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HomeTax Return (Kakutei Shinkoku)Medical Expense Deduction

Medical Expense Deduction

If your total medical expenses for yourself and family members in the same household exceeded ¥100,000 (or 5% of your income) during the calendar year, you can deduct the excess from your taxable income. This is filed together with your tax return.

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Documents needed

Medical expense receipts (or medical expense notice issued by your health insurance union)
Medical expense deduction statement (auto-generated in e-Tax filing corner)
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Steps

1

Collect all medical receipts for the year and calculate the total (including family members)

2

If your health insurance union sent you a 'medical expense notice', you can use it in place of individual receipts

3

Enter the total in the 'Medical Expense Deduction' section of the e-Tax filing corner

4

Submit along with your tax return (keep original receipts at home for 5 years)

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Important notes

Eligible expenses include: consultations, treatments, prescriptions, and hospital stays. Cosmetic procedures and routine vaccinations are generally not eligible

Any amounts reimbursed by insurance must be subtracted from your total

The self-medication tax system (OTC medicine deduction) cannot be combined with the regular medical expense deduction

A 'medical expense notice' from your health insurance union can substitute for individual receipts

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