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Medical Aid Tax Credits Calculator

Medical Aid Tax Credits Calculator

Medical aid tax credits in South Africa work in two parts: Section 6A gives you R376/month for the first two members and R254/month per additional dependant.

Uses SARS 2026/2027 rates, checked 29 July 2026.

Medical Aid Credits Calculator

Age determines the Section 6B calculation threshold (65+ receive a higher credit)

Required for Section 6B if you are under 65 because SARS applies a 7.5% taxable-income threshold

Include yourself as the main member plus all dependants registered on your medical aid

Your total monthly premium paid to the medical scheme

Doctor visits, prescriptions, dental, optical not covered by medical aid

Worked out on this device. Nothing you type is sent to us unless you email the results.

How medical aid tax credits work in South Africa

How it's worked out

Calculate your Section 6A standard medical aid credits and Section 6B additional medical expenses credit. Uses official SARS 2026/2027 credit amounts.

Section 6B provides an additional credit for qualifying medical expenses. For under-65 taxpayers, SARS also applies a 7.5% taxable-income threshold. These credits directly reduce your tax liability rand-for-rand.

Total Credits = Section 6A + Section 6B  |  Both reduce tax rand-for-rand

Step-by-step calculation: medical aid tax credits guide.

Understanding Medical Aid Tax Credits

South Africa's medical aid tax credit system explained — Section 6A standard credits and Section 6B additional medical credits

6A

Section 6A — Standard Credits

  • R376/month for the main member and first dependant
  • R254/month for each additional dependant
  • Credits reduce your tax bill directly, rand for rand
  • Applied regardless of income level or age

Credit Amounts by Number of Members

MembersMonthly CreditAnnual Credit
1 memberR 376,00R 4 512,00
2 membersR 752,00R 9 024,00
3 membersR 1 006,00R 12 072,00
4 membersR 1 260,00R 15 120,00
5 membersR 1 514,00R 18 168,00
6B

Section 6B — Additional Credit

Under 65 years old

25% × (expenses − 4 × annual Section 6A − 7.5% of taxable income)

65 years and over

33.3% × (out-of-pocket + medical scheme fees above 3 × annual Section 6A)

Qualifying Expenses Include

  • Doctor, specialist and psychiatrist consultations
  • Dentist and orthodontist treatments
  • Optometrist, prescribed glasses and contact lenses
  • Prescribed medication and pharmacy costs
  • Hospital and private clinic fees
  • Qualifying medical devices and prosthetics
  • Not qualifying: cosmetic surgery, non-medical procedures

Medical Aid Tax Credits — Frequently Asked Questions

Common questions about Section 6A and Section 6B medical aid tax credits in South Africa

Next step

These credits can mean SARS owes you money back.

Important Disclaimer

Accounter does not provide accounting, tax, business or legal advice. This calculator has been provided for information purposes only. You should consult your own professional advisors for advice directly relating to your business.