Updated: January 2025.
Calling Canadian citizens and permanent residents who are fertility warriors that have paid thousands of dollars in medical expenses.
It’s that time of year to file your taxes. It can be an annoying to-do that you put off or it can be a welcome distraction while you’re waiting on your fertility journey, but even more than that it could be giving you a little extra cash at the end and with inflation and high fertility costs, this can be life changing for some people.
Unfortunately not everyone will qualify.
Basically, the medical expenses have to be paid out of pocket and what this tax credit does is reduce what you’d be owing. That’s what it is in a nutshell.
I’ve submitted fertility medication and my fertility treatments including in-vitro fertilization IVF and frozen embryo storage and embryo transfer procedure. Every bit helps offset the fact that we had no insurance coverage for any medication or procedure, or if you had partial. We did work with an accountant and I’m glad we did.
Chances are you’ll get something if you’ve spent money out of pocket on your fertility treatment and meet the criteria. It’s not usually a huge percentage back and it depends on your personal income, and on how much you’ve paid throughout the year that you’re claiming, among other factors that an accountant would need to help with, but it’s usually worth it to file if you qualify. It’s a non-refundable tax credit, meaning that as the taxpayer (you or your spouse or common-law partner), have to have taxes owing in order to benefit from the credit. Obviously, you need to be a Canadian citizen or permanent resident. You’d claim the expenses minus 3% your net income or $2,759 – whichever is less than the two. This amount ($2,759) changes every year but this is the amount right now in claiming for 2024 tax. This all means that your claim must exceed 3% of your net income for you to get anything, ie. you can’t get a tax balance above zero.
The maximum amount you can claim differs by province and territory.
Because this is a medical expense tax credit, it can’t be reimbursed by an employer or covered by a health plan.
It’s usually claimable if you spent it outside of Canada too, but not always.
If you’re just starting out: keep all of your receipts. Audits happen by the Canadian Revenue Agency (CRA) quite often for these kinds of things so keep the receipts somewhere safe including scanning the hard copies and asking for a print-out from your clinic. Coverage may include:
- Those for tests that weren’t publicly covered.
- Prescription medication not covered by your employee benefits e.g. if your plan covered 60% then you can still claim the remaining 40%. You’ll probably want your DIN# on your receipts.
- Egg and/or sperm and/or embryo (frozen) storage.
- Purchasing egg and/or sperm from a bank.
- Fertility treatment such as intrauterine insemination (IUI), in vitro fertilization (IVF), including embryo transfers, and/or egg freezing. Ask for a print-off of your appointments with your fertility clinics. It’s often including travelling outside of Canada for this treatment too.
- If you are or have done fertility treatment and travelled 40km or further, and there aren’t other options closer, then hang on to receipts from expenses such as gas/fuel/taxis/bus, meals, accommodation, and other travel expenses. Here’s more information.
- Fertility related practitioners such as naturopaths, chiropractors or acupuncturists. Check for your province. Unfortunately they don’t include coaches yet (sigh).
- You can claim it for your gestational surrogate, donor sperm and/or donor egg. It’s usually the same coverage that would be covered if it was the Intended Parent who was the one going through the fertility treatment.
‘…certain expenses paid in respect of a surrogate mother or a donor (for example, a donor or sperm, ova [eggs], or embryos) may be eligible…if incurred in Canada and are of a type that would be otherwise permitted as medical expenses of the individual.’
Canadian Revenue Agency
The best advice I can give is to discuss all of this with an accountant because the above are dependent on many factors. This is all just to give you a taste for what you might expect.
Usually it’s better to claim for the lower tax earner, but not always, when making the decision if you have a partner about who to submit under. It’s usually advisable to claim both spouses (if applicable) on one tax return.
“TIP: If you’re part of a group health insurance plan at work, you may also have a medical expense to claim, reported on your T4 Box 85.”
TurboTax 2025
If you’re using donor eggs or donor embryos ask your fertility doctor to write you a note to submit. This is common and your clinic should be used to writing this letter for their patients.
If you’re doing taxes using Turbo Tax or something similar then follow the guidelines. It’s usually Line 33099 and 33199 and its been that way for years.
It can be claimed for any 12 month period, it doesn’t have to be the calendar year January to December. And you can’t duplicate from one year to the next (which makes logical sense!).
The reimbursement formula does vary by province and territory.
This Taxtips article outlines how the medical expense tax credit works and here.
If you’re self employed, there are more options like if you are a business owner there’s an option to potentially set up a health services plan.
If I haven’t convinced you yet, please speak to your accountant. They can personalize it to your needs.
I hope you get oodles of money back for your precious fertility journey, to lighten the mental load, even just a little bit.
