What is the Disability Tax Credit?
The Disability Tax Credit (DTC) is a non-refundable tax credit made available through the Canada Revenue Agency. It is to be used by individuals who have a severe mental or physical impairment which markedly restricts the basic activities of daily living and/or need and dedicate time for Life-Sustaining Therapy. Therapy that must occur at least twice per week for more than 14 hours per week.
An eligible person must have an impairment that has lasted or is expected to last for a period of 12 continuous months.
Life-Sustaining Therapy is defined as any treatment for a disease or a disorder that, if withheld would prevent the functioning on one or a group of vital organs to sustain human life.”
The Disability Tax Credit itself was created “to provide for greater tax equity by allowing some relief for disability costs, since these are unavoidable additional expenses that other taxpayers don’t have to face.”
Who Can Apply for the DTC?
The Disability Tax Credit is available to those Canadians who are markedly restricted in the Basic Acts of Daily Living OR require 14 or more hours per week to administer Life-Sustaining Therapy.
Try our short quiz to quickly see if you might qualify for the DTC.
Can people with diabetes get the Disability Tax Credit?
Yes! People living with diabetes who use insulin and intensively manage their diabetes care will qualify for the DTC.
For people with type 1 diabetes
If you have type 1 diabetes, you are eligible for this credit based on your diagnosis. You will simply
- download the Form T2201
- under the Life Sustaining Therapy section indicate in question one that the therapy is for type 1 diabetes
- scroll to the end of the application. You will have to note the year you were diagnosed with type 1 diabetes and your doctor will sign off on the application.
- upload to your My CRA account and wait for your approval notification.
For people with type 2 diabetes
If you have type 2 diabetes, but do not use multiple daily injections of insulin, you will not be eligible for the Disability Tax Credit under Life Sustaining Therapy. If you have other underlying issues, they may make you eligible, but your diabetes will not yet qualify you.
If you have type 2 diabetes and are on multiple daily injections, you may qualify. You will have to show that you spend over 14 hours per week on specific diabetes related tasks.
For people with insulin dependent diabetes that is not classified as type 1
If you are insulin dependent, but have not be categorized as having type 1 diabetes, you will have to prove that you spend over 14 hours per week on your diabetes care.
What does it mean to “intensively manage” my diabetes?
Intensively managing your diabetes care means that you are using multiple daily doses of insulin per day, you are monitoring your blood glucose levels 6 or more times per day, you are monitoring your carbohydrate intake to match your insulin needs, and you are keeping detailed data on trends and patterns for your diabetes care.
Do I have to have an income to qualify for the Disability Tax Credit?
No, the Disability Tax Credit can be transferred to a spouse or family member who is providing financial assistance to you. The credit offers the most benefit to the family member with the highest income and is often transferred to another person.
Why should I apply for the DTC if I don’t have any income?
People with low incomes may still find some relief with the DTC. The credit is designed to assist in reducing your taxable income.
If you have a child with Type 1 diabetes, you will be approved for the DTC regardless of your income level. If you receive a Child Tax Benefit AND you have a child with Type 1 diabetes, you will be entitled the Disabled Child Benefit each month.
Do I automatically qualify for the DTC if I use a pump?
No, using an insulin pump will not guarantee your acceptance. As of the 2004 tax year, the method of insulin delivery no longer matters. What does matter is if you have type 1 diabetes or a different type of diabetes.
As of June 23, 2022, the government has legislated that people living with type 1 diabetes qualify for the Disability Tax Credit.
If you are living with a different type of diabetes, you will still have to prove that you spend 14 hours per week on your diabetes care regardless of how you deliver your insulin.
What if I don’t have type 1 diabetes?
If you do not have type 1 diabetes you will have to qualify by proving that you spend 14 hours per week on the allowable tasks.
When can I apply for the Disability Tax Credit?
You can fill out the T2201 at any time. When you are ready to submit it, if you have not previously applied, make sure to also request that CRA reassess your taxes for a period up to 10 years.
Where do I start?
You will first need to obtain a form T2201. This can be downloaded from the Canadian Revenue Agency website.
This form must then be filled out by the applicant and signed by an attending physician.
For people with type 1 diabetes
You will fill out the form T2201. You will no longer have to prove that you spend 14 hours per week on your care. You will no longer need to provide a detailed account of your time spent. Your doctor will certify that you have type 1 diabetes and you will upload the signed T2201 to your My CRA account for approval.
For those with insulin dependent diabetes not categorized as type 1
You will need to include a detailed account of how you spend 14 hours on your care.
For details on what may be included under the category of time spent on diabetes care for this form, please see our Tips section.
The T2201 is sent in with your income tax return. With your first application, file your income tax return as if you have ALREADY been approved for the credit and will fill out line 316 (or line 318 to transfer from a dependent).
If you are uncertain of the amount of time you are spending on allotted tasks, we have various tools available to help.
What do I need to tell my doctor to have the form signed?
It is important that physicians understand what they are signing.
If you have a child with Type 1 diabetes or are an adult with type 1 diabetes, make sure that your doctor understands that by signing the T2201, they are certifying ONLY that the individual has a diagnosis of Type 1 Diabetes. They are NOT being asked to specify how much time is spent on diabetes-related care.
CRA assumes managing Type 1 diabetes requires more than 14 hours dedicated to Life Sustaining Therapy.
For adults with insulin dependent diabetes (not considered type 1), the doctor must understand exactly how you spend your 14 hours per week on your care. They may be asked to fill out a supplementary form.
Provide your doctor with as many details of what you do over a week as possible. It is important that they understand how you spend your time so that they can accurately fill out any supplementary form that they may receive.
Make sure that your doctor indicates that this condition is PERMANENT. It may affect the amount of time you are given the credit for.
How long will I get the Disability Tax Credit for?
If you have type 1 diabetes, effective June 23, 2022, you will be eligible for the Disability Tax Credit for life once your T2201 is approved.
For those with other types of insulin dependent diabetes, the length of time you qualify for the DTC is subject to CRA’s internal policies. They can grant the credit for one-year time frames, and you will have to reapply each year, or they can grant it for specific lengths of time (i.e. 5 years), or they may grant it permanently. The last scenario is unlikely but does seem to occur after repeated applications have been approved.
When you receive your Notice of Assessment stating that you qualify for the Disability Tax Credit, there should be a further statement of exactly how long you have before you need to reapply. You can also go into your online CRA account to verify the date that you may need to reapply for the DTC.
How do I fill out the form T2201 if I have insulin dependent diabetes?
- Go to the CRA site and download the T2201 form.
- Insert your personal information as required.
- Fill out Part A, page one of the Disability Tax Certificate.
- Part B is to be filled out by your doctor. The only issue of importance for most people is “life sustaining therapy”.
- Your doctor will check off the box “yes” when asked, “Does your patient meet the conditions for life sustaining therapy as described above?“
- In the section of “year” he/she will put the diagnosis year.
- Details would be insulin dependent diabetes and then the method of insulin delivery (please remember that method of deliver does NOT change your eligibility for the DTC)
- Effects of impairment is the reliance on an external source of insulin to sustain life.
- Duration is annoying for those living with diabetes but you must remember that this form is for other diseases/conditions as well. Please note that “yes” the impairment will last for more than 12 months and no there will be no marked
- improvement thanks to therapy (there will be no cure).
The physician and the person with diabetes signs off on the form and it is submitted with your tax return or as a separate request for review if you have already sent in your latest tax return.
What do I do if I am sent a second form asking about time spent?
The easy answer is, of course, to simply tell them all the time it takes you to fill cartridges, adjust basals, and do all of those things that you have probably forgotten take time out of your day. If you sit for one day and every time you do something because you have diabetes, you will quickly be amazed at how time adds up.
Below are some examples of how your time can add up.
Please remember that these are only examples. To help to ensure that your application is accepted, please make sure to personalize your list. You do not want it to look like you simply copied and pasted something that you found online.
Establish the insulin required based on time of day, caloric intake, activity level and wellness; clean the area with alcohol; make sure alcohol is dried; clean insulin vial with alcohol; remove cap on needle; draw up correct amount of insulin; pinch skin; insert needle; inject insulin; relax hold on skin; place swab over injection site and maintain pressure for a few seconds; replace protective cap on needle; and properly dispose of needle. This takes approximately 6 minutes multiplied by the number of injections per day. For a person who uses a long acting and injects for meals you would count a minimum of 5 needles per day (without corrections) totaling 30 minutes per day, and 210 minutes per week (3.5 hours)
For insulin pumpers:
Establish the insulin required based on time of day, caloric intake, activity level and wellness (2 minutes six times per day for 84 minutes per week), change pump tubing and insulin cartridge (7.5 minutes every other day totaling 70 minutes per week); adjusting pump programming to accommodate for temporary basal rates, exercise, changing bolus ratios or altering basal rates (10 minutes daily, 70 minutes per week), site change and rotation (10 minutes every other day, 35 minutes per week), emergency site changes due to sites falling out or failing (17.5 minutes twice per week, 35 minutes), establishing correction doses (1 minute twelve times per day, 84 minutes per week), changing pump battery (2 minutes every other week).
Logging: I know not everyone logs but reality says that you must look at trends and see if you need adjustments for your exercise routine, pizza supper, or that extra shift at work. All of these things are tasks that a person with a functioning pancreas would not have to do. This is something you do think about. It would total a minimum of 30 minutes per day, equating to three and a half hours per week.
Analyzing trends and making adjustments: every three days, 20 minutes equals one hour per week
Checking meter: this includes coding, using control solution, changing lancet for approximately fifteen minute procedure
Repeating Blood Glucose Test when meter error occurs: two minutes of your time approximately five times per week (10 minutes)
Treating lows: CDA guidelines state a low is anything under 4. How many lows are normal? This is individual but if you maintain tight control it is more likely to occur. Fourteen lows per week and 5 minutes to treat equals 70 minutes per week.
CRA states in their legislation that recovery time from lows does not count in the calculation of time spent on Life Sustaining Therapy (an extra 15 minutes per low). It has been argued that this is part of therapy and privately they agree but unfortunately there does not seem to be legal precedents backing us at the moment.
Dealing with highs: Again, not to be taken lightly. You need to establish a correction factor. Some people are more insulin resistant at higher bg levels. If you are pumping, you want to check the tubing and the site. If you are on injections you may wish to look at the insulin and the injected area for hypertrophy. You will need to inject to correct and finally you may also need to test for ketones (three minutes every other week, or 1.5 minutes per week). The amount of time this takes would be approximately 6 minutes and as most people tend to run high more times than low. We found 21 highs per week I would say three highs per day totaling 18 minutes per day, or 2 hour 8 minutes per week.
Checking Blood Glucose levels:
Checking blood glucose levels becomes routine but it still must be done. On average one hopes that there are at least 6-12 finger pokes per day. To check you must wash the area to be tested. You must ensure that the meter is coded properly. A test strip must be inserted. Your finger must be lanced. You must apply the blood. The reading must be recorded. Doing this 8 times per day at 3 minutes per test is 24 minutes per day or 3 hours per week
For people using a CGM:
You would most likely have slightly less testing time (6 times per day or 2.1 hours per week) but will have other tasks that must be added into your calculations such as:
Rotating CGM Sensor sites: 10 minutes once per week
Analyzing your CGM Trends: 30 minutes once per week
Emergency Sensor site changes: 10 minutes every other week or 5 minutes per week.
CGM Calibration: 1 minute four times per day or 28 minutes per week)
For a total time spent dealing with the CGMS part of your diabetes care being
73 minutes per week.
You can personalize these figures to share with your diabetes team and CRA by monitoring your activities in our DTC workbook.
What are the totals for the DTC?
For someone on injections:
Injecting: 4.5 hours (this includes the time required when you are high and need to calculate a correction dose.)
Logging: 3.5 hour
Analyzing trends and making adjustments: 1.5 hour
Checking meter, coding, changing lancets, etc.: 15 minutes
Blood checks: 4.5 hours (this included the extra time for retesting during lows)
Total: 14.25 hours per week
Dealing with pump: 6.3 hours
Logging: 3.5 hour
Analyzing trends and making adjustments: 1 hour
Checking meter, coding, changing lancets, etc.: 15 minutes
Treating lows: 1 hour 15 minutes (or more)
Dealing with highs: 2 hours 30 minutes
Checking blood glucose: 4 hours (pumpers usually test closer to the 10-12x per day mark)
Total: 18.8 hours per week
If using a CGM: add .5 hr.
Time devoted to the CGM part of therapy is approximately 73 minutes but there
is usually less time spent testing blood glucose levels which would negate the total or increase it only slightly.
Click for more tips on how to apply for the Disability Tax Credit.
Still not sure what to do?
Download our Disability Tax Credit workbook. It will help you to decide if you spend enough time on Revenue Canada approved tasks related to your diabetes care to qualify for the DTC. You can fill out the workbook and share your results with your doctor. You can also use the results to more accurately complete your T2201.
Click here to purchase the workbook.
If you are still unsure as to how to proceed, Diabetes Advocacy provides assistance in filling out the T2201.
We will print off the T2201 as well as any requests for reassessment years. Your form will be filled. We will indicate where you and your doctor need to sign. You will also be provided a detailed letter stating why people with diabetes now qualify for the DTC.
We are not tax accountants but are well versed regarding the Disability Tax Credit and those with diabetes. Please make sure that your doctor will support your claim. This fee is for filling out the appropriate forms for you only. We do not guarantee your success but will assist you with any further issues you may have.
Need a second opinion before you send in your application?
Diabetes Advocacy will review your documents and suggest any edits or reviews before your T2201 is submitted for a one-time fee.
Any other questions?
Please contact us or read through our Frequently Asked Questions About the Disability Tax Credit
Learn more about the DTC
Get notified when Barb Wagstaff and Nancy Lee next discuss changes to the Disability Tax Credit and how you can access benefits in the Registered Disability Savings Plan.
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