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Finances

Managing a chronic illness involves extra financial obligations, both in the present and in the future. Many of us parents add diabetes-related expenses to our typical parental worries: we don’t have extended health insurance to cover diabetes supplies – what are our options? how can we finance an insulin pump and supplies? will my daughter be able to afford test strips when she is out on her own?

In Canada we are fortunate to have access to federal programs like the Disability Tax Credit, and Registered Disability Savings Plans (plus the associated Grants and Bonds), which can help manage diabetes expenses in the present, as well as save for our child’s future expenses. This section explores the financial aspects of personal diabetes care.

Disability Tax Credit (Canada)

At a recent Kids ‘N Us conference in Edmonton, Alberta, accountant Rick Baumgartner presented a comprehensive yet concise look at the Disability Tax Credit (DTC).

In his presentation, Mr. Baumgartner points out that:

The Disability Tax Credit (DTC) is intended to act as a fairness measure for people with disabilities and their families. These benefits are provided under the assumption that certain conditions will require unavoidable, additional expenses that are not faced by other taxpayers – type 1 diabetes qualifies as one of those conditions.

In order to be eligible for the DTC, your child must require life-sustaining therapy (which includes intensive insulin programs: Basal-Bolus with Multiple Daily Injections (MDI) program; Insulin Pump program). This life-sustaining therapy requires that you dedicate time (at least 3 times a week, for an average of at least 14 hours a week) and that time is taken away from normal, everyday activities to receive the therapy. Further, the impairment must last (or be expected to last) for at least 12 consecutive months. For those of us caring for children with type 1 diabetes, these criteria ring true.

Parents can claim the DTC on behalf of their dependent children.

The DTC is a non-refundable tax credit (that is, it is designed to help to reduce a person’s taxes owing. Therefore, if you don’t already owe any tax, applying for the DTC will not result in a refund being issued.)

You can back-file for up to 10 years.

You can complete the form yourself, it’s not too complicated – you do NOT need to hire someone else to complete it for you, and in fact, the fees charged by some companies are quite ridiculous.

This is a two part process:

Step 1

You first have to apply for a Disability Tax Credit Certificate, by completing and sending form T2201. (This includes a sections to be completed by you, and sections to be completed by your child’s doctor.) If approved by CRA, your child will hold a valid Disability Tax Credit Certificate. (But don’t rush out for a certificate frame, don’t bother clearing a space on your wall – no actual paper certificate is issued.)

Tips from the Trenches

Why wait until you send in your return to file the T2201? It’s a good idea to send it in well before tax time (if you can), to avoid delays in processing your return.

Step 2

The next time you/your child file(s) a tax return, you can apply for the Disability Tax Credit within that return.

It’s also important to note that once your child has a Disability Tax Credit Certificate, he may be eligible for other CRA programs and benefits, such as the Child Disability Benefit, and a Registered Disability Savings Plan (RDSP).

This material has been developed from sources that we believe are accurate, however, as the field of medicine (in particular as it applies to diabetes) is rapidly evolving, the information should not be relied upon, as it is designed for informational purposes only. It should not be used in place of medical advice, instruction and/or treatment. If you have specific questions, please consult your doctor or appropriate health care professional.

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