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Post by nhmountains on Dec 4, 2019 5:56:38 GMT -6
Correct. As I read it any eligible medical expenses not covered by health insurance are eligible. The thing with the HSA is you have to keep the paperwork eternally. The other thing is you can stockpile eligible receipts now and use them to get reimbursements down the road.
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Post by sd51555 on Dec 4, 2019 6:46:54 GMT -6
I have to give Shaheen’s office credit. They reached out to their IRS contact and got me an answer. So, currently spouses eligible medical expenses are eligible to be submitted for reimbursement as long as the spouses expenses aren’t covered under their medical insurance plans. Who knows what will happen down the road. “Generally, under 26 U.S.C. § 223 an eligible individual who is covered under a high deductible health plan (HDHP) and meets the other criteria to qualify for an HSA can submit for reimbursement qualified medical expenses incurred by his or her spouse, even if the spouse is covered by an individual non-HDHP (and as long as those expenses are not otherwise covered by the spouse’s insurance). Please see Q&A 36 in Notice 2004-50, as follows: “Q-36. If an account beneficiary's spouse or dependents are covered under a non-HDHP, are distributions from an HSA to pay their qualified medical expenses excluded from the account beneficiary's gross income? A-36. Yes. Distributions from an HSA are excluded from income if made for any qualified medical expense of the account beneficiary, the account beneficiary's spouse and dependents (without regard to their status as eligible individuals). However, distributions made for expenses reimbursed by another health plan are not excludable from gross income, whether or not the other health plan is an HDHP. See Notice 2004-2, Q&A 26.”” So elective items like glasses that are not covered by your spouses insurance can be paid for by the dollars you have in your HSA. What if your wife had a procedure that paid 80% of the cost, could your HSA then pay the remaining 20%? Sounds like it would. That's the way I read it. It's a spirit of the law deal. Cover what ain't reimbursed, but can't double dip.
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Post by sd51555 on Dec 4, 2019 6:47:52 GMT -6
The other thing is you can stockpile eligible receipts now and use them to get reimbursements down the road. Yep. Very nifty planning tool there.
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Post by MoBuckChaser on Dec 4, 2019 21:37:15 GMT -6
After getting a picture of my broken hand, my doctor said I needed an MRI now as well to see if I had ligament damage also. The X-Ray was $700. I asked how much the MRI was, the gal in book keeping said my insurance approved $1500 for the MRI. So I said it costs $1500? That is what you will bill my insurance? No she said, we will be them $4200 they cover up to $1500. Old MO is on the hook for $2700 if I were to go through with it. Fuck that I told her.
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Post by Sandbur on Dec 5, 2019 3:53:54 GMT -6
After getting a picture of my broken hand, my doctor said I needed an MRI now as well to see if I had ligament damage also. The X-Ray was $700. I asked how much the MRI was, the gal in book keeping said my insurance approved $1500 for the MRI. So I said it costs $1500? That is what you will bill my insurance? No she said, we will be them $4200 they cover up to $1500. Old MO is on the hook for $2700 if I were to go through with it. Fuck that I told her. Mo, this insurance is a real mess. Sometimes the insurance company has an agreement with certain providers that they will do it for $1500. Sometimes not. Then figure in deductibles. Confused all ready??
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Post by MoBuckChaser on Dec 5, 2019 5:47:27 GMT -6
After getting a picture of my broken hand, my doctor said I needed an MRI now as well to see if I had ligament damage also. The X-Ray was $700. I asked how much the MRI was, the gal in book keeping said my insurance approved $1500 for the MRI. So I said it costs $1500? That is what you will bill my insurance? No she said, we will be them $4200 they cover up to $1500. Old MO is on the hook for $2700 if I were to go through with it. Fuck that I told her. Mo, this insurance is a real mess. Sometimes the insurance company has an agreement with certain providers that they will do it for $1500. Sometimes not. Then figure in deductibles. Confused all ready?? No confusion for me, $4200 for a hand MRI ain’t going to happen.
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Post by Reagan on Dec 5, 2019 5:52:44 GMT -6
My daughter had an MRI when she hurt her knee this year. Doing it at children’s hospital was going to be a lot of money.
My wife found another MRI facility and she got it for a fraction of the price. They provide the MRI on dvd so your doctor can review it.
My guess is there is a similar option near you.
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