Author Topic: HSA and dental "plan"  (Read 801 times)

Josiecat22222

  • Pencil Stache
  • ****
  • Posts: 776
HSA and dental "plan"
« on: September 28, 2023, 04:26:28 AM »
So I have health insurance, but not dental insurance at this time.  My dentist offers a "plan" which basically covers our cleanings, xrays and then a percentage off of any work required. This has worked out well for us thus far.  My question is, I have an HSA and I know you can't use it to pay an insurance premium, but can this be used to pay for my dental "plan" at my dentist?  I think so, because it is really and annual payment to them which covers the annual preventive care and gives me a discount if I need anything else, but I'm not interested in committing fraud.  Can anyone provide additional info?

reeshau

  • Magnum Stache
  • ******
  • Posts: 3902
  • Location: Houston, TX Former locations: Detroit, Indianapolis, Dublin
  • FIRE'd Jan 2020
Re: HSA and dental "plan"
« Reply #1 on: September 28, 2023, 06:50:21 AM »
Actually, you can use an HSA to pay insurance premiums.  You can't use it to pay premiums paid pre-tax, like employer-sponsored plans, or for which you will claim a credit or deduction.  So, as long as you are not going to itemize deductions and claim insurance costs, you are OK.  So many websites say dangerous things like "generally speaking, you can't deduct..." because they assume that, generally speaking, someone reading it has employer-sponsored healthcare.  Of course, on this forum that is hardly the expectation.

From IRS Pub 502:

"Insurance Premiums

You can include in medical expenses insurance premiums you pay for policies that cover medical care. You can't include in medical expenses insurance premiums that were paid and for which you are claiming a credit or deduction.
Medical care policies can provide payment for treatment that includes:

• Hospitalization, surgical services, X-rays;
• Prescription drugs and insulin;
• Dental care;
• Replacement of lost or damaged contact lenses; and
• Long-term care (subject to additional limitations). See Qualified Long-Term Care Insurance Contracts under Long-Term Care, later.

If you have a policy that provides payments for other than medical care, you can include the premiums for the medical care part of the policy if the charge for the medical part is reasonable. The cost of the medical part must be separately stated in the insurance contract or given to you in a separate statement.

Employer-Sponsored Health Insurance Plan

Don't include in your medical and dental expenses any insurance premiums paid by an employer-sponsored health insurance plan unless the premiums are included on your Form W-2, Wage and Tax Statement. Also, don't include any other medical and dental expenses paid by the plan unless the amount paid is included on your Form W-2."

I used to have one of these dental plans, and I think this is why they are careful to disclaim they aren't insurance.  You should be fine.

MDM

  • Senior Mustachian
  • ********
  • Posts: 11698
Re: HSA and dental "plan"
« Reply #2 on: September 28, 2023, 03:27:36 PM »
Actually, you can use an HSA to pay insurance premiums.
...
From IRS Pub 502:....
Unfortunately that's the reference for itemized deductions.

Using an HSA to reimburse Insurance premiums is a different story:
Quote
You can’t treat insurance premiums as qualified medical expenses unless the premiums are for any of the following.

    Long-term care insurance.

    Health care continuation coverage (such as coverage under COBRA).

    Health care coverage while receiving unemployment compensation under federal or state law.

    Medicare and other health care coverage if you were 65 or older (other than premiums for a Medicare supplemental policy, such as Medigap).

The premiums for long-term care insurance (item (1)) that you can treat as qualified medical expenses are subject to limits based on age and are adjusted annually. See Limit on long-term care premiums you can deduct in the Instructions for Schedule A (Form 1040).

Items (2) and (3) can be for your spouse or a dependent meeting the requirement for that type of coverage. For item (4), if you, the account beneficiary, aren’t 65 or older, Medicare premiums for coverage of your spouse or a dependent (who is 65 or older) aren’t generally qualified medical expenses.

To Josiecat23503's main question, that's a debatable point but here's one vote for "looks more like a flat fee in advance for services rendered, and less like an insurance premium."  In that case, an HSA reimbursement would be legit.

Josiecat22222

  • Pencil Stache
  • ****
  • Posts: 776
Re: HSA and dental "plan"
« Reply #3 on: September 29, 2023, 03:19:37 AM »
@reeshau and @MDM, thank you for your insights.

I have been keeping all of my medical receipts in a carefully itemized and organized HSA file for years, but have never actually cashed them out (intending to allow the account to grow tax free then cash out of it when I need to).  I think the dental prepayment plan would pass the sniff test from what I've read, but I appreciate the support.