Health Savings Accounts: IRS Expands Preventive Care HDHP Exceptions List | Wolters Kluwer
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  • Health Savings Accounts: IRS Expands Preventive Care HDHP Exceptions List

    DianaTheis Onward

    by Diana Theis, Sr. Specialized Consultant, Tax Advantaged Accounts, Wolters Kluwer

    Published August 01, 2019




    For an individual to make (or receive) a regular contribution to a Health Savings Account (HSA) he/she must meet all eligibility criteria, which includes having coverage under an HSA eligible High Deductible Health Plan (HDHP). For a health plan to be considered an HSA eligible HDHP it generally may not provide any benefit for a year until the minimum deductible, defined by  Internal Revenue Code (IRC) section 223(c)(2)(A), for that year is satisfied. However, section 223(c)(2)(C) contains a safe harbor that allows an HDHP to provide preventive care benefits prior to the plan’s deductible being satisfied. More information regarding preventive care can be found in IRS Notice 2004-50, Q&As 26 and 27.

    On July 17, 2019, the Internal Revenue Service (IRS) released Notice 2019-45 which expands the list of preventive care benefits that an HDHP may cover without affecting the ability for a regular contribution to be made to an individual’s HSA. The expanded list includes certain medical care services received and items purchased, including prescription drugs, for certain chronic conditions an individual may have.

    The Notice provides that the following services and items may be added to an HDHP and treated as allowable preventive care for individuals with the specified chronic conditions.

    Preventive Care for Specified Conditions For Individuals Diagnosed with
    Angiotensin Converting Enzyme (ACE) inhibitors Congestive heart failure, diabetes, and/or coronary artery disease
    Anti-resorptive therapy Osteoporosis and/or osteopenia
    Beta-blockers Congestive heart failure and/or coronary artery disease
    Blood pressure monitor Hypertension
    Inhaled corticosteroids Asthma
    Insulin and other glucose lowering agents Diabetes
    Retinopathy screening Diabetes
    Peak flow meter Asthma
    Glucometer Diabetes
    Hemoglobin A1c testing Diabetes
    International Normalized Ratio (INR) testing Liver disease and/or bleeding disorders
    Low-density Lipoprotein (LDL) testing Heart disease
    Selective Serotonin Reuptake Inhibitors (SSRIs) Depression
    Statins Heart disease and/or diabetes

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