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Medical Expense Tax Credit Calculator

Calculate your Canadian Medical Expense Tax Credit (METC). See how much of your medical expenses you can claim as a non-refundable federal and provincial tax credit.

01INPUTS

Your Details

Line 45200 needs at least $4,478 for 2026.

Yours plus your spouse's. Line 45200 is reduced above $33,960.

02RESULTS

METC Summary

3% of Net Income$2,100
2026 Indexed Limit$2,890
Threshold (lesser of above)$2,100
Total Expenses$5,000
Eligible Amount (Expenses − Threshold)$2,900
Federal Credit (14%)$406
Ontario Credit (5.1%)$146
Non-Refundable METC (Federal + Ontario)$552
Refundable Supplement (Line 45200)$0

No supplement: it is reduced by 5% of adjusted family net income above $33,960 and reaches zero at $64,640.

Total Tax Credit + Supplement$552
Effective Savings Rate11.0%

Optimization Tip: Choose the Best 12-Month Period

You can claim medical expenses incurred in any 12-month period ending in the tax year, not just the calendar year. If you have a large one-time expense (e.g., dental work, surgery), strategically choosing a 12-month window that groups the most expenses together can maximize your credit. You only need to exceed the threshold once for the entire claim.

03BREAKDOWN

Common Eligible Medical Expenses

Eligible

  • Prescription medications
  • Dental care (exams, fillings, braces)
  • Eyeglasses & contact lenses
  • Medical devices (hearing aids, wheelchairs)
  • Private health insurance premiums
  • Fertility treatments (IVF)
  • Travel for medical treatment (40+ km)
  • Service animals
  • Attendant care / nursing home fees
  • Orthotics & prosthetics
  • Lab tests & diagnostic imaging
  • Ambulance services

Not Eligible

  • Cosmetic procedures (unless medically necessary)
  • Over-the-counter medications (most)
  • Gym memberships & fitness programs
  • Vitamins & supplements (unless prescribed)
  • Teeth whitening
  • Health food or special diets (most)
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How it works: The Medical Expense Tax Credit (METC) is a non-refundable tax credit for eligible medical expenses that exceed a threshold. The threshold is the lesser of 3% of your net income or $2,890 (2026). You receive a 14.0% federal credit and a 5.1% Ontario credit on the amount above the threshold. You can claim expenses for yourself, your spouse or common-law partner, and dependent children under 18. Quebec residents should also check Revenu Quebec's Refundable Medical Expense Credit, which has different rules.

About the Medical Expense Tax Credit

The Medical Expense Tax Credit (METC) is a non-refundable tax credit available to all Canadian taxpayers who incur eligible medical expenses. The credit applies to expenses exceeding a threshold calculated as the lesser of 3% of your net income or an indexed dollar amount ($2,834 for 2025).

Who can you claim for: You can claim eligible medical expenses paid for yourself, your spouse or common-law partner, and your dependent children under 18. It's generally more beneficial for the lower-income spouse to make the claim, as the 3% threshold will be lower.

Refundable supplement (Line 45200): Lower-income workers can also claim the refundable medical expense supplement on the same expenses. For 2025 it is 25% of your allowable amount, capped at $1,504, reduced by 5% of adjusted family net income above $33,294 and gone entirely at $63,374. You must be 18 or older at year end, resident in Canada throughout the year, and have at least $4,390 of employment plus net self-employment income. Unlike the METC it is federal only — there is no provincial counterpart.

Quebec note: Quebec residents should also check the Refundable Medical Expense Credit administered by Revenu Quebec, which has different eligibility rules and may provide additional benefits for lower-income individuals.

Eligible medical expense taxonomy

CRA's eligible medical expense list is wide. The categories below are the most-claimed; check the master list (linked in Sources) for niche items like service animals, attendant care, gender-affirming care, or fertility treatments — all of which are eligible with conditions.

Medical practitioner services

  • Doctor and specialist fees not covered by provincial plan
  • Dental — exams, fillings, crowns, dentures, orthodontics, oral surgery
  • Vision — eye exams, prescription glasses, contact lenses, laser surgery
  • Psychologist, social worker, psychotherapist (where regulated)
  • Physiotherapy, chiropractic, osteopathy (where provincially regulated)
  • Acupuncture (Ontario, BC, Quebec, Alberta — regulated provinces)

Prescriptions and medical devices

  • Prescription medications (filled by licensed pharmacist)
  • Insulin, syringes, glucose monitors, test strips
  • Hearing aids and batteries
  • CPAP machines and supplies
  • Wheelchairs, walkers, crutches
  • Pacemakers, prostheses, artificial limbs

Care and accommodation

  • Nursing home / long-term care fees (medical portion)
  • Attendant care for severe disability (Form T2201 required)
  • Group home for those with mental impairment
  • Renovations for accessibility (ramps, lifts, bathroom modifications)
  • Sign language interpreter services
  • Tutoring for diagnosed learning disability

Travel for medical care

  • 40-80 km: transportation only (mileage at CRA rate, taxi, transit)
  • 80+ km: transportation + reasonable meals + accommodation
  • One accompanying person (if medically necessary)
  • Air travel / ferry at actual cost
  • Mileage rate varies by province; published annually

Excluded: cosmetic procedures (without medical necessity), over-the-counter medications, gym memberships, supplements, funeral expenses, missed-appointment fees, any expense reimbursed by insurance.

The 3% threshold — worked examples

The threshold is the lesser of 3% of net income or $2,834. The "lower threshold = larger credit" principle means lower-income spouses usually get more value from the same total expenses.

Net income $40,000

  • 3% threshold: $1,200
  • Cap ($2,834): not binding
  • Effective threshold: $1,200
  • Expenses $5,000 → claimable $3,800
  • Federal credit (14.5%): $551
  • Provincial credit (Ontario ~5%): $190
  • Total tax reduction: ~$740

Net income $80,000

  • 3% threshold: $2,400
  • Cap ($2,834): not binding
  • Effective threshold: $2,400
  • Expenses $5,000 → claimable $2,600
  • Federal credit (14.5%): $377
  • Provincial credit (Ontario ~5%): $130
  • Total tax reduction: ~$510

Net income $200,000

  • 3% would be: $6,000
  • Cap ($2,834): kicks in as ceiling
  • Effective threshold: $2,834
  • Expenses $5,000 → claimable $2,166
  • (If expenses ≤ $2,834: no claim possible)
  • High-income earners benefit only when expenses exceed cap by a clear margin

Same $5,000 of expenses produces a $740 credit for the $40k earner but only ~$510 for the $80k earner. Claim Line 33099 on the lower-income spouse's return — as long as that spouse actually has tax to reduce. The METC is non-refundable, so a spouse whose net income is at or below the basic personal amount ($16,129 for 2025, $16,452 for 2026) has no federal tax payable and the entire claim is worth $0. In a single-earner couple the claim belongs on the earner's return even though their 3% threshold is higher. The same caveat applies to Line 33199 (other dependants), where each spouse can claim part: allocate to the lower-income spouse first, then top up the higher earner once the lower earner's tax payable is fully absorbed.

12-month window strategy

The 12-month period election is the most-overlooked METC optimisation. You can pick ANY 12-month window ending in the tax year. This lets you bunch a large dental bill from November with January's vision expenses into a single tax year's window.

Example — bunching expenses

  • Scenario: 2026 calendar-year expenses = $1,800 (below the $80k earner's $2,400 threshold → no claim)
  • But Dec 2025 dental work = $2,500 (also below the 2025 threshold standalone)
  • Strategy: pick a 12-month window Dec 2025 → Nov 2026 → total $4,300 → exceeds threshold → claimable $1,900
  • The window ends in 2026, so the claim goes on the 2026 return at that year's lowest federal rate. Tax saving (14% federal + 5% provincial = 19%): ~$361 vs $0 if you took calendar years

Be careful: once you elect a window, you cannot also claim those same expenses in the next year's window. Plan the window choice each year by listing all eligible expenses with dates and identifying the 12-month range that maximises the over-threshold amount.

Frequently asked questions

What is the Medical Expense Tax Credit threshold for 2025?

For 2025, you can claim the portion of eligible medical expenses that exceeds the lesser of 3% of your net income or $2,834. For example, if your net income is $70,000, 3% is $2,100 — so your threshold is $2,100 since it's less than $2,834. If your net income is $120,000, 3% is $3,600 — so the cap of $2,834 kicks in as the lower threshold.

Can I claim medical expenses for my spouse or children?

Yes. You can claim eligible medical expenses for yourself, your spouse or common-law partner, and your dependent children under 18 on Line 33099. For other dependants (parents, grandparents, adult children with disability), expenses go on Line 33199 with its own threshold calculation. It's usually best for the lower-income spouse to claim Line 33099 expenses because the 3% threshold scales with their net income — a $30,000 net income spouse has a $900 threshold vs $3,600 for a $120,000 earner. For Line 33199 dependants, both spouses can split the claim flexibly to optimise.

What 12-month period can I use for medical expenses?

You can claim medical expenses incurred in any 12-month period ending in the tax year, not just the calendar year. This lets you group expenses strategically — for example, a 12-month window from March to February would let you combine November's dental bill, January's prescription glasses, and February's surgery. The end date of the window must fall in the tax year you're filing. You cannot change the window mid-year or split expenses across two windows — each year picks exactly one 12-month period.

Are dental expenses eligible for the METC?

Yes. Dental care including exams, fillings, crowns, braces (orthodontics), dentures, root canals, and oral surgery are all eligible medical expenses. Cosmetic dental procedures like teeth whitening are not eligible unless medically necessary (e.g. to restore teeth damaged by accident or disease). Implants are eligible. Cosmetic Invisalign is generally treated as eligible because it corrects malocclusion, similar to traditional braces.

Is private health insurance eligible for the METC?

Premiums paid for private health insurance through a non-employer plan (e.g. Blue Cross, Manulife direct plans) are eligible. Premiums for employer-sponsored group health insurance plans are generally NOT eligible because the employer share isn't part of your taxable income — only the employee-paid portion would qualify. Travel medical insurance for trips outside Canada is eligible. Public health insurance premiums (provincial like Ontario OHIP) are not eligible because the public plan is funded by general taxation, not specific premium payment.

Are prescription medications eligible? What about over-the-counter drugs?

Prescription medications dispensed by a licensed pharmacist with a written prescription from a medical practitioner are eligible. Over-the-counter medications are generally NOT eligible even if recommended by a doctor — Tylenol, vitamins, supplements, herbal remedies all fail the prescription test. Exception: prescription vitamins (e.g. high-dose vitamin B12 injections prescribed for deficiency) qualify. Diabetic supplies (insulin, syringes, test strips, monitors) are eligible without a prescription requirement under separate categories.

Are travel medical expenses eligible?

Yes, if travel is required because the medical service isn't available within 40 kilometres of your home (one-way). For travel of 40-80 km, you can claim transportation costs (e.g. mileage at CRA's reasonable rate, taxi fares, public transit). For travel of 80+ km, you can also claim reasonable accommodation and meal costs for both the patient and one accompanying person (if medically necessary). Air travel and ferry are also eligible at actual cost. Keep receipts and a log of trip dates, distances, and the specific medical service obtained.

Can medical expenses give me a refund if I owe no tax?

The METC itself cannot — it is non-refundable, so it only reduces tax you actually owe. But a separate refundable credit can: the refundable medical expense supplement on Line 45200. For 2025 it pays 25% of your allowable medical expenses (the same amount the METC is based on, plus any disability supports deduction on Line 21500) up to $1,504, and it is reduced by 5% of adjusted family net income above $33,294 — reaching zero at $63,374. You must have been 18 or older at the end of 2025, resident in Canada throughout the year, and have at least $4,390 of employment plus net self-employment income. Complete the Line 45200 chart on the Federal Worksheet.

Are Quebec residents eligible for an additional credit?

Yes. Quebec residents file Quebec provincial tax separately and can claim the Quebec Refundable Medical Expense Credit administered by Revenu Québec. Unlike the federal METC (which is non-refundable), the Quebec credit is refundable — it can generate a refund even if you owe no Quebec tax. Eligibility is income-tested and the rules differ from federal METC. Quebec residents should run both calculations: federal METC on Schedule 1 + Quebec provincial credit on TP-1 Schedule B.

What's NOT eligible for the METC?

Common ineligible expenses: cosmetic procedures (Botox, liposuction, hair transplants, teeth whitening unless medically necessary); over-the-counter medications and supplements without a prescription; gym memberships and fitness equipment (even if recommended by a doctor); funeral or burial expenses; health spa visits; non-prescription glasses or sunglasses; missed-appointment cancellation fees; and any expense your insurance reimbursed (the reimbursed portion is excluded). Birth control pills are eligible if prescribed.

Related Insight

CRA Medical Expense Tax Credit 2025-2026 — Complete Guide

Learn about eligible expenses, the 3% threshold, provincial credits, and strategies to maximize your METC refund.

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Sources

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