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SARS Medical Tax Credits (2026)

Complete guide to SARS medical tax credits in South Africa for 2026. Learn about medical scheme fees tax credit, additional medical expenses tax credit, how to claim them, and calculation methods.

Tax Expert
March 2, 2026
12 min read
SARS Medical Tax Credits (2026)

SARS Medical Tax Credits (2026)

Medical tax credits can significantly reduce your tax liability in South Africa. Understanding how medical tax credits work, how to claim them, and how they're calculated helps you maximize your tax savings. This comprehensive guide covers everything you need to know about SARS medical tax credits for 2026.

What Are Medical Tax Credits?

Understanding Tax Credits

Definition:

  • Tax credits for medical expenses
  • Reduce tax liability directly
  • Different from deductions
  • Applied after tax calculated

Types:

  • Medical scheme fees tax credit
  • Additional medical expenses tax credit
  • Different calculations
  • Various eligibility

Key Point:

  • Credits reduce tax directly
  • More valuable than deductions
  • Applied automatically
  • Based on medical expenses

Medical Scheme Fees Tax Credit

What It Is

Definition:

  • Credit for medical scheme contributions
  • Based on monthly contributions
  • Fixed credit amounts
  • Applied automatically

2026 Rates:

  • R364 per month for first member
  • R364 per month for each additional dependent
  • Maximum per family
  • Annual credit calculated

How It Works

Calculation:

  • Monthly credit × 12 months
  • Applied against tax liability
  • Reduces tax directly
  • Non-refundable

Example:

  • Family of 4 on medical scheme
  • 4 × R364 = R1,456 per month
  • Annual: R1,456 × 12 = R17,472
  • Reduces tax by R17,472

Eligibility

Requirements:

  • Must be registered medical scheme member
  • Contributions paid
  • Scheme registered with Council for Medical Schemes
  • Valid membership

Who Qualifies:

  • Medical scheme members
  • Paying contributions
  • Registered schemes
  • Valid memberships

Additional Medical Expenses Tax Credit

What It Is

Definition:

  • Credit for qualifying medical expenses
  • Expenses not covered by medical scheme
  • Subject to limits and calculations
  • Complex calculation

Qualifying Expenses:

  • Medical expenses not covered
  • Qualifying disability expenses
  • Out-of-pocket medical costs
  • Other qualifying expenses

Calculation

Method:

  • Complex calculation
  • Based on age and expenses
  • Different rates for different ages
  • Subject to limits

Age Groups:

  • Under 65: Different calculation
  • 65 and older: Higher credit
  • Based on qualifying expenses
  • Subject to limits

Eligibility

Requirements:

  • Qualifying medical expenses
  • Not covered by medical scheme
  • Proper documentation
  • Meet calculation requirements

Documentation:

  • Medical receipts
  • Proof of expenses
  • Medical scheme statements
  • Other supporting documents

How to Claim Medical Credits

On Your Tax Return

Process:

  1. Complete tax return
  2. Medical scheme information pre-populated (if available)
  3. Enter additional expenses if applicable
  4. Credits calculated automatically
  5. Review and submit

Information Needed:

  • Medical scheme tax certificate
  • Qualifying expenses (if applicable)
  • Supporting documents
  • Other relevant information

Medical Scheme Tax Certificate

What It Shows:

  • Contributions paid
  • Medical scheme details
  • Tax credit information
  • Required for return

How to Get:

  • From medical scheme
  • Usually issued automatically
  • Download from scheme portal
  • Request if not received

Calculation Examples

Medical Scheme Credit Example

Scenario:

  • Family of 3 on medical scheme
  • Monthly contributions: R3,000
  • Credit: 3 × R364 = R1,092 per month
  • Annual credit: R1,092 × 12 = R13,104
  • Reduces tax by R13,104

Additional Expenses Example

Scenario:

  • Taxpayer under 65
  • Qualifying expenses: R20,000
  • Calculation based on formula
  • Credit calculated
  • Reduces tax further

Note: Actual calculation is complex and depends on various factors. Use eFiling calculator or consult tax practitioner.

Documentation Requirements

Required Documents

Medical Scheme:

  • Medical scheme tax certificate
  • Proof of contributions
  • Scheme membership details
  • Other relevant documents

Additional Expenses:

  • Medical receipts
  • Proof of expenses
  • Medical scheme statements
  • Other supporting documents

Record Keeping:

  • Keep all documents
  • Maintain for 5 years
  • Organize properly
  • Easy to access

Common Questions

How much is the medical tax credit?

For 2026, it's R364 per month for the first member and R364 for each additional dependent on a medical scheme.

Do I need to claim the medical scheme credit?

It's usually applied automatically if you're on a medical scheme, but verify it's included in your return.

Can I claim both credits?

Yes, you can claim both the medical scheme fees credit and the additional medical expenses credit if you qualify.

What expenses qualify for additional credit?

Qualifying medical expenses not covered by your medical scheme, subject to specific rules and limits.

Do I need receipts for medical scheme credit?

Usually not, as it's based on contributions. But keep your medical scheme tax certificate.

How do I get my medical scheme tax certificate?

Contact your medical scheme or download it from their online portal. It's usually issued automatically.

Best Practices

Keep Records

Maintenance:

  • Keep medical scheme certificates
  • Save medical receipts
  • Organize documents
  • Maintain for 5 years

Review Annually

Check:

  • Verify credits applied
  • Review calculations
  • Ensure accuracy
  • Claim all eligible credits

Understand Limits

Awareness:

  • Know credit limits
  • Understand calculations
  • Maximize eligible credits
  • Get professional advice if needed

Frequently Asked Questions

Is the medical tax credit refundable?

No, medical tax credits are non-refundable. They reduce your tax liability but won't result in a refund if your tax is already zero.

Can I claim medical expenses if I'm not on a medical scheme?

You may still qualify for additional medical expenses tax credit, but not the medical scheme fees credit.

How do I know if my medical scheme is registered?

Check with the Council for Medical Schemes or verify with your scheme. Only registered schemes qualify.

What if I change medical schemes during the year?

You can claim credits for both schemes based on the months you were a member of each.

Do medical tax credits change annually?

Yes, credit amounts may be adjusted annually in the budget. Check current year rates.

Conclusion

Medical tax credits can provide significant tax savings for South African taxpayers. By understanding how they work, keeping proper documentation, and claiming them correctly, you can maximize your tax benefits. Remember that credits are applied automatically for medical scheme members, but verify they're included in your return.

For assistance with medical tax credits or complex calculations, consult a qualified tax practitioner or use the SARS eFiling calculator.


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About the Author
Tax Expert

Tax Expert

Specializing in South African tax law, SARS eFiling, and tax compliance with extensive knowledge of the South African Revenue Service.