A Medical Scheme Fees Tax Credit (MTC) is a rebate which effectively reduces the normal tax a person pays.
The MTC applies to fees paid by a taxpayer to a registered medical scheme for him/herself and his/her dependants. It is a fixed monthly amount which increases according to the number of dependants on the taxpayer’s medical scheme.With effect from 1 March 2026, the following medical tax credits related to medical scheme contributions will be taken into account for taxpayers. The credit must be taken into account by an employer when calculating the amount of the Employees’ Tax to be deducted from the employee’s remuneration.
| Monthly medical tax credits for all tax payers | |
| Member | R376 per month |
| First dependant | R376 per month |
| Additional dependants | R254 per month for each additional dependant |
| Family of four (monthly credit) | R1 260 |
| Family of four (annual) | R15 120 |
The overall calculation of medical tax credits can fall into one of three categories, namely for:
- People < 65 years;
- People > 65 years; and
- People who are (or have dependants that are) disabled.
Calculating medical tax credits entails complex calculations and need to be done by a tax expert.
