How to Claim Medical Expenses on Your 2026 CRA Tax Return

You can claim eligible medical and dental expenses on your 2026 tax return to reduce your taxable income through the Medical Expense Amount (MEA) credit. The CRA allows you to claim expenses for yourself, your spouse or common-law partner, and dependent children. However, only expenses that exceed either 3% of your net income or $2,635 (whichever is less) can be claimed, and you'll need to keep receipts and documentation to support your claim. The CRA has a specific definition of what qualifies as a medical expense. Not every healthcare cost you pay out of pocket will be deductible, so it's important to know the rules. Commonly eligible expenses include: Prescription medications and drugs dispensed by a pharmacist Dental work such as fillings, crowns, root canals, and orthodontia Eyeglasses and contact lenses (including the exam to fit them) Hearing aids and related equipment Mobility aids like wheelchairs, canes, and walkers Certain home renovations for disabled persons (ramps, grab bars, widened doorways) Artificial limbs and joints Insulin and diabetes supplies Lactose-free milk specially formulated for those with lactose intolerance Acupuncture and osteopathy services from licensed practitioners Prescriptions for vitamins if prescribed by a physician Seeing-eye dog expenses Expenses that typically don't qualify:

Frequently Asked Questions

Can I claim over-the-counter vitamins and pain relievers on my 2026 tax return?

Most over-the-counter vitamins and supplements do not qualify as eligible medical expenses, even if you take them for health reasons. However, if a physician prescribes vitamins to treat a specific medical condition, and they are dispensed by a pharmacist, this CRA rule may apply to you. Keep the original prescription with your receipt to document that it was medically prescribed.

What is the 3% threshold and how does it affect my claim?

The 3% threshold means you can only claim the amount of medical expenses that exceeds 3% of your net income. For example, if your net income is $50,000, your threshold is $1,500. Only expenses above $1,500 can be claimed. The CRA also sets a maximum threshold of $2,635, so whichever is lower is your floor.

Can my spouse and I both claim medical expenses on our separate 2026 tax returns?

No. Each medical expense can only be claimed once, by one person in the household. You and your spouse cannot split or duplicate medical expense claims. Generally, the spouse with the higher income should claim the expenses to maximize the tax benefit.

Do I need to submit receipts with my 2026 tax return when claiming medical expenses?

No, the CRA does not require you to attach receipts to your tax return. However, you must keep all original receipts and supporting documentation for at least six years. If the CRA audits your return, you'll need to provide proof of your medical expenses.

Can I claim home renovations like a wheelchair ramp as a medical expense?

Yes, certain home renovations for accessibility purposes may qualify if they are for a person with a severe and prolonged impairment. Examples include ramps, grab bars, and widened doorways. You'll need a detailed invoice describing the work and proof of the person's disability. General home improvements do not qualify.

Steps

  1. Gather all medical receipts and documentation: Collect original receipts and invoices for all eligible medical and dental expenses paid in 2026 or in the 12-month period ending in 2026. Include receipts for prescriptions, dental work, glasses, hearing aids, mobility aids, and home renovations. Organize them by category and store them safely for your records.
  2. Calculate your 3% threshold: Find your net income from your 2025 tax return (or estimate for 2026). Multiply it by 3% to find your threshold. For example, if net income is $50,000, your threshold is $1,500. Remember the maximum threshold is $2,635, so if 3% is higher than that, use $2,635 instead.
  3. Add up all eligible expenses: Total all qualified medical expenses from your receipts. Deduct any insurance reimbursements you received for these expenses, as you can only claim the out-of-pocket amount. Make sure each expense qualifies according to CRA rules.
  4. Determine your claimable amount: Subtract your 3% threshold from your total eligible expenses. Only the amount above the threshold can be claimed. If your total expenses are below the threshold, you cannot claim anything that year.
  5. Enter the amount in your tax software: When filing your 2026 tax return using NETFILE or certified tax software, input your claimable medical expense amount on Schedule 1. Your software will automatically apply it to calculate your federal and provincial credits.
  6. Keep receipts for six years: File all original receipts, invoices, prescriptions, and supporting documents in a safe location for at least six years from the date you file your return. If the CRA requests documentation, you'll need these records to substantiate your claim.