After you file

@mcmenekm did you file already and are now going back and amending?  you never stated that? 

did you take the standard deduction originally or did you itemize originally?  were there any medical costs already part of the tax return from the original filing?  Did you include your medical premiums as part of your medical costs? 

 

if you itemized on the original tax return and if the $22,000 was the only medical expenses to be added, then the adjsutment to your tax is going to be around $2300 ($19,000 times the tax bracket of 12%) .  So your orignal refund will be $2300 higher or the amount you owed originally  would be $2300 lower. 

 

if you took the standard deduction originally (Single filing status) and this is your ONLY deduction then the deduction of $19000 will only increase over the standard deduction ($12950 in 2022) by $6050) and that additional deduction of $6050 should increase your refund by aroung $720.  You can deduct the state and local taxes if live in a state that collects income tax and that money was paid in 2022. 

 

the answers to all these questions could affect what everyone else posted.