14. The amount of unreimbursed qualified medical expenses reported on Form 8889,

ID: 2719943 • Letter: 1

Question

14. The amount of unreimbursed qualified medical expenses reported on Form 8889, line 15 is $_______.

Interview Notes

• Yvette Kohen, age 45, is a single parent raising her son, Gabriel.

• Yvette qualifies to file as Head of Household.

• For the last four years, Yvette has had family health coverage through a High Deductible Health Plan (HDHP) from her employer.

• Yvette has had an HSA for several years.

• In 2015, she contributed $1,500 to her HSA.

• Yvette’s uncle helped her out and contributed $3,500 to her HSA in 2015.

• Yvette’s employer also contributed $800 to her HSA in 2015.

• Yvette paid the following expenses in 2015 using money from her HSA:

– $625 for outpatient knee surgery for Yvette

– $275 for prescription medicine for Yvette

– $400 for emergency room visit for Gabriel

– $150 for electric toothbrushes and toothpaste for the family

The total amount qualified = 625 + 275 + 400 = $1,300

$150 for electric toothbrushes and toothpaste are not qualified under medical expenses, so this item is not qualified

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