Frequently Asked Questions.
Medical TaxBack
What is a Medical TaxBack refund?
A Medical TaxBack refund is a potential SARS tax refund or reduced tax payable that may result when you correctly declare qualifying medical expenses and/or a disability-related claim on your tax return. Stratfin helps you assess eligibility, gather the right supporting documents, and submit the claim correctly.
Who can qualify for a Medical TaxBack claim?
Eligibility depends on factors like taxable income, the type of medical condition/diagnosis (where applicable), and the nature and size of qualifying expenses. If you're unsure, book a consultation with us and we'll do a quick assessment for you.
Is there a minimum amount needed for a claim to be worthwhile?
There's no single "minimum" that applies to everyone. Your potential benefit depends on your tax bracket, expenses, and whether a disability-related claim applies. If you've been told you don't qualify, it's still worth booking a consultation with us so we can confirm based on your facts.
Do you charge a fee if there is no refund?
We structure our service so that fees are aligned to successful outcomes.
How long does the process take?
Timelines vary based on how quickly documents can be collected and SARS processing times. Once you submit your information, we'll guide you through the next steps and keep you updated throughout the process.
Can I start the process again if SARS rejected my claim in a previous year?
Yes. Often a prior rejection can be addressed by correcting the supporting documentation (for example, ensuring the right forms are completed properly). We can review what happened and help you resubmit correctly where possible.
Can I claim remedial or special school fees?
In many cases, certain schooling costs may be claimable where they relate to a qualifying disability claim and the supporting forms and evidence are in place. The claim is fact-specific, so we'll assess your situation and advise what documentation is needed.
Do you claim the difference between mainstream school and remedial school fees?
This can depend on the nature of the schooling expense and how the claim is motivated and supported. We'll help you determine what portion may be claimable and how to document it correctly for SARS.
If my child attends a mainstream school (not a special school), can I claim school fees?
Possibly, if the claim is linked to a qualifying condition and the supporting documentation supports the specific expenses. We'll assess the situation and guide you on what is and isn't likely to be accepted by SARS.
Can I claim government remedial school fees if they are cheaper than a mainstream school?
Potentially. Cost alone isn't the only factor. What matters is whether the expense is linked to a qualifying claim and supported correctly. We'll evaluate the details and help you prepare the correct submission.
Can home-schooling costs be claimed?
Some home-schooling-related costs may be considered in specific circumstances, but it depends on the facts and supporting documentation. We'll review your situation and advise what evidence you'd need to support any claim.
Are tutor fees claimable for a child who is home-schooled due to special needs?
Tutor fees may be relevant in certain disability-related circumstances, but acceptance depends on documentation and how the expenses relate to the condition. We'll help you assess and compile the right support for SARS.
Does it matter who pays the medical expenses (e.g., can costs be split between parents)?
It does matter, because SARS rules and the way dependants and expenses are reflected on tax returns can affect the outcome. We'll ask a few questions about who incurred/paid the costs and then advise the best way to structure the claim.
What if my employer pays my medical aid contribution as part of my CTC?
Employer-paid contributions can affect how medical credits and related amounts appear on your tax return. We'll review your IRP5/medical aid certificate and advise what can be claimed and how it impacts your assessment.
I'm on GEMS Medical Aid, can I still qualify?
Yes, being on GEMS (or another medical scheme) does not disqualify you. Eligibility depends on the underlying expenses and documentation, so we'll assess your situation.
I have an international medical aid, does it need to be a South African medical aid to qualify?
Not always, but cross-border medical cover can complicate how contributions and claims are treated. We'll review the specifics (scheme documents, proof of contributions, and expenses) and advise what SARS is likely to accept.
I only have a hospital plan, how do I prove out-of-pocket costs like medicine?
Keep supporting documents such as invoices, receipts, and proof of payment (where available). We'll tell you exactly what to collect based on your expenses and what SARS typically requests.
Do I need receipts and invoices to backdate claims?
Backdated claims usually require strong supporting documentation such as receipts, invoices, and proof of payments. We'll help you identify what you have, what you can still obtain, and what is required for each year.
What if my medical savings account (MSA) is depleted and I paid cash?
You may still be able to claim qualifying out-of-pocket costs, but you'll need good documentation. We'll guide you on what to collect (e.g., invoices and proof of payment) and how to include it in your claim.
My ITR-DD form was rejected by SARS, what can I do?
ITR-DD rejections are often caused by incomplete sections, incorrect dates, missing practitioner details, or insufficient supporting evidence. We can review the form and documentation, identify the likely issue, and help you resubmit correctly.
If SARS eFiling already calculated my refund, how do I add a special needs/disability claim?
Some disability-related elements require the correct forms and supporting documents to be submitted and, in certain cases, may trigger verification or supporting-document requests. We'll guide you on where the claim must be reflected and what to submit to support it.
Can Stratfin help professionals (e.g., therapists) understand what documents are needed?
Yes. We can provide guidance on the types of supporting documents SARS typically expects and how to avoid common mistakes, while ensuring the practitioner's role stays within their professional scope.