The medical tax credit you are entitled to for qualifying medical expenses that are not recouped from your medical scheme will be calculated for you by the South African Revenue Service (SARS) if you declare these 
expenses on your income tax return. Read more: What is the additional medical tax credit and who qualifies for it?
The expenses you claim must be qualifying ones and, if you are 65 or older, the credit will be one third of your unrecouped medical expenses plus some of your medical scheme contributions.
If you want to do this calculation yourself to find out whether you are entitled to any tax relief for medical expenses that you were not able to claim from your medical scheme, you need to do the following calculation:
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EXAMPLE Sam, aged 65, and Sam’s spouse, aged 63, are paying R3 874 a month to belong to their medical scheme. They have paid R16 200 of medical expenses out of pocket. The medical scheme fees credit for the 2023 tax year is R347 a month each for the first two dependents and R243 a month for any subsequent dependents.
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Sam’s medical tax credit is R347 + R347 = R694 a month. For the year, the credit is R694 x 12 = R8 328