Fiscal cliff looming? Ten tax moves to make now.

Americans are facing an unprecedented tax increase of nearly $500 billion on Jan. 1, 2013, from the so-called "fiscal cliff." Are you ready? Here are 10 year-end tax strategies I recommend:

6. Pay medical expenses in 2012

Pat Wellenbach/AP/File
In this April 2012 photo, Maine Gov. Paul LePage takes a sip out of a coffee mug where a 'no new taxes' message is displayed on the bottom of the cup at his office at the State House in Augusta, Maine.

Taxpayers who normally itemize medical expenses on their tax return should accelerate those expenses into 2012 if they can. Medical expenses are deductible only if they exceed 7.5 percent of adjusted gross income (AGI). This means if your AGI is $50,000, you can deduct only medical expenses over $3,750. Next year, the threshold jumps to 10 percent of AGI.

Pay your January medical insurance premium in December to move this deduction to 2012. Any routine eye exams or dental visits should be moved up to December. Paying with a credit card would give you the deduction this year and delay the actual payment until 2013.

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