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Deducting medical cannabis from your taxes and checking cost coverage

Are you paying for your cannabis therapy yourself? Medicines prescribed by a doctor and necessary treatment costs can be taken into account for tax purposes under certain conditions. If you have private health insurance, reimbursement depending on your plan may also be possible. Here you will find out which records matter, how the tax deduction works and what to consider regarding cost coverage.

As of 4 October 2026 · With a worked example and official sources

Pharmacy receipts, a medicine bottle and a calculator on a desk: collecting therapy costs for the tax return

The key answers first

Tax

Eligible medical costs you bear yourself can count as extraordinary expenses (außergewöhnliche Belastungen). For tax purposes, generally only the amount above your personal reasonable burden (zumutbare Belastung) has an effect. [1]

Private practice

Cureal does not offer services covered by statutory health insurance (GKV). People with statutory insurance use the treatment as self-payers. Reimbursement by private health insurance (PKV) depends on medical necessity and your individual insurance contract. [6]

Both together

Reimbursed costs must not also be claimed as expenses you bore yourself. Existing reimbursement claims must also be taken into account. [3]

Can I deduct my cannabis therapy from my taxes?

Yes, that may be possible. For a cannabis therapy that is prescribed by a doctor and medically necessary, the rules for medical costs generally apply. What matters is the medical reason, the required records and the financial burden that actually remains. A private prescription does not rule out the tax deduction. [1, 2, 3]

The expenses are not deducted directly from your tax bill. A recognised deduction reduces the tax base. How much tax you save depends on your overall tax calculation. Without a corresponding income tax liability, there is no automatic payout.

Which costs can be taken into account

Eligible costs include prescribed cannabis medicines from the pharmacy as well as necessary medical consultations and examinations. Medically required trips for treatment and medical aids must be checked separately. Accessories or private consumer spending do not become deductible medical costs just because you are a patient. [2, 3]

Cannabis medicines from the pharmacyeligible
Medical consultations and examinationseligible
Trips for treatment and medical aidscheck separately
Accessories and private consumer spendingnot automatically

Worked example with €500 in monthly costs

Assumptions: single, basic tax scale, no children who count for tax purposes, €30,000 total amount of income. Over the year, €6,000 of fully eligible medical costs arise. There are no reimbursements, compensation claims or other extraordinary expenses.

Calculation step by step
StepCalculationAmount
Annual costs€500 × 12€500 × 12€6,000.00
First income bracket€15,340 × 5 %€15,340 × 5 %€767.00
Further income€14,660 × 6 %€14,660 × 6 %€879.60
Reasonable burden€767.00 + €879.60€767.00 + €879.60€1,646.60
Possible deduction€6,000.00 − €1,646.60€6,000.00 − €1,646.60€4,353.40
How the reasonable burden of €1,646.60 is made up
€15,340 × 5 %€767.00 €14,660 × 6 %€879.60
€0€30,000 total amount of income

Receipt checklist for your cannabis therapy

Collect for each tax year: [2, 3]

  • medical prescriptions or suitable e-prescription records
  • pharmacy invoices and invoices for necessary medical services
  • proof of payment matched to the invoices
  • insurance statements and details of reimbursements
  • for any trips you claim: date, distance and reason for treatment
  • additional medical evidence, where required in the individual case

What an e-prescription receipt should show

For a filled e-prescription, the pharmacy receipt or the online pharmacy's invoice can serve as proof. It must in particular show the name of the person treated, the medicine or service, the amount and the type of prescription. For people with private insurance, the corresponding pharmacy cost receipt is provided as an alternative. The simplification for a missing name applied only to 2024. [7]

Hands sorting pharmacy receipts into a folder in the evening

Collect receipts, record reimbursements separately, never claim anything twice.

Private practice and possible reimbursement

Cureal treats patients privately

Cureal is a private practice. Our treatments are billed privately; we do not offer services covered by statutory health insurance. People with statutory insurance can also be treated by us as self-payers. Booking with us does not create a claim to reimbursement by statutory health insurance.

Doctors' fees and medicine costs are separate expenses. Find out about the practice's services and their costs before treatment. You obtain and pay for the medicines at the pharmacy. Keep the respective invoices for your records.

Patient at home reading a letter from her insurer

What applies to people with statutory insurance as self-payers

If you have statutory insurance and decide to be treated at Cureal, you bear the private treatment costs yourself. A private prescription is not a statutory insurance prescription either. Submitting a private invoice does not automatically turn it into a reimbursable statutory insurance service. [5]

Regardless of this, medically necessary costs you bear yourself may be taken into account for tax purposes. The conditions and evidence requirements for extraordinary expenses apply. Cureal neither offers nor promises reimbursement by statutory health insurance. [1, 2, 3]

Private health insurance

If you have private health insurance, your insurer may reimburse costs within the scope of your contract. What matters is medical necessity and your specific plan. Deductibles, reimbursement limits and other contract terms can affect the amount reimbursed. [6]

For cannabis medicines, a doctor's prescription and supply from a pharmacy are important requirements. On their own, however, they do not guarantee reimbursement. For doctors' fees, too, the scope of benefits in your plan must be taken into account. [6]

How your costs flow
  1. Two separate invoicesDoctor's fee from the practice and medicines from the pharmacy
  2. InsurancePKV: depends on plan and individual case. GKV: no reimbursement claim from the booking
  3. Your own shareWhat you actually bear yourself
  4. Check your taxesAs an extraordinary expense, with records

How to clarify possible reimbursement by private insurance

Before a planned longer-term treatment, ask your insurer, in writing if possible, whether and to what extent the planned medical services and medicines are covered. Ask which documents are needed. Findings, a medical justification and details of the expected costs can be helpful.

Cureal does not issue a binding reimbursement commitment for your insurer. Whether the insurer pays is decided by the insurer under your contract and after reviewing the individual case. Afterwards, you can have any non-reimbursed own shares that are suitable for tax purposes checked for your tax return.

Your next steps for your tax return

Sort costs and reimbursements by year

As a rule, assign expenses to the year in which you paid them. Record the invoice amount, payment date and reimbursements separately. Other medical costs from the year that you can prove may also be relevant. Avoid claiming the same expense twice. [3, 7]

Use the right annex in ELSTER

Enter the eligible expenses in the annex “Außergewöhnliche Belastungen” (extraordinary expenses) under medical costs. Enter reimbursements in the fields provided for them. Do not deduct the reasonable burden yourself from the cost amount you entered. Keep receipts ready for queries or submit them as specified in the filling instructions. [7]

Check records and the tax assessment

Check whether the amounts and reimbursements you entered are complete. Well-organised invoices and prescription records help if the tax office has questions. If an insurer later reimburses costs that have already been taken into account for tax purposes, inform your tax adviser or the tax office so the allocation can be reviewed. [3]

2022Tax year
four years for a voluntary return
31.12.2026Deadline ends

Frequently asked questions on tax and reimbursement

View process and costs Cureal mascot guiding you through the frequently asked questions

A private prescription does not rule out tax consideration. However, it does not replace checking the other requirements. Keep the prescription, invoice and proof of payment; what counts is the medically caused burden that you bear yourself. [2, 3]

No, a tax deduction does not mean full reimbursement. In the worked example on this page, only the part above the reasonable burden becomes the possible deduction. An insurance benefit in turn has its own requirements. The two results must be considered separately. [1, 4, 6]

Yes. The fact that Cureal bills privately does not rule out a tax review of medically necessary expenses. The requirements for medical costs and the prescribed records must be met. This does not guarantee a tax deduction or any particular saving. [1, 2, 3]

Further questions on your therapy costs

Not automatically. For a medical aid, the medical necessity and the prescribed records must be checked. Stricter evidence requirements may apply to items that can also be general everyday objects. Clarify this before you buy if possible. [2]

Only the part you actually bear yourself and that is suitable for tax purposes can be considered. Example: of €2,000 in eligible costs, the insurer reimburses €1,200. This initially leaves €800 of your own expense; whether this results in a tax deduction also depends on your other costs for the year and the reasonable burden. [1, 3]

Private health insurance has no general statutory requirement for prior approval of cannabis medicines like the procedure in statutory insurance. Clarifying in writing can still help you know the covered scope and required records in advance. Check your contract terms. [6]

No. Cureal is a private practice and does not offer services covered by statutory health insurance. People with statutory insurance are treated by us as self-payers. The private fees agreed in advance apply to treatment; you pay for medicines on a private prescription separately at the pharmacy.

Voluntarily waiving a possible reimbursement can jeopardise the tax deduction. Have it checked in advance how reimbursement claims, premium refunds and deductibles affect your case. Simply not submitting invoices does not automatically make the expenses tax-deductible. [3]

No. General average refunds or advertising examples cannot be applied to your cannabis therapy. A meaningful result requires your personal tax data. Adding an average general tax refund to an estimated therapy saving does not produce a reliable forecast either.

Clarify your treatment medically and keep an eye on costs

Would you like to know whether cannabis therapy could be an option for your symptoms? Find out about the treatment process and fees at Cureal or book a medical appointment. Bring any existing findings and information about previous treatments. Treatment is based on medical criteria.

Notice and sources

General information, not individual tax or legal advice. The responsible authorities decide on tax recognition and insurance benefits. Cureal guarantees neither a prescription nor a reimbursement or any particular tax advantage.

  1. [1]§ 33 EStG (Income Tax Act): extraordinary expenses and personal threshold
    https://www.gesetze-im-internet.de/estg/__33.html
  2. [2]§ 64 EStDV (Income Tax Implementing Ordinance): records
    https://www.gesetze-im-internet.de/estdv_1955/__64.html
  3. [3]BMF EStH 2025 (official income tax guidance): § 33 and notes on medical costs
    https://esth.bundesfinanzministerium.de/esth/2025/A-Einkommensteuergesetz/IV-Tarif-31-34b/Paragraf-33/inhalt.html
  4. [4]BFH VI R 75/14 (Federal Fiscal Court): calculation in stages
    https://www.bundesfinanzhof.de/de/entscheidung/entscheidungen-online/detail/STRE201710072/
  5. [5]§ 13 SGB V (Social Code Book V): reimbursement of costs
    https://www.gesetze-im-internet.de/sgb_5/__13.html
  6. [6]§ 192 VVG (Insurance Contract Act) and PKV service portal on cannabis therapy
    https://www.gesetze-im-internet.de/vvg_2008/__192.html
    https://www.privat-patienten.de/arzneien-und-hilfsmittel/erstattet-die-pkv-die-kosten-fuer-eine-cannabis-therapie/
  7. [7]ELSTER: guide to the 2025 income tax return
    https://www.elster.de/elsterweb/helpGlobal?themaGlobal=help_est_ufa_10_2025
  8. [8]Hesse tax administration: 2022 tax return
    https://finanzamt.hessen.de/service/finanzaemter-in-hessen/abgabeverpflichtung-von-steuererklaerungen-2022
  9. [9]§ 172 AO (Fiscal Code): amendment of tax assessments
    https://www.gesetze-im-internet.de/ao_1977/__172.html

Research and text as of 4 October 2026.

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