out of pocket dr/dental r deductible as well your cell for emergency med needs 35 to 45 % of total chrgs an don't forget mileage rtrip and if you appointment run into lunch time food is up to 15d per person plus tip then there also diner time is 25d per person plus tip and don't for mileage. get receipts best way to keep all your med charges is use 1 credit card for only medical fees, pharmacy, food and if you don't pay off cr crd report int charges as med deductions too. keep a record of all your med travels in a calender book with dates an time put mi, fees. tolls, food and parkg . I made a spread sheet for all records checked which does a total on all items.