Sample Letters for Medical Expense Deductions in Housing

Many housing programs set their own policies on medical expense deductions. We cannot guarantee that all of your expenses will be approved, but you can try!

You are not required to include a letter with your request. However, many of our readers report that their housing workers did not know the rules and tried to deny their deductions. It never hurts to tell them the rules upfront.


Sample Letter

Dear So and So,

I am requesting the following expenses be included as medical expense deductions. Please process my deductions in accordance with the HUD policies for expense deductions:

  • 24 CFR § 5.611 which lists as a mandatory deduction “Unreimbursed medical expenses of any elderly family or disabled family”
  • HUD policy 24 CFR § 5.603, where medical expenses are defined as any expenses “anticipated during the period for which annual income is computed, and that are not covered by insurance.”

Please provide me with a written decision on my medical expense deductions.

Sincerely, Me


Optional: Non-Traditional Expenses:

If your request includes non-traditional health items, you can also include:   

In addition, HUD Exhibit 5-3 4350.3 REV-1 states that medical expenses include “any other medically necessary service, apparatus, or medication, as documented by third-party verification.”

I am attaching documentation from my doctor verifying that these expenses are medically necessary.


Optional: Vitamins, Herbs, Supplements

Some Housing Authorities use IRS rules as a guide. If your request includes nutritional supplements, you can also include:

In addition, IRS Publication 502 on Medical and Dental Expenses states that nutritional supplements, vitamins, herbal supplements, and natural medicines are deductible medical expenses if they are “recommended by a medical practitioner as treatment for a specific medical condition diagnosed by a physician.”

I am attaching documentation from my doctor verifying that these items were recommended as treatment for a specific medical condition diagnosed by a physician.


Optional: Other Household Members 

If you are including medical expenses for your children or others in your household who are not disabled: 

In addition, HUD Occupancy Handbook Chapter 5: If the family is eligible for a medical expense deduction, owners must include the unreimbursed medical expenses of all family members, including the expenses of nonelderly adults or children living in the family.

I have also included medical expenses for other members of my household.


Some of the quotes above come from the HUD Occupancy Handbook Exhibit and the IRS Medical and Dental Expenses Policy and HUD Occupancy Handbook Chapter 5

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