Expenses

IRS Publication 502

The official IRS document listing which medical and dental expenses qualify for tax benefits.

What is IRS Publication 502?

IRS Publication 502 is the official IRS guide that defines which medical and dental expenses are deductible and, by extension, which qualify for HSA reimbursement. It's the authoritative source for determining whether an expense is HSA-eligible.

The publication covers a wide range of expenses, including medical care, dental treatment, prescription drugs, medical equipment, and more. It also lists expenses that don't qualify, like cosmetic surgery (unless medically necessary) and general health items.

While Publication 502 technically covers itemized medical expense deductions, the same definitions apply to HSA qualified expenses. When in doubt about whether something qualifies, check Publication 502.

Frequently Asked Questions

Where can I find IRS Publication 502?

On the IRS website at irs.gov. Search for 'Publication 502' or go directly to the publications section.

Is Publication 502 the same as HSA rules?

Not exactly, but the definitions of qualified medical expenses are the same. Some HSA-specific rules (like no premium payments) are in different publications.

How often is Publication 502 updated?

Usually annually to reflect new tax years. The CARES Act added OTC medications in 2020, for example.

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