Settlements

Can Accident Reimbursement Be Claimed on Taxes As Deductibles

By Jack G. Bernstein, Esq.June 30, 20257 min read

After a serious Las Vegas car accident, your settlement should bring financial relief, not a new wave of stress about taxes. It’s a common and valid concern: Is this money considered taxable income by the IRS? Can you deduct your medical expenses?

The answers depend on how your settlement is structured, a crucial detail that an experienced personal injury lawyer like Jack Bernstein focuses on to protect your financial recovery. What follows is general information about the federal tax rules, not tax advice: how your own settlement is taxed turns on the claim you brought and what is on your return, so run it past a qualified tax professional before you file. On the legal side of your case, Jack’s got your back.

First Things First: Clarifying Your Tax Questions

When it comes to your accident settlement and taxes, the single most confusing part is that the common question, ”Can I claim my reimbursement as a deductible?”, is actually two very different questions rolled into one.

To get you a clear answer, we first need to separate them. One question is about the money you received, and the other is about the expenses you paid.

Question 1: Is the Money I Received From My Settlement Taxable?

This is the “income” side of the equation. It asks whether the IRS views the settlement check you received as a profit or wage that you have to pay taxes on. The answer to this determines how much of the money you get to keep.

Question 2: Can I Deduct My Accident-Related Expenses?

This is the “expense” side. It asks whether the money you spent on things like medical bills and co-pays can be used to lower your overall taxable income for the year. This is what people typically mean when they talk about tax “deductions.”

Is Your Personal Injury Settlement Taxable by the IRS?

Now let’s tackle the first and most pressing question: Is the money you receive from your personal injury settlement considered taxable income? For most accident victims, the answer is a welcome relief.

The General Rule: Compensation for Physical Injuries is Not Taxed

The IRS does not typically tax payments you receive as compensation for a physical injury or physical sickness. The government’s view is that this money is not a profit or a wage; it is a reimbursement intended to “make you whole” again after you have suffered a loss.

This means the core components of your settlement are generally received by you, tax-free. This includes the funds allocated for:

That last qualifier is doing real work. Federal law says emotional distress is not itself treated as a physical injury or physical sickness, except for damages up to the amount paid for medical care attributable to the distress (26 U.S.C. 104(a)). So distress that follows from your physical injuries travels with them, while a recovery for distress with no physical injury behind it is treated differently. If your claim is in that second group, ask a tax professional before you assume the money is tax-free.

Exceptions: When a Portion of Your Settlement Is Taxable

While the portion for your physical injuries is protected, some parts of a settlement can be considered taxable income by the IRS. It is crucial to know what these are.

  • Punitive Damages. This is money awarded to punish the at-fault party for particularly reckless behavior. Because this goes beyond making you whole for your losses, the IRS treats it as income to you and it is taxable, even when it comes out of a settlement for a physical injury.
  • Interest. If your settlement takes a long time to be paid out and accrues interest, that interest is generally taxable as interest income.
  • Medical expenses you already deducted. If you itemized and deducted your accident-related medical bills on an earlier return, and that deduction gave you a tax benefit, the part of your settlement that reimburses those same bills may be taxable, so confirm the treatment with a tax adviser.
  • Payments for Confidentiality. Money paid for a confidentiality, non-disparagement, or similar promise can be taxable, even when the settlement agreement does not break it out as a separate figure, because a court can decide that part of the payment was for that promise. A confidentiality clause does not by itself make your whole physical injury settlement taxable.

One point that surprises people: lost wages are treated differently depending on what kind of claim you brought. Where the money is paid because of a personal physical injury, the lost-wages portion is generally excluded from federal income along with the rest of the recovery (26 U.S.C. 104(a)(2)). Lost wages from a claim that is not for a physical injury, such as an employment dispute, are generally taxable. The nature of the underlying claim and the way the settlement is written both matter.

Nevada Has No Individual State Income Tax

Here is some good news for local residents. Even if parts of your settlement are taxable at the federal level by the IRS, Nevada has no state income tax. This means you won’t be hit with a second layer of taxes on any taxable portions of your settlement from the State of Nevada.

Tax treatment turns on the claims you brought, how the settlement is written and allocated, and what you deducted in earlier years. This page is general information, not tax advice. Ask a qualified tax professional about your own settlement.

What About the Money I Received for My Car?

Similar to your medical payments, the money you receive for damage to your vehicle is also considered a payment to make you whole. Therefore, a settlement for your car’s repair costs or its actual cash value is generally not taxable. In rare cases where an insurance payout somehow exceeds the original cost basis of your car, that “gain” could be taxable, but this is not a typical outcome for most car accident claims.

Deducting Your Accident Expenses: The “No Double-Dipping” Rule

Now we turn to the second part of your question: Can you use the money you spent on accident-related costs to lower your tax bill? This is where the rules are very strict, and the simple answer for most people is no.

Why You Can’t Deduct Reimbursed Expenses

The fundamental principle is that the IRS does not allow a “double benefit.” Since your settlement for physical injuries is already tax-free, you cannot also use the expenses paid for by that settlement to get a second benefit in the form of a tax deduction.

A Simple Example:

  • The settlement provides you with $10,000 designated for your physical therapy bills. This $10,000 is not taxed.
  • You use that money to pay your $10,000 physical therapy bill.
  • Because you were made whole by the tax-free settlement, you cannot then claim that $10,000 bill as a medical expense deduction on your tax return.

The Strict Rules for Deducting Unpaid Medical Bills

Even if you have medical expenses that were not covered by your settlement, it is still very difficult to deduct them. This is because the IRS has a high threshold that must be met.

Two things stand in the way. First, the medical expense deduction is an itemized deduction, so it does nothing for you unless your itemized deductions add up to more than the standard deduction, and most filers take the standard deduction. Second, even then only the qualified medical expenses above a set percentage of your Adjusted Gross Income (AGI) count at all, and for most families their unreimbursed expenses never reach that level. That percentage is set by federal tax law and has been changed before, so confirm the current threshold, and whether itemizing makes sense for you at all, with a tax professional or the latest IRS guidance.

Can You Deduct Your Attorney’s Fees?

This is a very common question. Generally, the answer follows the rules we’ve already discussed. You cannot deduct the legal fees that apply to the non-taxable portion of your settlement (the money for your physical injuries). Readers sometimes hear that the fees matching a taxable portion, such as punitive damages, can be deducted instead. For individuals that deduction has not been available since 2018. Ask a tax professional how your own fees should be treated rather than counting on a deduction.

How Your Lawyer Can Help Protect Your Settlement From Taxes

Understanding these tax rules is important, but an experienced personal injury lawyer does more than just explain them: they can proactively structure your case to put you in the best possible financial position.

The Importance of How Your Settlement Agreement Is Worded

The language used in your final settlement agreement is critical. An experienced attorney will press during negotiations to have the agreement spell out what the money is for, and to allocate it to the categories the claim actually supports, like compensation for physical injuries and the pain and suffering that goes with them. An allocation the parties write down is evidence of what the payment was for, and it carries weight where it matches the claim that was brought. It does not bind the IRS. Where an agreement is silent, or the label does not fit the underlying claim, the payor’s reason for making the payment is what governs, and a court can split the money differently than the parties labelled it (Amos v. Commissioner, T.C. Memo. 2003-329). A clear, honest allocation is worth having; a label chosen only to save tax is not something to rely on.

The Final Step: Why You Should Consult a Tax Professional

As personal injury attorneys, our expertise is in maximizing your settlement and ensuring the legal document is structured to your benefit. For specific advice on how to file your taxes after receiving a settlement, you must consult with a qualified tax professional, such as a Certified Public Accountant (CPA). They can review your specific financial situation and settlement details to ensure everything is reported correctly to the IRS. This is the final, crucial step in protecting your financial recovery.

A Clear Path Forward for Your Finances

The tax rules surrounding accident settlements can seem intimidating, but the core concepts are straightforward. Remember these key points:

  1. Compensation for your physical injuries is generally not taxable.
  2. You cannot deduct expenses that your settlement has already paid for.
  3. The way your settlement agreement is worded has a real impact on your finances.

By understanding these basics and seeking the right professional help, both legal and financial, you can navigate the aftermath of your accident with confidence.

Free Case Evaluation

We will contact you immediately.

The consultation is free, confidential, and available now. Tell us what happened. We will tell you where you stand.

Call Now 24/7/365(702) 633-3333

Find out what your case is worth

Free, confidential evaluation in as little as 5 minutes. Contact us today to speak to Jack personally.

  • You pay nothing until we win
  • Get an immediate call back. 24/7
  • We do not sell or share your information
Available 24/7. Or call (702) 633-3333

Visit our office

Our Law Firm Location

Open 24 hours, 7 days a week

Jack Bernstein Injury Lawyers is conveniently located in southeast Las Vegas, on the Longford Plaza near the Warm Springs Road and Eastern Avenue corridor. Our office is located just east of the I-215 beltway, on the edge of Henderson, making it easily accessible from across the Las Vegas and Clark County area.

Injured and recovering at home or in the hospital? We will come to you. Call (702) 633-3333

We serve clients across the Las Vegas metropolitan area, including Henderson, Summerlin, North Las Vegas, the Las Vegas Strip, Downtown Las Vegas, Spring Valley, Paradise, and Enterprise, along with Pahrump and Boulder City.