Iowa · Medical and Dental Expenses Deduction
Medical and Dental Expenses Deduction in Iowa (2026)
Deduct unreimbursed medical and dental expenses that exceed 7.5% of your adjusted gross income. Iowa has a flat 3.8% income tax, so a Iowa filer's combined marginal rate on the next dollar at $65,573 of income is about 15.8% (12% federal + 3.8% IA).
2026 savings example for Iowa
Planning estimate for a single filer earning $65,573 (Iowa median household income in LevyIO's state dataset) who removes $5,000 from taxable income. Federal tax uses the 2026 IRS brackets after the $16,100 standard deduction; IA tax uses the state brackets in LevyIO's dataset and assumes the state follows the federal treatment.
Estimated total savings
$790
Federal savings
$600
$5,689 → $5,089 · 12% bracket
IA state savings
$190
$1,937 → $1,747 · 3.8% marginal
Combined marginal rate
15.8%
≈ $158 saved per $1,000 deducted
Federal × Iowa marginal rates (2026, single)
Gross-income ranges include the federal standard deduction. The IA column is the state marginal rate at the midpoint of each range. The last column is the tax saved per $1,000 deducted at that combined rate.
| Federal bracket | Gross income (single) | IA marginal | Combined | Per $1,000 |
|---|---|---|---|---|
| 10% | $16,100 - $28,500 | 3.8% | 13.8% | $138 |
| 12% | $28,500 - $66,500 | 3.8% | 15.8% | $158 |
| 22% | $66,500 - $121,800 | 3.8% | 25.8% | $258 |
| 24% | $121,800 - $217,875 | 3.8% | 27.8% | $278 |
| 32% | $217,875 - $272,325 | 3.8% | 35.8% | $358 |
| 35% | $272,325 - $656,700 | 3.8% | 38.8% | $388 |
| 37% | Over $656,700 | 3.8% | 40.8% | $408 |
Eligibility & forms
Anyone with medical expenses exceeding 7.5% of AGI
- Must itemize
- Expenses exceed 7.5% of AGI
- Not reimbursed by insurance
Federal forms: Schedule A
Iowa filing notes
Iowa's flat 3.8% is a significant improvement. Federal standard deduction applies. Retirement income exclusions available. Consider high property taxes when evaluating housing.
Common mistakes: Including cosmetic procedures; Forgetting travel costs to medical appointments.
Frequently asked questions
How much can the Medical and Dental Expenses Deduction save a Iowa taxpayer in 2026?
In LevyIO's example, a single filer with $65,573 of income (the Iowa median household income in our state dataset) who removes $5,000 from taxable income saves about $600 in 2026 federal tax (12% marginal bracket) plus about $190 in Iowa tax (3.8% state marginal rate), roughly $790 combined. It is a planning estimate computed from the 2026 IRS brackets and LevyIO's IA bracket data, not a survey figure.
What is the Iowa income tax rate for 2026?
Iowa has a flat 3.8% income tax. The IA standard deduction in LevyIO's dataset is $14,600 single / $29,200 married. Flat 3.8% in 2025 (was progressive to 8.53%). Uses federal standard deduction. Inheritance tax repealed 2025.
Who qualifies for the Medical and Dental Expenses Deduction in Iowa?
Anyone with medical expenses exceeding 7.5% of AGI. The federal rules are the same in every state; the requirements are: Must itemize; Expenses exceed 7.5% of AGI; Not reimbursed by insurance. Iowa filers should confirm on the IA return whether the state follows the federal treatment.
Which forms do I file to claim the Medical and Dental Expenses Deduction?
Federal: Schedule A. Iowa: check the Iowa Department of Revenue instructions for the matching state schedule. Common mistakes: Including cosmetic procedures; Forgetting travel costs to medical appointments.
Medical and Dental Expenses Deduction in other states
- Full Medical and Dental Expenses Deduction guide (all states)
- Medical and Dental Expenses Deduction in Minnesota
- Medical and Dental Expenses Deduction in Wisconsin
- Medical and Dental Expenses Deduction in Alabama
- Medical and Dental Expenses Deduction in Arizona
- Medical and Dental Expenses Deduction in Florida
Sources
Reviewed 2026-09-17. Estimates are educational planning figures computed from the IRS 2026 inflation adjustments and LevyIO's state bracket dataset; they are not tax advice.