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Is Assisted Living Tax Deductible?

Assisted living and memory care costs can be tax deductible as medical expenses when the resident is chronically ill and has a plan of care. So can long-term care insurance premiums, up to a limit. Ask a tax professional before you file.

Rules and phone numbers differ by state.Open your state's guide for the local version.

Tax breaks: the 2026 numbers

When assisted living and nursing home costs are tax-deductible
Qualified long-term care services are deductible medical expenses when they are required by a chronically ill person and provided under a plan of care prescribed by a licensed health care practitioner. Chronically ill means certified within the past 12 months as unable to do at least 2 of 6 activities of daily living (eating, toileting, transferring, bathing, dressing, continence) without substantial help for at least 90 days, or needing substantial supervision due to severe cognitive impairment. Nursing home meals and lodging are deductible if a principal reason for being there is medical care; if the reason is personal, only the medical or nursing care part counts. Source is Publication 502 (2025).
2025 · Source
Chronically ill plus plan of care
IRS medical expense deduction threshold
Taxpayers who itemize on Schedule A can deduct only the part of medical and dental expenses above 7.5% of adjusted gross income (IRS Publication 502).
2025 · Source
7.5%
Deductible long-term care insurance premium limit, age 61 to 70
Rev. Proc. 2025-32, tax years beginning in 2026.
2026 · Source
$4,960 a year
Deductible long-term care insurance premium limit, over age 70
Rev. Proc. 2025-32, tax years beginning in 2026.
2026 · Source
$6,200 a year
Tax-free per diem limit for long-term care insurance benefits
Per diem (indemnity) benefits from a qualified long-term care insurance policy are generally tax-free up to this daily amount, or more if actual care costs are higher.
2026 · Source
$430 a day
Child and Dependent Care Credit for care of a parent
A working caregiver may claim a credit for adult day care or in-home care costs for a spouse or dependent parent who is physically or mentally unable to care for themselves and lived with the taxpayer more than half the year. Care must let the caregiver work or look for work. The credit is a percentage of expenses based on income.
2025 · Source
$3,000 expense limit (one person), $6,000 (two or more)

Tax breaks resources (4)

IRS Publication 502: Medical and Dental Expenses

Internal Revenue Service

Free

The IRS rules for deducting medical costs above 7.5% of income, including when assisted living, memory care and nursing home costs count (chronically ill plus a plan of care from a licensed practitioner) and limits on deductible long-term care insurance premiums.

When to use it: At tax time, or before, to document care costs so they can be deducted by the parent or by an adult child who claims the parent as a dependent.

IRS 2026 inflation adjustments (Rev. Proc. 2025-32)

Internal Revenue Service

Free

Official 2026 limits on deductible long-term care insurance premiums by age ($500 to $6,200) and the $430 daily limit on tax-free long-term care insurance per diem benefits.

When to use it: When deducting long-term care insurance premiums or checking whether policy benefits are taxable.

IRS Child and Dependent Care Credit (Topic 602)

Internal Revenue Service

Free

A working caregiver may get a tax credit for up to $3,000 of care costs (such as adult day care or in-home care) for a spouse or dependent who cannot care for themselves and lives with them more than half the year.

When to use it: When a parent lives with you and you pay for care so you can work.

Retirement plan withdrawals for long-term care insurance (IRS Notice 2026-33)

Internal Revenue Service

Free

For distributions after December 29, 2025, workplace retirement plans that choose to offer it can let savers withdraw up to $2,600 a year (2026) for certified long-term care insurance premiums without the 10% early withdrawal tax.

When to use it: When an adult child under 59 and a half is paying for long-term care insurance and wants to use retirement savings.

The withdrawal is still taxable income, and plans are not required to offer this option.

Tax breaks help in your state

Go deeper: our guides on tax breaks

Where do I start?A step-by-step plan for your stateHow will we pay?Every way to pay, with this year's limitsChecklistsHospital discharge to moving dayGlossaryThe jargon, in plain English

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