- Deductible expenses (oneri deducibili) reduce your taxable income, meaning you pay tax on a lower income.
- Detractable expenses (oneri detraibili) give you a direct reduction in the tax you owe – usually a 19% tax credit on the value of item you are claiming, unless otherwise specified.
Both are valuable, and knowing the difference helps you understand how the savings work.
Healthcare expenses (19%)
Without a doubt the most common category is healthcare expenses ( detractable at 19%)
What you can claim is as follows:
- Pharmacy receipts (scontrini parlanti) showing the name of the medicine and your tax code (codice fiscale)
- Doctor visits (GPs and specialists)
- Surgeries and hospital stays (private and public)
- Diagnostic tests, X-rays, and blood work
- Dental care (e.g., orthodontics, if medically necessary
- Physiotherapy and rehabilitation
- Medical devices (e.g., glasses, hearing aids, prosthetics)
There is a franchigia related to these expenses, which means that it is only the accumulated expenses over €129.11 which are considered eligible. If your total health expenses are below this amount then you cannot detract from tax. (You cannot claim this credit if the expense is covered by insurance)
To give an example……if my total expenses are €800 during the year, then the calculation is €800 – €129,11 = €670,89, on which I apply the 19% tax credit = €127,47 tax credit.
This example may not seem much but a few years ago I had to have some urgent dental care which cost €10,000. It was not covered by insurance and so I had to pay myself. That year I had a tax credit of €1875,46. Every little helps.
So, for all those trips to the farmacia make sure you present your codice fiscale to the pharamcist and they will normally tell you whether it is an item that qualifies or not.
** FARMACIA AND HEALTH EXPENSES ARE NOW REGISTERED AUTOMATICALLY ON THE AGENZIA DELLE ENETRATE WEBSITE (YOU CAN ACCESS THE WEBSITE AND CHECK THEM YOURSELF) HOWEVER THERE ARE OCCASIONS WHEN THEY DON’T APPEAR SO MAKE SURE YOU KEEP YOUR RECEIPTS AND GIVE THEM TO YOUR COMMERCIALISTA / FISCALISTA WHEN YOU FILE YOUR RETURNS **