Doug: yes, there is a minimum you have to reach. I think it may be 10% of your adjusted gross income. A rumor that the 10% has been reduced for this year due to Covid19. However, remember the costs are cumulative. In other words, your incontinence supplies can put you over the top. You add up your total med costs. If over the minimum, you can deduct anything over that minimum, no matter the individual items, if they are on the IRS list and, maybe, if you have a Doc's prescription along with the receipts.
It has nothing to do with Medicare, I'm pretty sure. I've used the Med deduction in past. I may qualify in 2020 for the first time in a couple of decades. You'd be amazed what was permissible in the 70s, 80s, and 90s. Haven't seen the IRS list in some years, as I never crossed the Med Deduction thresh-hold, even though I was doing the Long Form.
Oh yeah. I just remembered that if you get reimbursement or partial reimbursement from insurance or somewhere, then that part is not part of the deduction. So you do need to keep pretty complete records and proofs - like all things with IRS.
You might be right about HSA. Check it out! Great idea.
I'd check with your tax preparer or do a LOT of research with the IRS! They used to have a specific medical deduction booklet. It's online, now, but you may be still able to get it by requesting a mailed copy.
Thanks Doug and Cmulwee