You should also certify that any expense paid by the plan hasn’t been previously reimbursed by insurance or otherwise, and that you won’t seek reimbursement from any other plan covering health benefits. This substantiation information should include: To help avoid having an FSA reimbursement taxed as wages, expenses should be fully substantiated by an independent third party. Certain costs associated with fertility and surrogacy treatments incurred for the medical care of third parties.Therapy session not required for treatment of a disease (e.g., marital or family counseling).Cost of exercise for the improvement of general health (even if recommended by a doctor).Certain costs associated with fertility treatments incurred for the medical care of the taxpayer, their spouse, or their dependentĪccording to the FAQs, the following are generally not reimbursable from an HSA, FSA, Archer MSA, or HRA:. ![]() Nutritional supplements recommended by a medical practitioner as treatment for a specific medical condition diagnosed by a physician.The expense is limited to the amount by which the cost of the food or beverage exceeds the cost of a product that satisfies normal nutritional needs Food or beverages purchased for weight loss or other health reasons, where (1) the food or beverage doesn't satisfy normal nutritional needs, (2) the food or beverage alleviates or treats an illness, and (3) the need for the food or beverage is substantiated by a physician.Gym membership that is purchased for the sole purpose of affecting a structure or function of the body (such as a prescribed plan for physical therapy to treat an injury, or the sole purpose of treating a specific disease diagnosed by a physician, such as obesity, hypertension, or heart disease).Weight-loss program that treats a specific disease diagnosed by a physician (e.g., obesity, diabetes, hypertension, or heart disease).Nutritional counseling that treats a specific disease diagnosed by a physician (e.g., obesity or diabetes).Therapy session for the treatment of a disease (e.g., to treat a diagnosed mental illness).Program to treat an alcohol use disorder.Program to treat a drug-related substance use disorder.(It’s notable that nonprescription over the counter drugs, other than insulin, are not eligible for the medical expense income tax deduction.) Nonprescription over-the-counter drugs and medicines, including nonprescription insulin.The IRS recently issued updated guidance to provide further clarity on which expenses qualify.Īccording to the FAQs, the following are generally reimbursable from an HSA, FSA, Archer MSA, or HRA: ![]() The IRS generally allows taxpayers to take a deduction for expenses they paid during the taxable year for medical care-as long as they’re “qualified medical expenses.” Alternatively, these medical expenses can typically be paid or reimbursed under a health savings account (HSA), health flexible spending arrangement (FSA), Archer medical savings account (Archer MSA) or health reimbursement arrangement (HRA).
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