Disabilities and tax: the documentation you already have could shrink your tax bill


If you have a disability, or support a spouse or child with a disability, the tax code offers major financial relief. You can claim a significantly higher portion of your medical bills back as a tax credit, bypassing normal restrictions.
Section 6B of the Income Tax Act provides an enhanced Additional Medical Expenses Tax Credit for taxpayers managing disability-related costs. Standard taxpayers must spend a large percentage of their income on medical bills before getting a tax break. The disability provision removes this hurdle, allowing you to claim 33.3% of all qualifying out-of-pocket medical expenses as a direct tax credit.
Specific Scenarios
* Scenario 1: Specialised tutoring. Your child is diagnosed with severe autism. You pay for specialised educational tutoring out of pocket. With the correct SARS forms in place, you claim a third of those costs back as a tax credit.
* Scenario 2: Home modifications. You require a wheelchair and spend R50,000 modifying your bathroom for accessibility. You submit the invoices and your doctor's forms to SARS to receive a substantial reduction in your tax bill.
* Scenario 3: Hearing aids. Your spouse requires expensive hearing aids that the medical aid refuses to cover. You pay cash. Because of the disability provision, you claim a massive portion of the cost back without worrying about income thresholds.
When you are not eligible
You cannot access this enhanced credit without a valid SARS ITR-DD (Confirmation of Diagnosis of Disability) form. A registered medical practitioner must officially sign this document to verify the severity and duration of the impairment.
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Disclaimer:This article is for informational purposes only and does not constitute financial or tax advice, and is not exhaustive. Tax laws are complex and subject to change. We strongly recommend consulting with our registered tax practitioner to address your specific circumstances.