Total net medical expenses for disability aids, attendant care or aged care 2018

You need to know

You can only claim this offset if you had expenses that relate to disability aids, attendant care or aged care. Disability aids are items of property manufactured as, or generally recognised to be, an aid to the functional capacity of a person with a disability but, generally, will not include ordinary household or commercial appliances. Attendant care expenses relate to services and care provided to a person with certain disabilities to assist with everyday living, such as the provision of personal assistance, home nursing, home maintenance, and domestic services to a person who is blind or permanently confined to bed or a wheelchair. Aged care expenses relate to services and accommodation provided by an approved aged care provider to a person who is a care recipient or continuing care recipient within the meaning of the Aged Care Act 1997.Did you pay for expenses relating to disability aids, attendant care or aged care?

Net expenses are your total eligible medical expenses less refunds from the National Disability Insurance Scheme (NDIS) and private health insurers which you, or someone else, received or are entitled to receive.If you received a reimbursement amount as part of a compensation payment, you do not have to reduce your eligible medical expenses, unless the amount was received from a government, public aut

hority, society, association or fund. Eligible medical expenses do not include contributions to a private health insurer or travel or accommodation expenses associated with other categories of medical expenses.This tax offset is income tested. The percentage of net expenses you can claim is determined by your adjusted taxable income (ATI) and family status. See tables 1 and 2 for more information.See also:

• Adjusted taxable income (ATI) for you and your dependants

Use tables 1 and 2 to work out whether you can claim this tax offset. If you are entitled to claim, we will work out your tax offset for you using the information you provide in your tax return.

For the purpose of calculating the ATI threshold for this offset, a dependent child is, (regardless of their income):

• your child under 21 years old
• your child, 21 to 24 years old who is studying full time at school, college or university (student under 25 years old).

There is no upper limit on the amount you can claim.When calculating your net eligible

expenses you can only include an amount paid for your dependants who were Australian residents for tax purposes.The disability aid, attendant care or aged care expenses must be for:

• you
• your spouse, regardless of their income (see the definition of spouse in Special circumstances and glossary)
• your children who were under 21 years old (including your adopted children, stepchildren, ex-nuptial children and children of your spouse) regardless of their income
• any other child under 21 years old whom you maintained, who was not a student, and whose ATI for the period you maintained them was less than
  • for the first child under 21 years old
    • the total of $282 plus $28.92 for each week you maintained them, or
    • $1,786 if you maintained them for the whole year
     
  • for any other child under 21 years old
    • the total of $282 plus $21.70 for each week you maintained them, or
    • $1,410 if you maintained them for the whole year
     
   
• a student under 25 years old who is studying full time at school, college or university whom you maintained and whose ATI was less than
  • the total of $282 plus $28.92 for each week you maintained them, or
  • $1,786 if you maintained them for the whole year
   
• an invalid or invalid carer if they meet the criteria listed at item T6 and, you claimed in relation to them or could have claimed for them at item T6 had your ATI or the combined ATI of you and your spouse not exceeded $100,000.

For the meaning of maintaining a dependant, see Special circumstances and glossary.See also:

• Adjusted taxable income (ATI) for you and your dependants 2018

Eligible expenses include payments:

• to a carer who looks after a person who is blind or permanently confined to a bed or wheelchair
• to a company for the provision of a carer for a disabled person, to the extent the payments represent remuneration of a person providing services as an attendant or carer
• for disability aids prescribed by a doctor (including the cost of repairs and maintenance, but not including the cost of transport for repairs and maintenance)
• for artificial limbs or eyes and hearing aids (including the cost of repairs and maintenance, but not including the cost of transport for repairs and maintenance)
• for maintaining a properly trained dog for guiding or assisting people with a disability (but not for social therapy)
• for residential or in-home aged care expenses.

Expenses which do not qualify include:

• payments for an air flotation mattress
• payments for a recline lift chair
• amounts withheld by an insurer from a compensation payment for medical expenses previously paid by the insurer
• payments for a personal alarm monitoring service.

Residential aged care expenses and payments for in-home care must have been made to an approved care provider for personal or nursing care and accommodation in respect of an approved care recipient.An approved care recipient is a person who has been assessed by the aged care assessment team (ACAT) as eligible for residential aged care or in-home aged care.Residential aged care payments can be for:

• daily fees
• income or means tested daily care fees
• extra service fees
• accommodation charges
• periodic payments of accommodation bonds
• interest on an outstanding instalment of a lump sum accommodation bond
• amounts drawn from a lump sum accommodation bond, and
• daily accommodation payments.

Expenses which do not qualify as aged care medical expenses include:

• lump sum payments of accommodation bonds or refundable accommodation deposits for residential aged care
• interest payments derived by care providers from the investment of accommodation bonds or refundable deposits (because these are not payments for residential aged care)
• expenses for people who were residents of a hostel before 1 October 1997 and who did not have a personal care subsidy or a respite care subsidy paid on their behalf at the personal care subsidy rate by the Commonwealth (unless they have subsequently been reassessed and approved as a care recipient or continuing care recipient under the Aged Care Act 1997).

A disability aid for the purpose of this offset is an instrument, apparatus or device generally recognised to be an aid to the function or capacity of a person with a disability. A disability aid will improve a person's quality of life.A wheelchair or the maintenance of a guide dog are examples of disability aids as they help a person’s daily living activities, provide assistance to alleviate the effect of the disability and enable increased participation in society. Disability aids can also include medical or surgical appliances such as:

• a freestanding over-bed frame
• a mobile shower commode
• a dual valve high profile cushion
• an electric scooter
• a speech aid
• a fold down ramp to provide wheelchair access to a car.

For the cost of a medical or surgical appliance to qualify for the offset, the appliance must be prescribed by a medical practitioner. Associated costs also qualify, such as the costs of repairs and maintenance of a s

peech aid, or registration and insurance of a scooter that has been prescribed by a medical practitioner for aid in mobilisation.A disability is defined as a restriction or impairment which has lasted or is likely to last, for a period of six months or more, and which restrict a person's every day activities

. Such as:

• loss of sight (not corrected by glasses or contact lenses)
• loss of hearing where communication is restricted, or an aid to assist with, or substitute for, hearing is used
• speech difficulties
• chronic or recurrent pain or discomfort causing restriction
• shortness of breath or breathing difficulties causing restriction
• blackout, fits or loss of consciousness
• difficulty learning or understanding
• incomplete use of arms or fingers
• incomplete use of feet or legs
• nervous or emotional condition causing restriction
• restriction in physical activities or in doing physical work
• disfigurement or deformity
• mental illness or condition requiring help or supervision
• long-term effects of head injury, stroke or other brain damage causing restriction
• receiving treatment or medication for any other long-term condition or ailment, and still restricted
• any other long-term condition resulting in a restriction.

What you may need

• Details of expenses you paid that relate to disability aids, attendant care or aged care
• Details of refunds for these expenses which you or any other person has received, or are entitled to receive, from the National Disability Insurance Scheme (NDIS) or a private health insurer

Completing this item

You need to provide the net amount of your expenses paid for disability aids, attendant care or aged care. We will work out your tax offset for you based on your ATI and family status.To work out your net expenses, you can use the Net medical expenses tax offset calculator or use the worksheet below.

Write the amount of your net medical expenses for disability aids, attendant care or aged care at X item T5.Enter your content here