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HSA OTC mileage deduction

 

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Subject Author Date
HSA OTC mileage deduction Y 08-16-2009
Posted by Y on August 16, 2009, 1:09 pm
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--
I understand that certain Over The Counter (OTC) medication costs are
reimbursable from Health Savings Accounts (and are not deductible
expenses on IRS Schedule A).

For IRS Schedule A deductible prescription drugs, mileage to and from
the pharmacy is allowed as a deduction at the current mileage rate.

Does it follow that mileage to and from the store to get the HSA
eligible OTC medications can be reimbursed at the current IRS rate from
an HSA as well?

--
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Posted by Mark Bole on August 16, 2009, 2:16 pm
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Y wrote:
>
> I understand that certain Over The Counter (OTC) medication costs are
> reimbursable from Health Savings Accounts (and are not deductible
> expenses on IRS Schedule A).
>
> For IRS Schedule A deductible prescription drugs, mileage to and from
> the pharmacy is allowed as a deduction at the current mileage rate.
>
> Does it follow that mileage to and from the store to get the HSA
> eligible OTC medications can be reimbursed at the current IRS rate from
> an HSA as well?

Your question "does it follow that..." implies a certain logical
consistency that as many here will tell you, does not exist in the U.S.
income tax system.

It doesn't sound entirely unreasonable to me, but see also the standard
disclaimer at the end of this message. ;-)

You might also have to take into account whether the frequency of your
trips is reasonable. While prescription medications have a fixed dosage
rate that determines when you must go for a refill, you typically could
buy many months worth of OTC medications in one trip. If you are making
daily trips to the pharmacy, that might be harder to support.

-Mark Bole

--
<< ------------------------------------------------------- >>
<< The foregoing was not intended or written to be used, >>
<< nor can it used, for the purpose of avoiding penalties >>
<< that may be imposed upon the taxpayer. >>
<< >>
<< The Charter and the Guidelines for submitting posts >>
<< to this newsgroup as well as our anti-spamming policy >>
<< are at www.asktax.org. >>
<< Copyright (2007) - All rights reserved. >>
<< ------------------------------------------------------- >>

Posted by D. Stussy on August 16, 2009, 8:50 pm
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> I understand that certain Over The Counter (OTC) medication costs are
> reimbursable from Health Savings Accounts (and are not deductible
> expenses on IRS Schedule A).
>
> For IRS Schedule A deductible prescription drugs, mileage to and from
> the pharmacy is allowed as a deduction at the current mileage rate.
>
> Does it follow that mileage to and from the store to get the HSA
> eligible OTC medications can be reimbursed at the current IRS rate from
> an HSA as well?

Clearly, yes. As long as the expense qualifies under Section 213(d) as a
medical expense (note: insurance premiums have additional restrictions),
its cost may be covered from an HSA. "Mileage" (transportation) qualifies
as a reimbursable expense (213(d)(1)(B)).


Text of IRC 223(d)(2):

(2) Qualified medical expenses
(A) In general
The term "qualified medical expenses" means, with respect to an account
beneficiary, amounts paid by such beneficiary for medical care (as defined
in section 213 (d) [1] for such individual, the spouse of such individual,
and any dependent (as defined in section 152, determined without regard to
subsections (b)(1), (b)(2), and (d)(1)(B) thereof) of such individual, but
only to the extent such amounts are not compensated for by insurance or
otherwise.
(B) Health insurance may not be purchased from account
Subparagraph (A) shall not apply to any payment for insurance.
(C) Exceptions
Subparagraph (B) shall not apply to any expense for coverage under-
(i) a health plan during any period of continuation coverage required under
any Federal law,
(ii) a qualified long-term care insurance contract (as defined in section
7702B (b)),
(iii) a health plan during a period in which the individual is receiving
unemployment compensation under any Federal or State law, or
(iv) in the case of an account beneficiary who has attained the age
specified in section 1811 of the Social Security Act, any health insurance
other than a medicare supplemental policy (as defined in section 1882 of
the Social Security Act).

Text of IRC 223(f) [edited]:

(f) Tax treatment of distributions
(1) Amounts used for qualified medical expenses
Any amount paid or distributed out of a health savings account which is
used exclusively to pay qualified medical expenses of any account
beneficiary shall not be includible in gross income.
...
(6) Coordination with medical expense deduction
For purposes of determining the amount of the deduction under section 213,
any payment or distribution out of a health savings account for qualified
medical expenses shall not be treated as an expense paid for medical care.
-------------
So, one cannot deduct (for federal purposes*) any expense paid for or
reimbursed from an HSA as a medical expense on Schedule A.

* - Some states, like California, don't recognize HSAs, so a deduction as
a medical expense for items paid from an HSA is allowed for state income
tax purposes.

--
<< ------------------------------------------------------- >>
<< The foregoing was not intended or written to be used, >>
<< nor can it used, for the purpose of avoiding penalties >>
<< that may be imposed upon the taxpayer. >>
<< >>
<< The Charter and the Guidelines for submitting posts >>
<< to this newsgroup as well as our anti-spamming policy >>
<< are at www.asktax.org. >>
<< Copyright (2007) - All rights reserved. >>
<< ------------------------------------------------------- >>

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