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Has anyone here actually succeeded in itemizing with Healthshare expenses? We're on Samaritan and paying about $750/month in shares plus had about $5k in expenses that weren't shared this year. But we're still well below the standard deduction threshold for married filing jointly.
We managed to do it last year, but only because we had a perfect storm of deductible expenses. Between our Liberty Healthshare costs, massive property taxes, mortgage interest on our new house, and some large charitable donations, we cleared the standard deduction by about $3k. Saved us around $600 in taxes. This year we'll probably be back to taking the standard deduction though.
Thanks for sharing your experience. It's helpful to know it's possible but requires a lot of other deductions too. I think we'll stick with the standard deduction based on our situation, but I'll keep better records this year just in case we get close.
Based on my experience with Healthshares and tax law, I want to clarify a few key points that might help you navigate this situation: First, you're correct that your monthly Healthshare contributions ($8k annually) are NOT the same as traditional insurance premiums for tax purposes. However, they DO count as qualifying medical expenses when calculating your itemized deductions, subject to the 7.5% AGI threshold. The $9k you paid out-of-pocket that wasn't reimbursed is also deductible as medical expenses. So you'd have $17k in potential medical deductions ($8k contributions + $9k out-of-pocket), which exceeds your 7.5% threshold of approximately $12,750 (based on $170k income). However, the reimbursed $29k is NOT deductible, regardless of whether you paid providers first and got reimbursed later. The IRS looks at the final economic burden - if you were ultimately made whole through reimbursement, you can't deduct those expenses. Given your income level and the amounts involved, you'd need to carefully calculate whether itemizing would benefit you over the $27,700 standard deduction for married filing jointly. Include your medical expenses above the threshold, state/local taxes (up to $10k), mortgage interest, and charitable donations to see if itemizing makes sense. Keep detailed records of everything, including dates, amounts, and proof of payment/reimbursement. Healthshare arrangements can sometimes trigger additional IRS scrutiny, so documentation is crucial.
This is exactly the kind of detailed breakdown I was hoping for! Your explanation really helps clarify the distinction between what counts as medical expenses versus what's actually deductible after reimbursements. One thing I'm still wondering about - you mentioned that Healthshare arrangements can trigger additional IRS scrutiny. Is there anything specific we should be prepared for if we do end up itemizing? Should we be keeping any particular types of documentation beyond the usual receipts and statements? Also, with our other potential deductions (property taxes, charitable giving, etc.), we might actually get close to that $27,700 threshold. It sounds like it's worth running the numbers both ways to see which option saves us more money.
Have you called the Treasury Offset Program directly? Sometimes they have more info than the state does. Their number is 800-304-3107. You'll need your ex's SSN and your case number.
I went through this exact same situation in Massachusetts last year! The waiting is absolutely brutal, especially when you're counting on that money. Here's what I learned from my experience: The 4-8 week timeline is pretty accurate, but it can stretch longer during tax season. Mine took about 7 weeks total. What really helped me was keeping a log of every call I made and who I spoke with - it made follow-up calls way more productive. One thing nobody mentioned yet is that you should ask the MA DOR for the "offset notification letter" - this shows the exact amount that was sent from the federal government and when. If there's a discrepancy between what you expect and what you receive, this letter is crucial. Also, if you haven't already, make sure your address is current with both the IRS and MA DOR. I've seen cases where payments get delayed because they're sent to old addresses. The waiting sucks but hang in there - the money will come through!
This is really comprehensive advice, thank you! I never thought about asking for the offset notification letter - that's brilliant. I'm definitely going to request that when I call tomorrow. The address thing is a good point too, I moved about 6 months ago and want to make sure everything is updated. It's reassuring to hear from someone who actually went through this process in MA and got their money eventually!
Don't forget to check with your dental insurance first! Some plans cover Invisalign partially if it's medically necessary. Mine covered about 25% of the cost because my dentist documented that I had TMJ issues. That reduced the amount I needed to try claiming on taxes.
Great question! I went through this exact situation last year with my Invisalign treatment. The key is getting proper documentation from your orthodontist that clearly states the treatment is for medical necessity - jaw pain, bite correction, TMJ issues, etc. A few important points to consider: 1. **Medical expense deduction threshold**: You'll need total medical expenses exceeding 7.5% of your AGI to itemize and deduct. This includes ALL medical costs - insurance premiums, prescriptions, doctor visits, etc. 2. **HSA/FSA route**: This is often better than the tax deduction route since you use pre-tax dollars without meeting any threshold. Most FSA administrators will approve orthodontic work if you have documentation of medical necessity. 3. **Documentation is key**: Ask your orthodontist for a letter specifically stating that the Invisalign is being prescribed to treat your bite and alignment issues causing jaw pain. Most orthodontists are very familiar with providing this type of documentation. 4. **Track everything**: Keep receipts for the treatment cost, travel to appointments, and any related expenses. Given your situation with documented jaw pain and bite issues, you should definitely qualify for either the medical expense deduction (if you meet the threshold) or FSA reimbursement if your employer offers one. The medical necessity aspect is clearly established in your case.
This is really helpful advice! I'm in a similar situation where I need Invisalign for bite issues but wasn't sure about the tax implications. One question - if I use an FSA for part of the cost but still have out-of-pocket expenses remaining, can I still claim those leftover costs as a medical deduction on my taxes? Or does using FSA funds disqualify me from also claiming the tax deduction for the same treatment?
Great question! You can absolutely claim the remaining out-of-pocket costs as a medical deduction even after using FSA funds. The IRS only prohibits "double-dipping" - meaning you can't deduct the same dollar that was already paid with pre-tax FSA money. So if your total Invisalign cost is $5,800 and you use $2,750 from your FSA, you can potentially deduct the remaining $3,050 (assuming you meet that 7.5% AGI threshold and have enough total medical expenses). Just make sure to keep clear records showing which portion was paid with FSA versus out-of-pocket. This actually works out well since many people can't fit their entire orthodontic treatment cost into their annual FSA contribution limit anyway. You get the best of both worlds - immediate tax savings on the FSA portion and potential deduction on the remainder.
Has anyone used the "qualifying relative" designation rather than "qualifying child" for an adult disabled sibling? I'm in a similar situation but my brother is 42 and permanently disabled from a work accident. Not a veteran but gets SSDI. The IRS publication is so confusing about which category to use.
Yes, you'd use "qualifying relative" for an adult sibling. The "qualifying child" category has an age limit (generally under 19, or under 24 if a student) unless they're permanently and totally disabled. But even with the disability exception, "qualifying child" is primarily for your own children, stepchildren, foster children, siblings, or descendants of any of these. For an adult brother, "qualifying relative" is the right category, and the requirements are: 1) they don't have to be related if they live with you all year, but siblings qualify regardless, 2) their gross taxable income must be less than $4,400 (for 2023), 3) you provide more than half their support, and 4) they're not filing a joint return except to claim a refund.
Isaac, based on your detailed description, you should definitely be able to claim your brother as a qualifying relative dependent. The key points working in your favor: 1) **VA disability and SSDI don't count toward gross income test** - These tax-exempt benefits won't disqualify him from dependency status, regardless of the monthly amount. 2) **Support test calculation** - When calculating the 50% support test, include the fair rental value of his housing in your home, utilities, food, transportation, medical expenses not covered by insurance, and other living costs. Your brother's disability payments only count as "support he provides for himself" if he actually uses them for support expenses. 3) **Your caretaker role strengthens your case** - The fact that the VA officially designated you as his caretaker and recognizes his need for full-time care due to cognitive impairment from TBI supports the dependency relationship. 4) **Potential additional benefits** - As his caretaker, you may qualify for Head of Household filing status (if unmarried) and potentially the Credit for Other Dependents. Given his cognitive impairment and your role as his VA-designated caretaker, this seems like a clear-cut case for claiming him as a dependent. The IRS recognizes that disabled individuals may receive significant non-taxable benefits while still being legitimately dependent on others for support.
This is really helpful information! I'm new to dealing with dependent situations involving disability benefits. One question - you mentioned the Credit for Other Dependents. How does that work exactly? Is it different from the Child Tax Credit, and what's the dollar amount? Also, since Isaac mentioned his brother spends the disability money impulsively due to brain injury, would that actually help with the support test calculation? Like if the brother isn't using those funds for legitimate support expenses, do they still count as "support he provides for himself"?
Serene Snow
For anyone finding this thread later - if all else fails, you can just file a paper return! Yeah it's slower, but it works if you're up against the deadline and can't resolve the PIN issue. When I couldn't figure out my PIN issue last year, I just printed everything out and mailed it in. Got my refund in about 8 weeks. Not ideal, but better than not filing!
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Issac Nightingale
ā¢You can also request a tax transcript from the IRS website which shows your AGI from previous years. That's another way to verify your identity for e-filing if you can't remember your Self-Select PIN. Just go to IRS.gov and search for "Get Transcript" - you can view it online immediately after verifying your identity.
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Serene Snow
ā¢That's definitely faster than paper filing! I wish I'd known about the transcript option last year. Paper filing took forever and I was stressing about whether they'd received it the whole time. One thing to note about the transcript method though - you need to create an account on the IRS website if you don't already have one, and their identity verification can be pretty strict. Make sure you have a credit card, mortgage, or loan account number handy because they'll ask for that during verification.
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Liam Brown
Just want to add another perspective here - if you're using TurboTax specifically, they have a feature called "Transfer Last Year's Data" that can sometimes help recover your Self-Select PIN. When you import your prior year return, it might pull in the PIN information automatically. Also, for future reference, I always write my Self-Select PIN on a sticky note and put it with my tax documents folder. Learned this lesson the hard way after going through the same panic as OP! The PIN is something you create, so there's no "official" record of it anywhere except what you or your software saved. One more thing - if you're still stuck and need to e-file today, try entering your prior year AGI as suggested above, but make sure you're using the exact amount from line 11 of your 2023 Form 1040. Don't round it or estimate - it has to match exactly what the IRS has on file.
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Benjamin Kim
ā¢This is really helpful advice, especially about writing down the PIN for next year! I'm definitely going to do that sticky note trick. Quick question though - when you say "Transfer Last Year's Data" in TurboTax, does that work if you're using the online version or only the desktop software? I'm using TurboTax Online and I'm not sure if I see that option anywhere. Also, do you happen to know if other tax software like H&R Block or FreeTaxUSA have similar features for recovering the PIN? The AGI tip is gold too - I found my 2023 return and I'm going to try that exact amount if the PIN recovery doesn't work out. Thanks for being so specific about using line 11!
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