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Medical and Dental Expenses Deduction in Hawaii 2026

Calculate your medical and dental expenses deduction tax savings in Hawaii. With Hawaii's 11% top state tax rate, your combined savings are higher.

Hawaii Tax Overview

State Income Tax
11%
progressive
Sales Tax
4%
avg combined: 4.44%
Property Tax Rate
0.27%
Median Income
$84,857

12 brackets (most of any state). Second-highest top rate (11%). Lowest property tax (0.27%). General Excise Tax.

Hawaii Income Tax Brackets (Single)

1.4%
$0 - $2,400
3.2%
$2,400 - $4,800
5.5%
$4,800 - $9,600
6.4%
$9,600 - $14,400
6.8%
$14,400 - $19,200
7.2%
$19,200 - $24,000
7.6%
$24,000 - $36,000
7.9%
$36,000 - $48,000
8.25%
$48,000 - $150,000
Your bracket
9%
$150,000 - $175,000
10%
$175,000 - $200,000
11%
$200,000 +
$1,513
Est. Total Savings
No Limit
Max Deduction
Itemized
Deduction Type
30.3%
Combined Tax Rate

Medical and Dental Expenses Deduction Savings Calculator for Hawaii

$
$

Federal Savings

$1,100

22% bracket

Hawaii State

$413

8.25% rate

Total Savings

$1,513

30.3% combined

At a 30.3% combined tax rate in Hawaii, every $1,000 in deductions saves you $303 in taxes.

Savings by Tax Bracket in Hawaii

10%
$913
12%
$1,013
22%
$1,513
24%
$1,613
32%
$2,013
35%
$2,163
37%
$2,263

Includes 8.25% Hawaii state tax on top of federal savings.

Eligibility Requirements

Anyone with medical expenses exceeding 7.5% of AGI

  • 1Must itemize
  • 2Expenses exceed 7.5% of AGI
  • 3Not reimbursed by insurance

Hawaii residents should verify that this deduction is also recognized on their state tax return for additional savings of up to 11%.

Common Mistakes to Avoid

  • !Including cosmetic procedures
  • !Forgetting travel costs to medical appointments
  • !Forgetting to claim the deduction on your Hawaii state return (missing up to 11% additional savings)

Hawaii Filing Tips

The low standard deduction ($2,200) makes itemizing attractive. The GET applies more broadly than most sales taxes. Hawaii offers a refundable food/excise tax credit. Take advantage of the very low property taxes.

Required Tax Forms

Schedule A

File these forms with your federal tax return to claim the medical and dental expenses deduction. Hawaii may require additional state-specific forms.

Other Tax Deductions in Hawaii

HSA Contribution Deduction

Healthcare

~$4,813
est. savings

Mortgage Interest Deduction

Housing

~$4,813
est. savings

Property Tax Deduction

Housing

~$3,025
est. savings

Home Office Deduction

Housing

~$1,650
est. savings

Home Energy Tax Credit

Housing

~$1,800
est. savings

Residential Solar Tax Credit

Housing

~$7,500
est. savings

Military Moving Expenses

Housing

~$5,500
est. savings

PMI Premium Deduction

Housing

~$1,513
est. savings

Medical and Dental Expenses Deduction in Neighboring States

California

13.3% top rate (progressive)

~$12,836
+11,323 vs Hawaii

Tax Calculators for Hawaii Cities

Honolulu

Calculate Your Full Tax Savings in Hawaii

Use our free tax calculators to optimize your entire tax return for Hawaii.

Income Tax CalculatorHawaii Income TaxFull Medical and Dental Expenses Deduction Guide

Frequently Asked Questions

How much can I save with the Medical and Dental Expenses Deduction in Hawaii?

In Hawaii, the medical and dental expenses deduction can save you an estimated $1,513 per year on a $5,000 deduction. This includes $1,100 in federal tax savings and $413 in Hawaii state tax savings at the 8.25% marginal rate. The national average savings is $8,000/year.

What is the Hawaii state income tax rate?

Hawaii has a progressive income tax system with a top rate of 11%. 12 brackets (most of any state). Second-highest top rate (11%). Lowest property tax (0.27%). General Excise Tax.

Who qualifies for the Medical and Dental Expenses Deduction in Hawaii?

Anyone with medical expenses exceeding 7.5% of AGI. The eligibility requirements are the same whether you live in Hawaii or another state, as this is a federal tax deduction. However, your total savings will vary based on Hawaii's 11% top state tax rate.

What tax forms do I need to claim the Medical and Dental Expenses Deduction in Hawaii?

To claim the medical and dental expenses deduction, you need to file Schedule A with your federal return. Hawaii residents should also check if the state allows this deduction on their state return for additional savings of up to 11%. Filing status affects your deduction limits and tax bracket.

Is the Medical and Dental Expenses Deduction better in Hawaii than in states without income tax?

Yes, Hawaii residents benefit more because the state's 11% top income tax rate means the deduction reduces both your federal AND state tax liability. In states with no income tax (like Texas, Florida, or Nevada), this deduction only reduces federal taxes. Your combined rate of 30.3% means more savings per dollar deducted.

What is the standard deduction in Hawaii for 2026?

Hawaii's standard deduction is $2,200 for single filers and $4,400 for married filing jointly. The low standard deduction ($2,200) makes itemizing attractive. The GET applies more broadly than most sales taxes. Hawaii offers a refundable food/excise tax credit. Take advantage of the very low property taxes.

Related Calculators

HSA Contribution Deduction in Hawaii

Avg savings: $3,500/year

Mortgage Interest Deduction in Hawaii

Avg savings: $3,500/year

Property Tax Deduction in Hawaii

Avg savings: $2,200/year

Home Office Deduction in Hawaii

Avg savings: $1,200/year

Home Energy Tax Credit in Hawaii

Avg savings: $1,800/year

Residential Solar Tax Credit in Hawaii

Avg savings: $7,500/year