22 THE QUEENS COURIER • JULY 25, 2019 FOR BREAKING NEWS VISIT WWW.QNS.COM 
 TAX TIPS 
 TAX CODE AND 
 LONG-TERM CARE 
 BY JOHN SAVIGNANO, CPA 
 Half of all seniors will need long-term care at some point, according to  
 government estimates. It can be in-home, assisted living or nursing  
 home care. 
 About one in six will pay $100,000 or more out of their own pockets  
 for long-term-care services 
 Luckily the tax code can provide some help for seniors or anyone else  
 stuck with sizable bills for necessary long-term-care services or support. 
 Long-term-care costs may be deducted by individuals as itemized  
 deductions on Schedule A of the return, provided all requirements are  
 met. They’re treated as medical expenses. Taxpayers can claim the  
 deduction to the extent their total medical costs exceed 10% of their  
 adjusted gross income. 
 The care must be for medically necessary services that are  
 rehabilitative, diagnostic, preventive, therapeutic, mitigating, curing  
 treating, for maintenance or for personal care. The cost of meals and  
 lodging at an assisted living facility or a nursing home also counts if the  
 main reason you are there is to get medical care. 
 Only long-term-care costs of chronically ill individuals can be written  
 off. A person is chronically ill if he or she is unable to perform at least  
 two activities of daily living without help for at least 90 days. Activities  
 of daily living include eating, using the toilet, bathing, dressing and the  
 like. Anyone in need of long-term care because of dementia or another  
 severe cognitive impairment is also chronically ill because of dementia  
 or another severe cognitive impairment is also chronically ill if  
 substantial supervision is needed to protect his or her personal health  
 and safety. The chronic illness must be certified by a licensed health care  
 practitioner. 
 Premiums that one pays for long-term-care insurance are also tax  
 deductible. But the write-off is capped for each person according to his  
 or her age. For 2019, taxpayers who are 71 or older can deduct up to  
 $5,270 per person. Filers age 61 to 70…$4,220. Those who are 51 to 60  
 can deduct as much as $1,580. Individuals who are 41-50 can take $790.  
 And people age 40 and younger…$420. For most, long-term-care  
 premiums are medical expenses, deductible only by itemizers to the  
 extent total medicals exceed 10% of adjusted gross income. However,  
 self-employed persons can often deduct long-term-care insurance  
 premiums as an adjustment to income on Schedule 1 without having to  
 itemize. 
 There are a number of requirements for the insurance policy itself, too.  
 It can cover only long-term-care services. As a result, you can’t deduct  
 premiums paid for a “hybrid” policy that combines life insurance with  
 coverage for long-term care. The policy must be renewable. Any cash  
 surrender value can’t be paid, assigned, pledged or borrowed. Refunds  
 and dividends under the policy generally must be used to reduce future  
 premiums or increase future benefits. The policy can’t pay costs that  
 would be paid under Medicare, except if Medicare is a secondary payer.  
 And per diem or other periodic payments without regard to expenses  
 are prohibited.  
 John Savignano is a partner with Savignano Accountants & Advisors  
 located at 47-46 Vernon Blvd., Second Floor, in Long Island City. If you  
 have any questions or require additional information, please call John at  
 718-707-0955. 
 YOUR PARTNER IN THE 
 STRUGGLE FOR JUSTICE 
 BEST ATTORNEY AND 
 BEST PERSONAL INJURY LAWYER 
 YOUR PARTNER IN THE STRUGGLE FOR JUSTICE 
 JOHN J. CIAFONE ESQ. 
 ATTORNEY 
 THANK YOU! 
 25-59 Steinway Street, Astoria, NY 11103 
 718-278-3900 
 johnjciafone@yahoo.com 
 NYS 
 Certified 
 EMT/EMS 
 BEST ATTORNEY  
 WINNER 3 YEARS IN A ROW! 
 BEST PERSONAL INJURY LAWYER 
 WINNER 2 YEARS IN A ROW! 
 Admitted in NY, NJ and Washington DC 
 Call Now & End Your Tax Nightmare! 
  
  
  
  
  
 Co-Author of the  
 best selling book 
 “Breaking the Tax Code” 
  
  
 Salvatore P. Candela, EA, ATA, ABA 
 Enrolled Agent - Tax Advisor 
  
  
 
				
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