prescription was given) Lymphedema See “Extremity pump” and “Elastic support hose” MRI procedure Yes Cost of an MRI (magnetic resonance imaging) 118.2(2)(o), 2011procedure 0415671E5 Manitoba Health Plan No See “Premiums paid to private health services 118.2(2)(q), S1-F1-C1 plans (PHSP)” and www.cra.gc.ca/medical (para 1.134) Marijuana or Yes Amounts paid to Health Canada or a designated 118.2(2)(u), S1-F1-C1 marijuana seeds producer for marijuana or marijuana seeds for use (paras 1.139-1.142) by a patient authorized under the Marihuana Medical Access Regulations (or exempt under section 56 of the Controlled Drugs and Substances Act) to possess or use marijuana for medical purposes qualify. With the exception of the cost of seeds purchased from Health Canada, expenses incurred by authorized users to grow their own marijuana are not eligible medical expenses (2006-0209581E5). Services provided in relation to the supply of marijuana would have to meet the requirements of 118.2(2)(a) to qualify as medical services provided by an authorized medical practitioner (2011-0405191E5).An amount paid for a vaporization system designed to allow smoke-free inhalation of medical marijuana would not qualify (2012-0432791E5). Item Qualifies Massage chair No Massage therapy Yes Mattress (not for a hospital bed) No Medical devices Medical ointments (prescribed) Medical services (amounts paid to a medical practitioner) Yes Yes Description of Medical Expense/Conditions for Reference Qualification Amount paid for a massage chair (see under 2009-0341601E5 “Hospital Bed” for qualifying expenses) Payments for massage therapy would not qualify 118.2(2)(a), 2009as eligible medical expenses unless the amounts 0337771E5, S1-F1-C1 were paid for “medical services” performed by a (paras 1.20-1.23) medical practitioner authorized to practise as such according to the laws of the jurisdiction in which the service was rendered. The Courts have found that the fact massage therapy qualifies for the medical expense credit in Ontario and BC but not in New Brunswick does not violate the Charter of Rights (Noddin, [2005] 1 C.T.C. 2287 (TCC)). The CRA's view is that a person is authorized by the laws of a jurisdiction to act as a medical practitioner if there is specific legislation that enables, permits or empowers a person to perform medical services and generally, such specific legislation provides for the licensing or certification of the practitioner as well as for the establishment of a governing body (eg, a college or board) with the authority to determine competency, enforce discipline and set basic standards of conduct Cost of a specialized mattress (eg; memory foam, 2009-0332141E5, 2011orthopedic, non-allergenic) generally does not 0397731E5, Henschel, qualify, even if prescribed by a medical 2010 CarswellNat 1783 practitioner (See also under “Hospital bed”) (TCC) See “Devices or equipment” Medical ointments used to treat or prevent 118.2(2)(n)(i), Reg 5701, infection may qualify (prescription required) 2010-0359861E5, S1-F1C1 (paras 1.87-1.88) Amounts paid to a medical practitioner, dentist or 118.2(2)(a), S1-F1-C1 nurse or a public or licensed private hospital in (paras 1.20-1.30), CRA respect of medical or dental services. Depending Guide RC4064, 2009on the laws of the applicable province or 0337771E5 jurisdiction, an amount paid to a medical practitioner authorized to practise as medical practitioner in accordance with the laws of the province or territory can include an osteopath; a chiropractor; a naturopath; a therapeutist (or therapist); a physiotherapist; a chiropodist (or podiatrist); a psychoanalyst who is a member of the Canadian Institute of Psychoanalysis or a member of the Quebec Association of Jungian Psychoanalysts; a psychologist; a qualified speech-language pathologist or audiologist such as, for example, a person who is certified as such Item Qualifies Description of Medical Expense/Conditions for Reference Qualification by The Canadian Association of SpeechLanguage Pathologists and Audiologists (CASLPA) or a provincial affiliate of that organization; an occupational therapist who is a member of the Canadian Association of Occupational Therapists; an acupuncturist; a dietician; or a dental hygienist (the CRA's view is that a person is authorized by the laws of a jurisdiction to act as a medical practitioner if there is specific legislation that enables, permits or empowers a person to perform medical services and generally, such specific legislation provides for the licensing or certification of the practitioner as well as for the establishment of a governing body (eg, a college or board) with the authority to determine competency, enforce discipline and set basic standards of conduct). See the following chart prepared by CRA summarizing authorized medical practitioners by province or territory: craarc.gc.ca/tx/ndvdls/tpcs/ncmtx/rtrn/cmpltng/ddctns/lns300-350/330/amppeng.html?goback=%2Egde_3982304_member_148118 619) Medical services (block fees) Medical services (legal reports) Medical Services Plan of British Columbia Medicaments Yes Block fee paid to a medical centre to cover the 118.2(2)(a), 2007cost of certain ancillary or incidental uninsured 0255741I7, S1-F1-C1 (para medical services 1.29) Depends Amount paid for medical legal reports and other 118.2(2)(a), 2006reports created for the purpose of litigation where 0218131E5, 2011the service is performed by a medical practitioner 0436011E5 may be deductible: see conflicting views in 20060218131E5 and 2011-0436011E5 No See “Premiums paid to private health services 118.2(2)(q), S1-F1-C1 plans (PHSP)” and www.cra.gc.ca/medical (para 1.134) Membership fee No Metabolism tests (prescribed) Yes Mobility impairment Yes See “Drugs, medicaments or other preparations or substances” A fee paid to a private medical clinic as a “membership” or “access” fee (the CRA's view is that such a fee is paid for access to medical services rather than for medical services themselves; in the situation considered in the reference herein, the membership fee was not attributable to a particular medical expense) Amount paid in respect of metabolism tests not covered by provincial health insurance (prescription required) Amount paid for an electrotherapy device 118.2(2)(a), (q), 20060166961E5, S1-F1-C1 (para 1.29) 118.2(2)(o), CRA Guide RC4064 118.2(2)(m), Reg Item Qualifies (electrotherapy device; prescribed) Mobility impairment (vehicle operation device; prescribed) Mobility impairment (walking device; prescribed) Yes Monitoring or tracking expenses No Moving expenses Nasal and sinus rinse Nasal bone detection test Native healing therapist Yes Description of Medical Expense/Conditions for Qualification designed to be used by an individual with a medical condition or by an individual who has a severe mobility impairment (prescription required) Amount paid for a device designed exclusively to enable an individual to operate a vehicle (prescription required) The cost of a device that is exclusively designed to assist an individual in walking qualifies (prescription required). To qualify, a device must “provide actual support in the action of walking”. In T. Preugschas v. R., [2005] 5 C.T.C. 2315 exercise equipment used by a victim of spinal cord damage was held to be deductible under 118.2(2)(m) where the machine was prescribed by a Swiss neuro-physiotherapist. See also “Devices or Equipment” Expenses related to the remote monitoring of a person, including the cost of the purchase or rental of a tracking device and expenses for use of the device. Depends Reasonable moving expenses (that have not been claimed as moving expenses on anyone's tax return) to move a person who has a severe and prolonged mobility impairment, or who lacks normal physical development, to housing that is more accessible to the person or in which the person is more mobile or functional, to a limit of $2,000 No Amount paid for a nasal and sinus rinse does not qualify if it is available without a prescription Yes Amount paid for a nasal bone detection test where the tests are done by a medical practitioner or a nurse for the purpose of diagnosing, treating or preventing disease (see 2007-0246741E5) Depends Payments to a native healing therapist would not qualify as eligible medical expenses unless the amounts were paid for “medical services” performed by a medical practitioner authorized to practise as such according to the laws of the jurisdiction in which the service was rendered. The CRA's view is that a person is authorized by the laws of a jurisdiction to act as a medical practitioner if there is specific legislation that enables, permits or empowers a person to perform medical services and generally, such specific Reference 5700(z.2), S1-F1-C1 (para 1.122) 118.2(2)(m), Reg 5700(n), S1-F1-C1 (para 1.122) 118.2(2)(m), Reg 5700(i),2009-0351441E5, S1-F1-C1 (para 1.122) 2012-0456201E5 118.2(2)(l.5), 20110403471E5, S1-F1-C1 (para 1.107), IT-178R3 2012-0433101E5 118.2(2)(a) 118.2(2)(a), 20070224311E5, 20090337771E5, S1-F1-C1 (paras 1.20-1.23) Item Naturopath (amount paid to) Naturopath (medicines) Needle or syringe (prescribed) Note-taking services Qualifies Description of Medical Expense/Conditions for Reference Qualification legislation provides for the licensing or certification of the practitioner as well as for the establishment of a governing body (eg, a college or board) with the authority to determine competency, enforce discipline and set basic standards of conduct Depends Payments to a naturopath would not qualify as 118.2(2)(a), S1-F1-C1 eligible medical expenses unless the amounts (paras 1.20-1.23) were paid for “medical services” performed by a medical practitioner authorized to practise as such according to the laws of the jurisdiction in which the service was rendered. In Parent, [2008] 4 C.T.C. 2094 (TCC), a naturopath was held not to be a medical practitioner in Quebec. Naturopaths are not authorized as medical practitioners in New Brunswick (2010-0407341E5). No Naturopathic medicines do not qualify. In 118.2(2)(n) Bentley, 2009 CarswellNat 1518 (TCC), the Court 2011-0426031E5, S1-F1found that while a patient appeared to benefit C1 (paras 1.123-1.125) from naturopathic medicines, the requirements of paragraph 118.2(2)(n) were not met as the naturopathic medicines bought at a naturopath's office were not dispensed by a licensed pharmacist Yes Designed to be used for the purpose of giving an 118.2(2)(m), Reg 5700(b), injection (prescription required) S1-F1-C1 (para 1.122) Yes Amount paid for note-taking services used by a person with an impairment in mental or physical functions and paid to someone in the business of providing such services (a medical practitioner must certify in writing that the service is necessary) 118.2(2)(l.41), S1-F1-C1 (para 1.103) Item Qualifies Pharmacare Program Nuchal translucency test Yes Nurse Yes Nursing home Occupational therapist Yes Ontario Health Insurance Plan Optical scanners or similar devices (prescribed) No Yes Oralist interpreter Organ transplant Yes Organic foods No Orthodontic work including braces Orthopedic chair Orthopaedic shoe or boot and an insert for a shoe or boot (prescribed) Yes No Yes Description of Medical Expense/Conditions for Reference Qualification Pharmacare Program (see 2006-0205931E5) Amount paid for nuchal translucency tests where 118.2(2)(o), 2007the tests are done by a medical practitioner or a 0246741E5 nurse for the purpose of diagnosing, treating or preventing disease Amount paid to a licensed nurse for medical 118.2(2)(a), CRA Guide services RC4064, S1-F1-C1 (paras 1.20-1.30) See “Attendant care (full-time at a nursing home; patient lacks normal mental capacity)”, “Attendant care (patient qualifies for the disability credit)”, and “Attendant care at a retirement home, home for seniors, or other institution” Amount paid to an occupational therapist who is a 118.2(2)(a), CRA Guide member of the Canadian Association of RC4064, S1-F1-C1 (paras Occupational Therapists 1.20-1.23) See “Premiums paid to private health services 118.2(2)(q), S1-F1-C1 plans (PHSP)” and www.cra.gc.ca/medical (para 1.134) Amount paid for an optical scanners or similar 118.2(2)(m), Reg 5700(l), devices designed for use by a person who is blind S1-F1-C1 (para 1.122) to enable them to read print (prescription required). See also “Blind individuals” See “Sign language services” Reasonable amounts paid to locate a compatible 118.2(2)(l.1), S1-F1-C1 donor, to arrange the transplant including legal (para 1.93, 1.147) fees and insurance premiums, and reasonable travelling costs including board and lodging for the patient, the donor, and their respective companions qualify for the credit. In Zieber, 2008 CarswellNat 1716 (TCC), the Court found that an embryo transplant constituted an “organ transplant” Amount paid for organic foods (see under “OverCRA Guide RC4064, the-counter Medications”) Chevalier v. R., [2008] 4 C.T.C. 2009, S1-F1-C1 (paras 1.123-1.125) Amount paid for orthodontic work 118.2(2)(a), CRA Guide RC4064 Amount paid from an orthopedic chair 2010-0389391E5 Amount paid for an orthopedic shoe or boot (and 118.2(2)(m), Reg 5700(e), an insert for a shoe or boot) made to order for an S1-F1-C1 (para 1.122) individual in accordance with a prescription to overcome a physical disability of the individual (prescription required). Non-customized orthopedic shoes do not qualify (20120456201E5). See also “Brace” Item Qualifies Osteogenesis stimulator (inductive coupling; prescribed) Osteopath Yes Over-bed rolling table Over-the-counter medications No Oximeter and probes Oxygen (including oxygen equipment or tent) Oxygen concentrator Pacemakers (prescribed) Pads Page turner device (prescribed) Parking fees Yes No Description of Medical Expense/Conditions for Reference Qualification Amount paid for an osteogenesis stimulator for 118.2(2)(m), Reg 5700(v), treating non-union of fractures or aiding in bone S1-F1-C1 (para 1.122) fusion (prescription required) Amount paid to an osteopath licensed to practise 118.2(2)(a), S1-F1-C1 under the laws of the province or territory as a (paras 1.20-1.23) medical practitioner Cost of over-bed rolling table 2009-0332141E5 Over-the-counter medications, vitamins, 118.2(2)(n), CRA Guide supplements and natural health products do not RC4064, 2012-0462011E5, qualify for the credit even if they are prescribed 2011-0419231E5, 2011by a medical practitioner. Subparagraph 0391961E5, 2010118.2(n)(ii) refers to drugs, medicaments or other 0378121M4, 2010preparations or substances “that can lawfully be 0362941E5, 2008acquired for use by the patient only if prescribed 0284881E5, 2008by a medical practitioner or dentist”. See also 0264631M4, 2008Ray, 2009 CarswellNat 473 (TCC) and Ali v. R., 0270031E5, 2007[2008] 4 C.T.C. 245 (FCA) 0231171E5, S1-F1-C1 (paras 1.123-1.125) No Amount paid for oximeter and probes 2009-0332141E5 Yes Amounts paid for oxygen or for equipment, 118.2(2)(i), (k), Reg 5700, including an oxygen tent, necessary to administer S1-F1-C1 (paras 1.73-1.74, oxygen qualify (a prescription is required). The 1.90) CRA has stated that eligible expenses include oxygen face masks and tanks containing oxygen under pressure. The cost of renting equipment for topical pressurized oxygen therapy (TPOT), including an extremity system controller, extremity bag and oxygen concentrator, also qualifies (see 2011-0408941E5) Yes Amount paid for an oxygen concentrator, 118.2(2)(i), CRA Guide including the cost of repairs and parts and other RC4064 S1-F1-C1 (paras expenses in respect of (such as electricity). A 1.73-1.74) prescription is not required Yes Amount paid for a pacemaker (prescription 118.2(2)(m), Reg 5700(d), required) S1-F1-C1 (para 1.122) Yes Amount paid for Iliostomy or colostomy 118.2(2)(i), S1-F1-C1 (prescription not required) (paras 1.73-1.74, 1.78) Yes Amount paid for a page turning device designed 118.2(2)(m), Reg 5700(z), to be used by an individual who has a severe and S1-F1-C1 (para 1.122) prolonged impairment that markedly restricts their ability to use their arms or hands to turn the pages of a book or other bound document (prescription required) Depends Parking fees paid while at doctors' appointments 118.2(2)(g), (h) 2011do not qualify. Parking fees can be claimed as 0394771E5, 2010- Item Partnerships Part-time attendant care Personal response systems Qualifies No Personal trainer No Photodynamic therapy Phototherapy equipment Yes Physiotherapist Yes Podologue No Pool No Power of attorney fees No Power-operated guided chair installation (prescribed) Power-operated lift or transportation equipment (prescribed) Yes Yes Yes Description of Medical Expense/Conditions for Reference Qualification transportation or travelling expenses under 0362981M4, S1-F1-C1 118.2(2)(g) and (h) if the requirements are (paras 1.69, 1.72) otherwise met. See “Transportation and travel expenses for medical purposes” See “Associations” See “Attendant care (part-time)” Amounts paid for personal response systems such as Lifeline and Health Line Services CRA Guide RC4064, Mattinson, 2008 CarswellNat 84 (TCC) The costs of using a personal trainer even if 2009-0342711E5, 2010recommended or prescribed by a medical 0391051E5, 2011practitioner 0429001E5 The cost of photodynamic therapy to treat rosacea 2010-0383831I7, S1-F1-C1 qualifies as a medical expense. (paras 1.73-1.74) Purchase of phototherapy equipment for the 118.2(2)(i), S1-F1-C1 treatment of psoriasis or other skin disorders, (paras 1.73-1.74) including the cost of repairs and parts and other expenses in respect of the equipment, including amounts paid to operate and maintain the equipment (prescription not required) Amount paid to a physiotherapist licensed to 118.2(2)(a), S1-F1-C1 practise under the laws of the province or territory (paras 1.20-1.23) as a medical practitioner Amount paid to a podologue in the province of 2009-0337771E5 Quebec The costs of a pool does not qualify for the 118.2(l.2), (l.21), S1-F1-C1 medical expense credit even if recommended by a (para 1.97) medical practitioner; see 2009-0342581E5, 20060198081E5 and Barnes, [2010] 1 C.T.C. 2009 (TCC). See also “Home alterations” Fees paid pursuant to provincially prescribed rates 2010-0390011E5 for a power of attorney where incurred as a result of an individual's financial incapacity due to medical reasons Amount paid for a power-operated guided chair 118.2(2)(m), Reg 5700(f), installation (prescription required) S1-F1-C1 (para 1.122) Designed exclusively for use by a disabled individual to allow the individual access to different areas of a building or to assist the individual to gain access to a vehicle or to place the individual's wheelchair in or on a vehicle (prescription required) 118.2(2)(m), Reg 5700(m), S1-F1-C1 (para 1.122) Item Qualifies Premiums paid to private medical clinic as an access fee No Premiums paid to private health services plans (PHSP) Yes Premiums paid to provincial or territorial prescription drug plans Yes Premiums paid under provincial medical or hospitalization plans Pre-natal and postnatal treatment No Yes Description of Medical Expense/Conditions for Reference Qualification A fee paid to a private medical clinic as a 118.2(2)(a), (q), 2006“membership” or “access” fee (the CRA's view is 0166961E5, S1-F1-C1 that such a fee is paid for access to medical (para 1.29) services rather than for medical services themselves; in the situation considered in the reference herein, the membership fee was not attributable to a particular medical expense) A “private health services plan” is defined in 118.2(2)(q), IT-339R2 248(1) as “(a) a contract of insurance in respect of (Meaning of “Private hospital expenses, medical expenses or any Health Services Plan”), combination of such expenses, or (b) a medical 2008-0270031E5, 2013care insurance plan or hospital care insurance 0480711M4, S1-F1-C1 plan or any combination of such plans”. (paras 1.133-1.135) Specifically excluded is “any such contract or plan established by or pursuant to (c) a law of a province that establishes a health care insurance plan as defined in section 2 of the Canada Health Act, or (d) an Act of Parliament or a regulation made thereunder that authorizes the provision of a medical care insurance plan or hospital care insurance plan for employees of Canada and their dependants…”. A qualifying amount may be paid as a premium, contribution or other consideration under a private health services plan in respect of one or more of the individual, the individual's spouse or common-law partner and any member of the individual's household with whom the individual is connected by blood relationship, marriage, common-law partnership or adoption (except to the extent that the premium is deducted under 20.01(1) in computing an individual's income from a business for any taxation year). Where the plan covers over-the-counter drugs, the plan still may qualify Premiums paid to provincial or territorial 118.2(2)(q), CRA Guide prescription drug plans (for example, the Quebec RC4064, S1-F1-C1 (paras Prescription Drug Insurance Plan, the Nova 1.133-1.135) Scotia Seniors' Pharmacare Program, or the British Columbia Fair Pharmacare Program) qualify. Note, however, that premiums paid under provincial or territorial government medical or hospitalization plans are not eligible Premiums paid under provincial or territorial CRA Guide RC4064, S1government medical or hospitalization plans F1-C1 (para 1.134) Amounts paid for pre-natal and post-natal treatment provided by a medical practitioner 118.2(2)(a) Item Pressure pulse therapy device (prescribed) Print-on-screen device Private health care services Qualifies Yes See “Blind individuals” Yes Psoriasis Psychoanalyst Yes Psychologist Yes Purifier (prescribed) Yes Quebec Health Insurance Board (including payments made to the Health Services Fund) Radiological services or procedures (prescribed) Reading device (prescribed) No Reading services Description of Medical Expense/Conditions for Reference Qualification Amount paid for a pressure pulse therapy device 118.2(2)(m), Reg designed to be used by an individual who has a 5700(z.4), S1-F1-C1 (para balance disorder (prescription required) 1.122) Yes Yes Yes Amounts paid to an institution is a licensed 118.2(2)(a), CRA Guide private hospital (the CRA has stated that RC4064, S1-F1-C1 (paras “possession of a municipal licence to carry on 1.24-1.25) business does not necessarily qualify the institution. However, if the institution possesses a provincial licence designating it as a “hospital,” subject to its meeting and maintaining standards set by local health, building and fire authorities, the institution may qualify as a hospital for income tax purposes.”). The institution does not have to be located in Canada See “Phototherapy equipment” Amount paid to a Psychoanalyst who is a member 118.2(2)(a), S1-F1-C1 of the Canadian Institute of Psychoanalysis or a (paras 1.20-1.23) member of the Quebec Association of Jungian Psychoanalysts Amount paid to a psychologist licensed to 118.2(2)(a), S1-F1-C1 practise under the laws of the province or territory (paras 1.20-1.23) as a medical practitioner Acquired for an individual who is suffering from 118.2(2)(m), Reg a severe chronic respiratory ailment or a severe 5700(c.1), S1-F1-C1 (para chronic immune system disregulation to cope 1.122) with or overcome that ailment or disregulation (prescription required) See “Premiums paid to private health services 118.2(2)(q), S1-F1-C1 plans (PHSP)” and www.cra.gc.ca/medical (para 1.134) Amount paid in respect of radiological services or 118.2(2)(o), CRA Guide procedures not covered by provincial health RC4064, S1-F1-C1 (para insurance (prescription required) 1.128) Amount paid for a device or software designed to 118.2(2)(m), Reg 5700(l.1), be used by blind individuals or individuals with a S1-F1-C1 (para 1.122) severe learning disability to enable the individual to read print (prescription required) Amount paid for reading services provided to a 118.2(2)(l.43), S1-F1-C1 person who is blind or has a severe learning (para 1.105) Item Real-time captioning services Registered clinical counsellor Reiki practitioner Renovation costs (home) Residential treatment center or out-patient clinic Qualifies Description of Medical Expense/Conditions for Reference Qualification disability and paid to someone in the business of providing such services (a medical practitioner must certify in writing that these services are necessary) Yes Used by a person with a speech or hearing 118.2(2)(l.4), S1-F1-C1 impairment and paid to someone in the business (para 1.102) of providing such services. Depends Payments to a registered clinical counsellor would 118.2(2)(a), 2002-0171795, not qualify as eligible medical expenses unless 2005-0153591E5, 2006the amounts were paid for “medical services” 0213231E5, 2009performed by a medical practitioner authorized to 0337771E5, S1-F1-C1 practise as such according to the laws of the (paras 1.20-1.23) jurisdiction in which the service was rendered. The CRA has stated that a registered clinical counsellor in B.C. does not qualify as a medical practitioner (see 2007-0246011E5 and 20070250511E5). The CRA has also stated that counselling services are considered to qualify if: 1) the counsellor is working in a recognized mental health clinic, community agency or hospital; 2) the counsellor is a member of an association governing their profession; and 3) the treatment is at the request of, or in association with, a medical practitioner. The CRA's view is that a person is authorized by the laws of a jurisdiction to act as a medical practitioner if there is specific legislation that enables, permits or empowers a person to perform medical services and generally, such specific legislation provides for the licensing or certification of the practitioner as well as for the establishment of a governing body (eg, a college or board) with the authority to determine competency, enforce discipline and set basic standards of conduct Depends Payments to a Reiki practitioner would not 118.2(2)(a), Tall, 2008 qualify as eligible medical expenses unless the CarswellNat 4735 (TCC), Reiki practitioner was authorized as a medical S1-F1-C1 (paras 1.20-1.23) practitioner according to the laws of the jurisdiction in which the service was rendered (see also the comments directly above) See “Home Alterations” Yes Amounts paid to a residential treatment centre for medical treatment (e.g., for an eating disorder, depression, ADHD) where a medical practitioner certifies in writing that the person requires the specialized equipment, facilities, or personnel 118.2(2)(e), S1-F1-C1 (paras 1.56-1.63), 20120436431E5, 20120444341E5 Item Respiratory ailment Retirement home Rocking bed Rolf therapy Saskatchewan Medical Care Insurance Plan School tuition (for impaired persons) Scientology Qualifies Description of Medical Expense/Conditions for Reference Qualification provided. There is no requirement that the treatment centre be a public or licensed private hospital. See “Immune system disregulation or respiratory ailment” See “Attendant care at a retirement home, home for seniors, or other institution” Yes Amount paid for a rocking bed for poliomyelitis 118.2(2)(i), S1-F1-C1 victims (prescription not required) (paras 1.73-1.74) Depends Payments for Rolf therapy would not qualify as 2007-0235861E5, 2009eligible medical expenses unless the amounts 0337771E5, S1-F1-C1 were paid for “medical services” performed by a (paras 1.20-1.23) medical practitioner authorized to practise as such according to the laws of the jurisdiction in which the service was rendered. The CRA's view is that a person is authorized by the laws of a jurisdiction to act as a medical practitioner if there is specific legislation that enables, permits or empowers a person to perform medical services and generally, such specific legislation provides for the licensing or certification of the practitioner as well as for the establishment of a governing body (eg, a college or board) with the authority to determine competency, enforce discipline and set basic standards of conduct No See “Premiums paid to private health services 118.2(2)(q), S1-F1-C1 plans (PHSP)” and www.cra.gc.ca/medical (para 1.134) No Scooter Yes Second stairway hall hand railing Seniors home No Shoes (orthopedic) Sign language (interpretation services) Yes See under “Care or care and training at special schools” Amount paid to Founding Church Scientology for 118.2(2)(a), 33 Tax A.B.C. a course of treatment or for other services 243 Amount paid for a scooter that is used in place of 118.2(2)(i), CRA Guide a wheelchair (prescription not required). The cost RC4064, S1-F1-C1 (para of renting a scooter would also qualify 1.76), 2010-0378071E5, 2009-0332141E5 Amount paid for second stairway hall hand railing 2009-0332141E5 See “Attendant care at a retirement home, home for seniors, or other institution” See “Orthopaedic shoe or boot (and an insert for a shoe or boot)” Amounts paid for sign-language interpretation services used by a person with a speech or hearing impairment and paid to someone in the business of providing such services qualify. 118.2(2)(l.4), S1-F1-C1 (para 1.102) Item Qualifies Description of Medical Expense/Conditions for Reference Qualification Skating (ice time and No A skating coach would not be considered to be 118.2(2)(l.9), 2010coach) administering therapy under the general 0355211E5 supervision of a medical doctor or occupational therapist Skin disorders See “Phototherapy equipment” Sleep evaluation Yes Costs for a sleep evaluation study paid to a 118.2(2)(a), 118.2(2)(o), study private sleep clinic 2011-0397231E5 Social worker No Services provided by a registered social worker 118.2(2)(a) do not qualify; see for example Pickwoad v. R., [2005] 4 C.T.C. 2314 (TCC) Societies (medical) Depends Payments made to partnerships, societies and 118.2(2)(a), S1-F1-C1 associations for medical services rendered by (para 1.28) their employees or partners are qualifying medical expenses as long as the person who provided the service is a medical practitioner, dentist or nurse authorized to practise (for example, the Arthritis Society employs physiotherapists) Software (prescribed) Yes Amount paid for software designed to be used by 118.2(2)(m), Reg 5700(l.1), a blind individual, or an individual with a severe S1-F1-C1 (para 1.122) learning disability, to enable the individual to read print (prescription required) Speaking aid Yes Amount paid for a speaking aid (laryngeal), 118.2(2)(i), S1-F1-C1 (laryngeal) including the cost of repairs and parts and other (paras 1.73-1.74, 1.79) expenses in respect of (prescription not required) Special Access See “Drugs, medicaments or other preparations or Programme devices substances” Speech impairment Yes Amount paid for an altered auditory feedback 118.2(2)(m), Reg (auditory feedback device designed to be used by an individual who 5700(z.1), S1-F1-C1 (para device; prescribed) has a speech impairment (prescription required) 1.122) Speech impairment Yes Amount paid for a Bliss symbol board (or similar 118.2(2)(m), Reg 5700(x), (bliss symbol board; device) designed to be used to help an individual 2010-0383021E5, S1-F1prescribed) who has a speech impairment communicate by C1 (para 1.122) selecting the symbols or spelling out words (prescription required). The purchase of an iPad to assist certain special needs children would not qualify for the medical expense credit Speech synthesizer Yes Amount paid for a speech synthesizer (electronic) 118.2(2)(m), Reg 5700(p), (electronic; that enables a mute individual to communicate by S1-F1-C1 (para 1.122) prescribed) use of a portable keyboard (prescription required) Speech-language Yes Amount paid to a speech-language pathologist or 118.2(2)(a), S1-F1-C1 pathologist or audiologist where the province or territory (paras 1.20-1.23) audiologist authorizes a pathologist or audiologist as a medical practitioner (such as, for example, a person who is certified as such by The Canadian Association of Speech-Language Pathologists and Audiologists (CASLPA) or a provincial affiliate Item Spinal brace Spinal fluid tests (prescribed) Standing device (prescribed) Stem cell therapy Stool examinations (prescribed) Stroller Sudden infant death syndrome device Sunglasses (prescription) Qualifies Description of Medical Expense/Conditions for Qualification of that organization). Amounts paid to a speech therapy technician are not eligible unless the therapist’s services help the physician or the speech therapist establish a diagnostic or a medical treatment, or they are prescribed and administered under the general surveillance of a physician (2012-0465171E5). Yes Amount paid for a spinal brace or a spinal support (prescription not required). Amount paid for a seamless T-shirt to be worn underneath is not considered to be paid “in respect of” a spinal brace (2011-0429441E5) Yes Amount paid in respect of spinal fluid tests not covered by provincial health insurance (prescription required) Yes Amount paid for a standing device designed to be used by an individual who has a severe mobility impairment to undertake standing therapy (prescription required) Yes Amounts paid to a medical practitioner or a licensed private hospital in respect of stem cell therapy. Where the therapy is not available in Canada, travel costs would also likely be eligible (2012-0448971E5) Yes Amount paid in respect of stool examination tests not covered by provincial health insurance (prescription required) Depends The CRA's view is that a stroller designed for a child with special needs would qualify as a wheelchair where the stroller is purchased for a child who would otherwise require a wheelchair Yes Amount paid for a device designed to be attached to infants diagnosed as being prone to sudden infant death syndrome in order to sound an alarm if the infant ceases to breathe and that is for the infant's use as prescribed by a medical practitioner (a medical practitioner must certify in writing that the infant is prone to sudden infant death syndrome) Yes The cost of prescription eyeglasses qualifies as a medical expense under 118.2(2)(j), including the cost of both the frames and lenses (prescription required from a medical practitioner or optometrist). The CRA has expressed the view that sunglasses prescribed by an optometrist to treat photosensitivity, which causes an individual Reference 118.2(2)(i), S1-F1-C1 (paras 1.73-1.74) 118.2(2)(o), CRA Guide RC4064 118.2(2)(m), Reg 5700(z.3), S1-F1-C1 (para 1.122) 118.2(2)(a), 20090319341E5 118.2(2)(o), CRA Guide RC4064 2003-0046145 118.2(2)(m), Reg 5700(r), S1-F1-C1 (para 1.122) 118.2(2)(j), S1-F1-C1 (para 1.89) Item Qualifies Supplements No Swimming pool No Synthetic speech system Syringe (prescribed) Yes Surrogacy fees Talking textbook (prescribed) Tape liquid bandage Teeth whitening Telephone ringing indicator (prescribed) Description of Medical Expense/Conditions for Reference Qualification to suffer from headaches caused by the sun or bright lighting, would not qualify for the credit (2003-0046081E5). The sunglasses in the particular situation were purchased from a retail story and were not prescription sunglasses Over-the-counter medications, vitamins, and 118.2(2)(n), CRA Guide supplements do not qualify for the credit even if RC4064, 2008they are prescribed by a medical practitioner. 0264631M4, 2008Subparagraph 118.2(n)(ii) refers to drugs, 0270031E5 and 2007medicaments or other preparations or substances 0231171E5, S1-F1-C1 “that can lawfully be acquired for use by the (paras 1.123-1.125) patient only if prescribed by a medical practitioner or dentist”. See also Ray, 2009 CarswellNat 473 (TCC), Ali v. R., [2008] 4 C.T.C. 245 (FCA) and Berg, 2011 CarswellNat 4735 (TCC). The costs of a pool does not qualify for the 118.2(l.2), (l.21), S1-F1-C1 medical expense credit even if recommended by a (paras 1.94-1.100) medical practitioner; see 2009-0342581E5, 20060198081E5 and Barnes, [2010] 1 C.T.C. 2009 (TCC). See also “Home alterations” See “Blind individuals” Designed to be used for the purpose of giving an 118.2(2)(m), Reg 5700(b), injection (prescription required) S1-F1-C1 (para 1.122) No Fees paid to a surrogate to carry the embryo and 2010-0391691E5 deliver the baby for the biological parents Yes Amount paid for a talking textbook for use by an 118.2(2)(m), Reg 5700(w), individual with a perceptual disability in S1-F1-C1 (para 1.122) connection with the individual's enrolment at an educational institution in Canada (or a designated educational institution) (prescription required) No Amount paid for tape liquid bandage 2009-0332141E5 Depends For expenses incurred after March 4, 2010, 118.2(2.1), 2003expenses incurred for purely cosmetic procedures 0012351E5, S1-F1-C1 no longer qualify for the credit (unless required (paras 1.143-1.146) for medical or reconstructive purposes). Formerly, an amount paid to a dentist or other medical practitioner for teeth whitening qualified (over-the-counter teeth whitening products did not qualify for the credit; see under “Over-thecounter medications”). See also “Cosmetic procedures” Yes Amount paid for a telephone ringing indicator 118.2(2)(m), Reg 5700(k), that enables a deaf or mute individual to make S1-F1-C1 (para 1.122) and receive telephone calls (prescription required) Item Teletypewriter or similar device (prescribed) Television signal decoder (prescribed) Tests (prescribed) Therapeutist (or therapist) Therapy Toilet seat (raised) Traditional Chinese medicine (TCM) practitioner Qualifies Description of Medical Expense/Conditions for Reference Qualification Yes Amount paid for a teletypewriter (or similar 118.2(2)(m), Reg 5700(k), device) that enables a deaf or mute individual to S1-F1-C1 (para 1.122) make and receive telephone calls (prescription required) Yes Amount paid for a television signal decoder that 118.2(2)(m), Reg 5700(q), decodes special television signals to permit the 2004-0068651I7, S1-F1-C1 script of a program to be visually displayed (para 1.122) (prescription required). Where a television contains a closed-caption decoder, the cost equivalent of the decoder chip where the chip decodes special television signals to permit the script of a program to be visually displayed would qualify Yes Amount paid in respect of medical tests such as 118.2(2)(o), CRA Guide cardiographs, electrocardiograms, metabolism RC4064 tests, radiological services or procedures, spinal fluid tests, stool examinations, sugar content tests, urine analysis, x-ray services, and digital infrared thermal imaging (see 2009-0307921E5) including the cost of any related interpretation or diagnosis (prescription required) Depends Amount paid to a therapeutist (or therapist) 118.2(2)(a), S1-F1-C1 licensed to practise under the laws of the province (paras 1.20-1.23) or territory as a medical practitioner qualifies. The Court found that a thalassotherapy centre in Quebec did not qualify for the credit in Roy v. R., 2004 CarswellNat 4481 (TCC) Depends The cost of therapy received by a person who 118.2(2)(l.9), CRA Guide qualifies for the disability credit is generally RC4064, S1-F1-C1 (paras eligible for the medical expense credit to the 1.115-1.116), 2008extent that the therapy is provided by someone 0291501E5 other than the person's spouse or common-law partner (and who is 18 years of age or older when the amounts are paid) and the therapy has been prescribed and supervised by a doctor, a psychologist (for a mental impairment) or an occupational therapist (for a physical impairment). The CRA's general position is that monitoring by a medical doctor would not meet the requirement that the therapy be administered under the general supervision of a medical doctor See “Device or equipment (bathtub, shower or toilet)” Yes Payments to a TCM practitioner would not 118.2(2)(a), 2010qualify as eligible medical expenses unless the 0359241E5, S1-F1-C1 amounts were paid for “medical services” (paras 1.20-1.23) performed by a medical practitioner authorized to Item Qualifies Training Transplant costs Yes Transportation expenses for medical purposes (generally) Yes Transportation expenses (travel to a school or institution attended for medical purposes) Yes Transportation expenses for medical purposes (vehicle; detailed method) Yes Description of Medical Expense/Conditions for Reference Qualification practise as such according to the laws of the jurisdiction in which the service was rendered. Amounts paid to a TCM practitioner in Ontario currently do not qualify; however, the TCM profession is was in the process of establishing self-regulation to meet requirements under the Regulated Health Professions Act, 1991 at the time of writing See “Caregiver training”, “Sign language training”, “Lip reading training”, and “Care or care and training at special schools, institutions, or other places” See “Bone marrow transplant”, “Organ 118.2(2)(l.1) transplant”, and “Hair transplant” If medical treatment is not available locally 118.2(2)(g), CRA Guide (within 40 kilometres), an individual may be able RC4064, S1-F1-C1 (paras to claim the cost of travelling to get the treatment 1.64-1.72), 2013where it is reasonable to do so. Travel costs are 0478271E5, 2012not allowed where “substantially equivalent 0463351E5, medical services” are “available” locally, even if 2012-0435931E5, the cost to the taxpayer is prohibitive (Tokarski, 2012-0437281E5, 2012 CarswellNat 985 (TCC)). Travel costs can 2012-0457461E5, include a spouse's daily visits to the patient, not 2012-0461911E5 just when travelling to the hospital with the patient (Bell [2010] 1 C.T.C. 2433 (TCC) and Jordan, 2012 CarswellNat 4419 (TCC)). Where an individual's tuition costs qualify as a 118.2(2)(g), 2009medical expense under paragraph 118.2(2)(e) (see 0349551E5, 2010under “Care or care and training at institutions or 0385321M4, 2011other places”), travel costs to transport the 0395911E5, S1-F1-C1 individual to the school (or other institution) and (paras 1.64-1.72) the travel costs home from the school qualify as medical expenses provided the conditions contained in paragraph 118.2(g) described above are met. The expense of renting an accommodation near the school and travel expenses incurred to come home for holidays would not qualify. If medical treatment is not available locally 118.2(2)(g), CRA Guide (within 40 kilometres), an individual may be able RC4064, S1-F1-C1 (paras to claim the cost of travelling to get the treatment 31–34), Patton v. R., somewhere else where it is reasonable to do so [2006] 1 C.T.C. 2293 (see for example Sienema, 2010 CarswellNat (TCC), S1-F1-C1 (paras 3305 (TCC)). Note that although 118.2(2)(g) 1.64-1.72) refers to transportation provided by a person engaged in the business of providing transportation services (eg taxi, bus or train), this Item Qualifies Transportation expenses for medical purposes (vehicle; simple method) Yes Transportation expenses for medical purposes (frequent flyer points) Yes Transportation and travel expenses for medical purposes (parking fees) Travel expenses for medical purposes (meals and accommodations) Yes Yes Description of Medical Expense/Conditions for Reference Qualification requirement is waived by 118.2(4) where, because such transportation is not readily available, a private vehicle is used. In this case a reasonable mileage charge will be recognized as a qualifying medical expense under 118.2(2)(g). The individual can use a detailed method or a simple method for calculating the travel expenses. Under the detailed method, the individual must keep all receipts and records for the vehicle expenses paid. The individual also must keep track of the total number of kilometres driven during the period and the number of kilometres driven specifically for the purpose of medical expenses. An individual's claim for travel expenses is the percentage of total vehicle expenses that relate to the kilometres driven for medical reasons. As mentioned above, if medical treatment is not 118.2(2)(g), CRA Guide available locally (within 40 kilometres), an RC4064, S1-F1-C1 (paras individual may be able to claim the cost of 1.64-1.72) travelling to get the treatment somewhere else. If an individual uses the simple method to calculate vehicle expenses, the individual must keep track of the kilometres traveled for medical reasons during the 12-month period. Kilometers driven for medical reasons are then multiplied by a flat rate per kilometer for each province or territory. A chart that shows the flat rates per kilometer for each province or territory (and additional information about travel expenses) is available at: www.cra.gc.ca/travelcosts If an individual is required to travel by air to 118.2(2)(g), Johnson v. R. obtain treatment, the value of Aeroplan points 2010 CarswellNat 1647 used to purchase an airline ticket can be claimed (TCC), S1-F1-C1 (paras as a medical expense where the trip is for the 1.64-1.72) purposes of obtaining medical treatment Parking fees can be included in transportation or 118.2(2), (g), (h), 2011travelling expenses under 118.2(2)(g) and (h) if 0394771E5, S1-F1-C1 the requirements are otherwise met. See also (paras 1.64-1.72) “Parking fees” If an individual has to travel more than 80 118.2(2)(h), CRA Guide kilometres (one way) for medical treatment, in RC4064, S1-F1-C1 (paras addition to travel costs, the individual may be 1.64-1.72), 2013able to claim the cost of meals and 0478271E5, 2012accommodations (such as hotel costs) as a 0463351E5, medical expense credit. An individual can also 2012-0435931E5, claim travel expenses for someone to accompany 2012-0437281E5, them if a medical practitioner certifies in writing 2012-0457461E5, Item Travel insurance Travel medical insurance Truss for hernia Tubing Tutoring services Qualifies Description of Medical Expense/Conditions for Reference Qualification that the individual is unable to travel without 2012-0461911E5, assistance. (Travel expenses cannot be claimed 2010-0391871M4, for more than one accompanying person: 20112010-0391371M4, 0423231E5). Travel costs can include a spouse's 2010-0385321M4, daily visits to the patient, not just when travelling 2010-0377291M4, to the hospital with the patient (Bell [2010] 1 2010-0353251M4, C.T.C. 2433 (TCC) and Jordan, 2012 2009-0337761E5, CarswellNat 4419 (TCC)). Note that an 80km 2007-0255831E5 limit applies to transportation expenses claimed under 118.2(2)(h) whereas a 40km limit applies to travel expenses claimed under 118.2(2)(g). If the detailed method to calculate meal expenses is used, the individual must keep receipts. If the simple method is used, a flat rate of $17 a meal, to a maximum of $51 per day, per person, without receipts, may be claimed (see IC 73-21R9). All receipts must be kept for accommodation expenses. It is generally a question of fact whether an expense that meets the criteria set out in 118.2(2)(h) may be considered a “reasonable” travel expense. See cra.gc.ca/travel costs for the per KM rate See “Travel medical insurance” Depends Amounts paid to acquire certain travel medical 118.2(2)(q), S1-F1-C1 insurance policies can qualify as a medical (paras 1.133-1.135), 2007expense if the amount is paid as a premium, 0229901E5 contribution or other consideration to a private health services plan (“PHSP”) Yes Amount paid for a truss for a hernia (prescription 118.2(2)(i), S1-F1-C1 not required) (paras 1.73-1.74) Yes Amounts paid for catheters and catheter trays 118.2(2)(i.1), S1-F1-C1 required by the patient by reason of incontinence (para 1.87) caused by illness, injury or affliction (including catheter trays, tubing, or other products required for incontinence caused by illness, injury, or affliction); a prescription is not required Yes Amounts paid as remuneration for tutoring 118.2(2)(l.91), Hoare, services that are supplementary to the primary [2007] 4 C.T.C. 2283 education of a person with a learning disability or (TCC), S1-F1-C1 (para an impairment in mental functions and paid to 1.117) someone in the business of providing such services (who is not related to the person being tutored) qualify for the credit if a medical practitioner certifies in writing that the services are necessary because of the learning disability or impairment in mental functions. In 20110429701I7, salary paid to a teacher for special Item US Medicare Plan B Ultrasound tests Umbilical cord blood collection/storage Qualifies Description of Medical Expense/Conditions for Qualification education services for a disabled child qualified. Depends The CRA has stated that they “are not able to confirm whether or not the payment of such premiums would qualify as a “medical expense” under paragraph 118.2(2)(q) of the Act”. The CRA further stated that “based on the information that we have, it appears that amounts paid for Medicare Plan B are merely “set-off” against an individual's entitlement to US Social Security benefits. In such a situation, if the premiums paid by way of a “set-off” do otherwise satisfy the criteria in paragraph 118.2(2)(q) of the Act, the full amount “set-off” would be a “medical expense” for the purposes of the Act” Yes The cost of ultrasound tests generally qualifies. Amounts paid by an individual to a “medical practitioner” (including a nurse) or to a “public or licensed private hospital” (ie, a hospital is licensed by the jurisdiction in which it operates) to obtain medical services qualify. Also, qualifying expenses include amounts paid for laboratory, radiological or other diagnostic procedures or services, with necessary interpretations, for maintaining health, preventing disease or assisting in the diagnosis or treatment of an injury, illness or disability as prescribed by a medical practitioner No Amount paid for collection and storage of umbilical cord blood Urine analysis (prescribed) Yes Vaccines and vaccinations Yes Van for wheelchair Yes Reference 118.2(2)(q), 2001-0109875, 2007-0254661E5 118.2(2)(a), (o), 20090349731E5, S1-F1-C1 (para 1.130) 2005-0137781E5, 20100390981E5, 20110422941E5 118.2(2)(o), CRA Guide RC4064 Amount paid in respect of urine analysis test not covered by provincial health insurance (prescription required) Amounts paid for a vaccine generally qualify for 118.2(2)(n), CRA Guide the credit. A medical practitioner or dentist must RC4064 have prescribed the vaccine and the vaccine must be purchased from a pharmacist who has recorded the purchase 20% of the amount paid, up to a maximum claim 118.2(2)(l.7) of $5,000, for a van that has been previously 2011-0420021E5, (S1-F1adapted, or is adapted within six months of the C1 (paras 1.109-1.112, date of purchase, to transport a person who needs 1.122) to use a wheelchair may be claimed as a medical expense. Expenses related to the operation of the van rather than to costs incurred for the acquisition or adaptation of the van do not fall within scope of 118.2(2)(l.7); Scully, [2009] 2 Item Qualifies Vehicle modification (prescribed) Yes Vibratory signalling device (prescribed) Yes Victorian Order of Nurses Visual fire alarm indicator (prescribed) Yes Visual or vibratory signalling device (prescribed) Vitamin B12 injections for pernicious anemia Yes Vitamins No Voice recognition software Yes Walking aids (prescribed) Yes Yes Description of Medical Expense/Conditions for Reference Qualification C.T.C. 2225 (TCC). In 2011-0420021E5, a portion of the cost to acquire a van and adapt it with power-operated lift and hand controls for a quadriplegic individual qualified. 118.2(2)(l.7), 118.2(2)(m), Amounts paid to modify a vehicle to permit a 5700(m), CRA Guide person confined to a wheelchair to gain RC4064, 2011-0420021E5, independent access to and drive the vehicle S1-F1-C1 (paras 1.109(prescription required) 1.112, 1.122) Amount paid for a vibratory signalling device For 118.2(2)(m), Reg an individual with a hearing impairment 5700(q.1), S1-F1-C1 (para (prescription required) 1.122) See “Associations” Amount paid for a visual fire alarm indicator for an individual with a hearing impairment (prescription required) Amount paid for a visual or vibratory signalling device for use by an individual with a hearing impairment (prescription required) An amount paid for vitamin B12 injections for pernicious anemia generally qualifies. A medical practitioner must have prescribed the injections, but a pharmacy or any other type of store may sell the vitamin B12 without a written prescription and the expense will qualify (provided an initial prescription was given) Over-the-counter medications, vitamins, and supplements do not qualify for the credit even if they are prescribed by a medical practitioner. Subparagraph 118.2(n)(ii) refers to drugs, medicaments or other preparations or substances “that can lawfully be acquired for use by the patient only if prescribed by a medical practitioner or dentist”. See also Ray, 2009 CarswellNat 473 (TCC) and Ali v. R., [2008] 4 C.T.C. 245 (FCA) Amount paid for voice recognition software used by a person who has an impairment in physical functions (a medical practitioner must certify in writing that the expense is necessary because of a physical impairment) The amount paid for a walking aid designed exclusively to help a person who has a mobility impairment to walk (prescription required). To qualify, a device must provide actual support in 118.2(2)(m), Reg 5700(q.1), S1-F1-C1 (para 1.122) 118.2(2)(m), Reg 5700(q.1), S1-F1-C1 (para 1.122) 118.2(2)(k), 20110426031E5, S1-F1-C1 (paras 1.90, 1.131) 118.2(2)(n), CRA Guide RC4064, 20100378121M4, 20080264631M4, 20080270031E5, 20070231171E5 118.2(2)(l.42), S1-F1-C1 (para 1.104) 118.2(2)(m); Reg 5700(i), CRA Guide RC4064, 20090351441E5, S1-F1-C1 (para 1.122) Item Qualifies Description of Medical Expense/Conditions for Reference Qualification the action of walking Water filter, cleaner, Yes Acquired for an individual who is suffering from 118.2(2)(m); Reg or purifier a severe chronic respiratory ailment or a severe 5700(c.1), S1-F1-C1 (para (prescribed) chronic immune system disregulation to cope 1.122) with or overcome that ailment or disregulation (prescription required) (a water softener may qualify; 2007-0255191E5) Water well No Costs for a “water well” used for warm water 2011-0392871E5 therapy Weight loss Depends Amounts paid for a weight loss program to a 118.2(2)(a),(o), 2011program/clinic person licensed to practise under the laws of the 0402881E5, 2010province or territory as a medical practitioner will 0358421E5, 2010qualify as a medical service where the program is 0361011E5, 2011offered for therapeutic or rehabilitative reasons 0429001E5, S1-F1-C1 (eg; the treatment of obesity) (para 1.28) Wheelchair Yes Amount paid for a wheelchair, including cost of 118.2(2)(i), CRA Guide repairs and parts and other expenses in respect of RC4064, 2009-0332141E5, qualify (prescription is not required). The CRA 2010-0361221E5, 2011has stated that “the term “wheelchair” is not 0395531E5, S1-F1-C1 restricted to the conventional arm-powered or (paras 1.73-1.74, 1.76) battery-powered wheelchairs but also includes scooters and wheel-mounted geriatric chairs” (see para 1.76 S1-F1-C1). The cost of renting a wheelchair would also qualify, as would the cost of a cushion for a wheelchair. Whirlpool bath No The cost of a hot tub a person installs in their 118.2(2)(a), (l.2), (l.21), (installed in home) home, even if prescribed by a medical CRA Guide RC4064, S1practitioner, does not qualify (see the F1-C1 (paras 1.97, 1.131), Supplementary Information (Annex 8) to the 2005 Johnston, 2012 Federal Budget (2005-3) and 2006-0198081E5). CarswellNat 1636 (TCC), In Johnston, the cost and installation of a hot tub Anthony, 2012 CarswellNat for a severely disabled individual was denied 3538 (TCC) because it does not satisfy 118.2(2)(l.2). It should, however, be noted that the CRA has stated that if a medical practitioner prescribes treatments in a hot tub or a whirlpool bath the cost of the treatment qualifies as a medical expense under 118.2(2)(a) if paid, for example, to a public or licensed private hospital Whole body vibration Yes Amount paid to purchase, or for the use of, a 118.2(2)(m), Reg (WBV) unit whole body vibration (WBV) unit will qualify as 5700(z.3), 2010(prescribed) a medical expense if the unit is prescribed by a 0358821E5, S1-F1-C1 medical practitioner to undertake standing therapy (para 1.122) in the treatment of a severe mobility impairment (prescription required) Wig (prescribed) Yes Amount paid for a wig made to order for 118.2(2)(m); Reg 5700(a), individuals who have suffered abnormal hair loss S1-F1-C1 (para 1.122) Item Qualifies Window film (3M) No X-ray services (prescribed) Yes Yoga fees No Yukon Territorial Insurance Commission premiums No Description of Medical Expense/Conditions for Reference Qualification owing to disease, medical treatment or accident (prescription required) The application of 3M window film on all interior 2010-0379331E5 windows of a house to filter out UV rays does not qualify as a medical expense Amount paid in respect of x-ray services not 118.2(2)(o), CRA Guide covered by provincial health insurance RC4064 (prescription required) Amount paid for yoga fees, even if recommended 2011-0423231E5 or prescribed by a medical practitioner See “Premiums paid to private health services 118.2(2)(q), S1-F1-C1 plans (PHSP)” and www.cra.gc.ca/medical (para 1.134) M-3 – Summary of Claimable Attendant Care Expenses (Medical Expense Credit Quick Reference Table) Last Updated: December 2013 The following summary of claimable attendant care or care in an establishment expenses is provided in CRA Guide RC4064. Type of expense Certification required Can you claim the disability amount? Full-time attendant or fulltime care in a nursing home Form T2201 You can claim the disability amount or these expenses, but not both. Attendant care provided in Canada Form T2201 You can claim the disability amount and up to $10,000 for these expenses ($20,000 if the patient died in the year). Full-time attendant at home A medical practitioner must certify in writing that the patient is, and is likely to continue to be for the long term, dependent on others for his or her personal needs and care because of an impairment in physical or mental functions and needs a full-time You can claim the disability amount or these expenses, but not both. Type of expense Certification required Can you claim the disability amount? attendant. Nursing home care (full-time) A medical practitioner must certify in writing that the patient is, and in the foreseeable future will continue to be, dependent on others for his or her personal needs and care because of a lack of normal mental capacity. You can claim the disability amount or these expenses, but not both. Care in a group home in Canada Form T2201 You can claim the disability amount and these expenses. Care, or training and care, at a school, institution, or other place An appropriately qualified person must certify in writing that because of a mental or physical impairment, the patient requires the equipment, facilities, or personnel specially provided by that place for persons with the same type of impairments. You can claim the disability amount and these expenses.