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You will get a 1099R in January for the pension.  Don't know if they break out the Medicare deduction.  You need to look at your payment statements to see all the deductions.  I have CalPERS and print out my payment stub each month.  But it depends on how they deduct Medicare.   Like PERS reimburses me for the Medicare so I can't deduct it.  

But it takes a lot of medical to be able to deduct it.

You can only deduct the amount of unreimbursed Medical Expenses you actually paid over 7.5%of your AGI.  And then all your itemized deductions have to be more than the standard deduction to get any benefit (so you would only be getting the benefit of the amount that puts you over the standard deduction).  And since the Standard Deduction is increased more people will not need to Itemize.