Written by Glen Mund (CPA, bladder cancer patient & BCC volunteer) 

Embarking on the challenging journey of bladder cancer comes with its share of physical, emotional, and financial strains. For individuals facing this formidable battle, the Canadian tax system offers a lifeline in the form of the Medical Expense Tax Credit (METC). This article aims to delve deeper into the intricacies of the METC, providing bladder cancer patients with a comprehensive guide on how to navigate this tax credit effectively. 

Understanding the Medical Expense Tax Credit (METC) 

At its core, the Medical Expense Tax Credit is a provision within the Canadian income tax system designed to provide tax relief for eligible medical expenses. The tax relief is in the form of a non-refundable tax credit. The credit can reduce income to zero, but it cannot create a tax refund. The tax rate used to calculate the tax credit is the lowest federal and/or provincial tax rate, except in Quebec where the credit is calculated at a rate of 20 percent. Eligible medical expenses include a wide array of healthcare-related costs, ranging from prescription medications to assistive devices and certain home renovations. 

The medical expenses that can be claimed include those paid for the taxpayer, the taxpayer’s spouse or common-law partner, or a child under 18 of the taxpayer or spouse, who is dependent on the taxpayer or spouse for support. 

Eligible Expenses for Bladder Cancer Patients 

Bladder cancer patients encounter a myriad of medical expenses throughout their treatment journey. Recognizing the specific costs that qualify for the METC is crucial. Eligible expenses include but are not limited to: 

• Prescription Medications: The costs associated with medications prescribed for bladder cancer treatment. 
• Medical Treatments: Expenses related to chemotherapy, radiation therapy, and other necessary medical procedures. 
• Assistive Devices: Devices that aid in daily living, such as catheters, mobility aids, or specialized equipment. 
• Travel Expenses: Costs associated with traveling to and from necessary medical appointments, including mileage, parking fees, and accommodations. 
• Home Renovations: Home modifications necessitated by the medical condition, such as the installation of bathroom grab bars or wheelchair ramps. 

Medical expenses can be claimed if they were paid within any 12-month period ending in the current tax year, and not claimed in the prior tax year. The federal and provincial medical expenses must be claimed for the same time period as medical expenses for other eligible dependants. 

The 12-month period chosen for a taxation year may vary year-over-year; it is not required to be retained for subsequent years, provided the period ends in the taxation year and no medical expense is claimed twice. For example, for 2023 the taxpayer may claim medical expenses incurred between January 1, 2023 and December 31, 2023, or may claim expenses incurred between June 1, 2023 and May 31, 2024 for the following taxation year.  

Documentation to Claim Medical Expenses 

Thorough and meticulous documentation is paramount when claiming the METC. Bladder cancer patients should maintain detailed records of all relevant expenses. This includes keeping credit card or payment receipts, invoices, and prescriptions organized. Documents should include the name of the product or service provided to ensure a seamless process when filing taxes. 

Filing for Medical Expenses 

The filing process for claiming the METC involves completing Form T1, the individual income tax return form. Eligible medical expenses are entered on line 33099 of the T1 form. Bladder cancer patients can include a breakdown of their eligible medical expenses on this form. Filing taxes accurately and promptly ensures that individuals receive the financial relief they are entitled to. 

Seeking Advice from a Professional 

Given the complexity of tax regulations, individuals dealing with health challenges including bladder cancer, should consider seeking professional advice. Consulting with a tax professional or accountant offers personalized guidance, helping patients maximize their eligible credits and deductions. 

The Medical Expense Tax Credit stands as a valuable resource for individuals grappling with the financial burdens of bladder cancer. Gaining a comprehensive understanding of eligible expenses, meticulous documentation, and seeking professional advice when needed can help navigate the METC effectively. Patients can optimize available tax benefits to alleviate the financial strains associated with their medical journey and therefore focus on their health and well-being. 

For more information on the Medical Expense Tax Credit, please refer to the Canada Revenue Agency website.