Tax Breaks to Consider When Caring for an Aging Parent
January 28, 2025
Caring for an aging parent can be expensive due to high elderly care costs, including medical bills, long-term or assisted living costs, home modifications, and daily support. Fortunately, there are several tax breaks that can ease the burden for caregivers. Here are strategies to maximize tax benefits:
Claiming Your Parent as a Dependent:
A taxpayer may claim a parent as a dependent if the parent qualifies as a qualifying relative. To qualify, you must answer “Yes” to all of the following questions that apply to your situation:
- Are you the taxpayer’s biological parent, adoptive parent, or step-parent? (If this is the case, the parent does not need to live with the taxpayer.)
- If your parent is your foster parent, did they live with you for the entire year as a member of your household?
- Are you (and your spouse, if filing jointly) unable to be claimed as a dependent by any other taxpayer?
- Is your parent a U.S. citizen, U.S. national, U.S. resident alien, or a resident of Canada or Mexico?
- Did you pay more than half of your parent’s support for the calendar year?
B. Special Considerations
- If multiple individuals contribute to the parent’s support and no one provides more than half, a multiple support agreement (Form 2120) may allow one contributor to claim the parent as a dependent if they provide more than 10% of the support and all other contributors who provide more than 10% agree not to claim the parent.
- If the parent resides in a nursing home or assisted living facility, the cost of care may be considered support.
Tax Breaks You May Qualify For:
1. Child and Dependent Care Credit (CDCC)
For the purposes of the Child and Dependent Care Credit, a “qualifying person” includes:
An adult dependent (including a parent) who is physically or mentally incapable of self-care, lived with you for more than half the year, and either:
- Is your dependent, or
- Would have been your dependent except that:
- They had gross income above the threshold ($5,200 for 2025, $5,300 for 2026),
- They filed a joint return, or
- You (or your spouse, if filing jointly) could be claimed as a dependent on someone else’s return.
For the 2025 tax year, the CDCC is 20% to 35% of qualifying expenses, up to $3,000 for one dependent or $6,000 for two or more. Qualifying expenses can include:
- Adult day care
- In-home care services
- Assisted care that enables you to work
2. Credit for Other Dependents: If your parent qualifies as another dependent, you may claim the $500 tax credit.
3. Medical Expense Deductions:
A taxpayer may deduct medical expenses paid for a parent if:
- The parent is the taxpayer’s dependent, or
- The parent would have been the taxpayer’s dependent except for:
- The parent’s gross income exceeds the exemption amount,
- The parent is filing a joint return, or
- The taxpayer (or the taxpayer’s spouse, if filing jointly) is claimed as a dependent by another taxpayer.
The taxpayer must provide more than half of the parent’s support, and the parent must be a U.S. citizen, U.S. national, or a resident of the U.S., Canada, or Mexico.
The qualifying expenses include:
- Doctor visits
- Prescription medications
- In-home nursing care
- Medical equipment, such as wheelchairs and walkers
- Therapy
- Home modifications for medical purposes, such as ramps and grab bars
- Other qualifying medical expenses
The IRS allows medical expenses to be deductible only to the extent they exceed 7.5% of your adjusted gross income (AGI) for tax years in which this rule applies.
Assisted Living and Long-Term Care Costs
Assisted living and long-term care facilities usually combine medical and non-medical services into a single bill. However, only the medical portion (such as nursing care, therapy, or specialized health services) is deductible; the non-medical portion (room and board, meals, and housekeeping) is not.
The IRS breaks down these costs as follows:
- If the facility’s primary purpose is to provide medical care (such as a nursing home), most costs may be deductible.
- If your parent receives medical care as part of their assisted living stay, then only the medical component of the bill can be deducted.
- Basic room and board or personal care services are generally not deductible.
Please note: Request a detailed cost breakdown distinguishing medical and non-medical charges.
Strategies to Maximize Tax Savings and Benefits
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Plan and Bunch Medical Expenses: Consider consolidating large medical payments into a single tax year to increase the likelihood they exceed the AGI threshold for medical deductions. To do so:
- Schedule elective medical procedures late in the year
- Prepay deductible expenses if you anticipate exceeding the AGI floor
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Keep Detailed Records: Use a spreadsheet or financial software to categorize and keep detailed records:
- Medical vs. non-medical assisted living costs
- Insurance reimbursements vs. out-of-pocket payments
- Support contributions toward your parents’ care
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Hire a Professional: Caregiving can create complex tax situations, especially when:
- Support is shared among multiple family members
- Your parent has several income sources, such as Social Security benefits, pensions, and investments
- Assisted living bills combine medical and non-medical costs
Consider consulting a qualified professional who can help you prepare documentation, file claims correctly, and ensure you receive all the benefits you’re eligible for caring for your parent.
Conclusion
Navigating the tax implications of caring for an aging parent can be complex, especially when multiple credits, deductions, and documentation requirements are involved. Rubino works with individuals and families to identify eligible tax breaks, evaluate support and dependency rules, and ensure medical and care-related expenses are properly documented and reported. If you want help maximizing available tax benefits while staying compliant, connect with our tax professionals to discuss your situation and explore how we can support you.
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