QUESTIONS ABOUT ENROLLING IN BENEFITS
Medical expenses include dental expenses, and in this publication the term "medical expenses" is often used to refer to medical and dental expenses. Separated taxpayers Medical expenses of child, Child of divorced or separated parents. This is the increase in the value of your home due to the improvement 4. There may be times when you need to speak with a counselor immediately. Generally, Medicare Part A covers hospital care, skilled nursing facility care, nursing home care, hospice, home health services.
You can include in medical expenses the amount you pay to purchase a pregnancy test kit to determine if you are pregnant. You can't include in medical expenses the amount of health insurance premiums paid by or through the premium tax credit.
You also can't include in medical expenses any amount of advance payments of the premium tax credit made that you did not have to pay back. However, any amount of advance payments of the premium tax credit that you did have to pay back can be included in medical expenses. Amy is under age 65 and unmarried. You can include in medical expenses amounts you pay for psychiatric care. This includes the cost of supporting a mentally ill dependent at a specially equipped medical center where the dependent receives medical care.
See Psychoanalysis , next, and Transportation , later. You can include in medical expenses payments for psychoanalysis. However, you can't include payments for psychoanalysis that is part of required training to be a psychoanalyst. You can include in medical expenses fees you pay on a doctor's recommendation for a child's tutoring by a teacher who is specially trained and qualified to work with children who have learning disabilities caused by mental or physical impairments, including nervous system disorders.
You can include in medical expenses the cost tuition, meals, and lodging of attending a school that furnishes special education to help a child to overcome learning disabilities. For expenses to be deductible, a doctor must recommend that the child attend the school.
Overcoming the learning disabilities must be a principal reason for attending the school, and any ordinary education received must be incidental to the special education provided. You can't include in medical expenses the cost of sending a child with behavioral problems to a school where the course of study and the disciplinary methods have a beneficial effect on the child's attitude if the availability of medical care in the school isn't a principal reason for sending the student there.
You can include in medical expenses the cost of a legal sterilization a legally performed operation to make a person unable to have children. Also see Vasectomy , later. You can include in medical expenses amounts you pay for a program to stop smoking. However, you can't include in medical expenses amounts you pay for drugs that don't require a prescription, such as nicotine gum or patches, that are designed to help stop smoking.
See Operations , earlier. You can include in medical expenses the cost of special telephone equipment that lets a person who is deaf, hard of hearing, or has a speech disability communicate over a regular telephone.
You can also include the cost of repairing the equipment. You can include in medical expenses the cost of equipment that displays the audio part of television programs as subtitles for persons with a hearing disability.
This may be the cost of an adapter that attaches to a regular set. It also may be the part of the cost of a specially equipped television that exceeds the cost of the same model regular television set. You can include in medical expenses amounts paid for medical care you receive because you are a donor or a possible donor of a kidney or other organ. You can include any expenses you pay for the medical care of a donor in connection with the donating of an organ.
You can include in medical expenses amounts paid for transportation primarily for, and essential to, medical care. Transportation expenses of a parent who must go with a child who needs medical care,. Transportation expenses of a nurse or other person who can give injections, medications, or other treatment required by a patient who is traveling to get medical care and is unable to travel alone, and.
Transportation expenses for regular visits to see a mentally ill dependent, if these visits are recommended as a part of treatment. You can include out-of-pocket expenses, such as the cost of gas and oil, when you use a car for medical reasons. You can't include depreciation, insurance, general repair, or maintenance expenses.
If you don't want to use your actual expenses for , you can use the standard medical mileage rate of 17 cents a mile. You can also include parking fees and tolls. You can add these fees and tolls to your medical expenses whether you use actual expenses or the standard mileage rate. In , Bill Jones drove 2, miles for medical reasons.
He wants to figure the amount he can include in medical expenses both ways to see which gives him the greater deduction. He figures the actual expenses first. He then figures the standard mileage amount. You can't include in medical expenses the cost of transportation in the following situations.
Going to and from work, even if your condition requires an unusual means of transportation. Travel for purely personal reasons to another city for an operation or other medical care. The costs of operating a specially equipped car for other than medical reasons. You can include in medical expenses amounts you pay for transportation to another city if the trip is primarily for, and essential to, receiving medical services.
See Lodging , earlier. You can't include in medical expenses a trip or vacation taken merely for a change in environment, improvement of morale, or general improvement of health, even if the trip is made on the advice of a doctor.
However, see Medical Conferences , earlier. Under special circumstances, you can include charges for tuition in medical expenses.
See Special Education , earlier. A lump-sum fee which includes education, board, and medical care—without distinguishing which part of the fee results from medical care—is not considered an amount payable for medical care. However, you can include charges for a health plan included in a lump-sum tuition fee if the charges are separately stated or can easily be obtained from the school.
See Eye Surgery , earlier. You can include in medical expenses amounts you pay to lose weight if it is a treatment for a specific disease diagnosed by a physician such as obesity, hypertension, or heart disease. This includes fees you pay for membership in a weight reduction group as well as fees for attendance at periodic meetings. You can't include membership dues in a gym, health club, or spa as medical expenses, but you can include separate fees charged there for weight loss activities.
You can't include the cost of diet food or beverages in medical expenses because the diet food and beverages substitute for what is normally consumed to satisfy nutritional needs. You can include the cost of special food in medical expenses only if:. The amount you can include in medical expenses is limited to the amount by which the cost of the special food exceeds the cost of a normal diet.
You can include in medical expenses the amounts you pay for a wheelchair used for the relief of a sickness or disability. The cost of operating and maintaining the wheelchair is also a medical expense. You can include in medical expenses the cost of a wig purchased upon the advice of a physician for the mental health of a patient who has lost all of his or her hair from disease.
Following is a list of some items that you can't include in figuring your medical expense deduction. You can't include in medical expenses amounts you pay for the care of children, even if the expenses enable you, your spouse, or your dependent to get medical or dental treatment.
Also, any expense allowed as a childcare credit can't be treated as an expense paid for medical care. You can't include in medical expenses amounts you pay for controlled substances such as marijuana, laetrile, etc. Generally, you can't include in medical expenses the amount you pay for unnecessary cosmetic surgery. This includes any procedure that is directed at improving the patient's appearance and doesn't meaningfully promote the proper function of the body or prevent or treat illness or disease.
You generally can't include in medical expenses the amount you pay for procedures such as face lifts, hair transplants, hair removal electrolysis , and liposuction. You can include in medical expenses the amount you pay for cosmetic surgery if it is necessary to improve a deformity arising from, or directly related to, a congenital abnormality, a personal injury resulting from an accident or trauma, or a disfiguring disease.
An individual undergoes surgery that removes a breast as part of treatment for cancer. She pays a surgeon to reconstruct the breast. The surgery to reconstruct the breast corrects a deformity directly related to the disease. The cost of the surgery is includible in her medical expenses. You can't include in medical expenses the cost of dancing lessons, swimming lessons, etc. You can't include in medical expenses the amount you pay for diapers or diaper services, unless they are needed to relieve the effects of a particular disease.
See Cosmetic Surgery , earlier. You can't include in medical expenses amounts for which you are fully reimbursed by your flexible spending account if you contribute a part of your income on a pre-tax basis to pay for the qualified benefit. This rule doesn't apply in situations where the future care is purchased in connection with obtaining lifetime care, as explained under Lifetime Care—Advance Payments , or qualified long-term care insurance contracts, as explained under Long-Term Care , earlier.
You can't include in medical expenses health club dues or amounts paid to improve one's general health or to relieve physical or mental discomfort not related to a particular medical condition.
You can't include in medical expenses the cost of membership in any club organized for business, pleasure, recreation, or other social purpose. You can't include in medical expenses amounts you pay for health insurance you use in figuring your health coverage tax credit. For more information, see the Instructions for Form You can't include in medical expenses any payment or distribution for medical expenses out of a health savings account.
Contributions to health savings accounts are deducted separately. You can't include in medical expenses the cost of household help, even if such help is recommended by a doctor. This is a personal expense that isn't deductible. However, you may be able to include certain expenses paid to a person providing nursing-type services. Also, certain maintenance or personal care services provided for qualified long-term care can be included in medical expenses.
You can't include in medical expenses amounts you pay for illegal operations, treatments, or controlled substances whether rendered or prescribed by licensed or unlicensed practitioners. You can't include in medical expenses amounts you contribute to an Archer MSA. You can't include expenses you pay for with a tax-free distribution from your Archer MSA. You also can't use other funds equal to the amount of the distribution and include the expenses.
In general, you can't include in your medical expenses the cost of a prescribed drug brought in or ordered shipped from another country. You can only include the cost of a drug that was imported legally. For example, you can include the cost of a prescribed drug the Food and Drug Administration announces can be legally imported by individuals. You can include the cost of a prescribed drug you purchase and consume in another country if the drug is legal in both the other country and the United States.
Your doctor recommends that you take aspirin. Because aspirin is a drug that doesn't require a physician's prescription, you can't include its cost in your medical expenses. You can't include in medical expenses the cost of nutritional supplements, vitamins, herbal supplements, "natural medicines," etc. These items are taken to maintain your ordinary good health and aren't for medical care.
You can't include in medical expenses the cost of an item ordinarily used for personal, living, or family purposes unless it is used primarily to prevent or alleviate a physical or mental disability or illness.
For example, the cost of a toothbrush and toothpaste is a nondeductible personal expense. In order to accommodate an individual with a physical disability, you may have to purchase an item ordinarily used as a personal, living, or family item in a special form. You can include the excess of the cost of the item in a special form over the cost of the item in normal form as a medical expense.
See Dancing Lessons , earlier. You can't include in medical expenses amounts paid to whiten teeth. You can't include in medical expenses the cost of a weight-loss program if the purpose of the weight loss is the improvement of appearance, general health, or sense of well-being. You can't include amounts you pay to lose weight unless the weight loss is a treatment for a specific disease diagnosed by a physician such as obesity, hypertension, or heart disease.
If the weight-loss treatment isn't for a specific disease diagnosed by a physician, you can't include either the fees you pay for membership in a weight reduction group or fees for attendance at periodic meetings. Also, you can't include membership dues in a gym, health club, or spa. You can include in medical expenses only those amounts paid during the tax year for which you received no insurance or other reimbursement.
You must reduce your total medical expenses for the year by all reimbursements for medical expenses that you receive from insurance or other sources during the year. This includes payments from Medicare. Even if a policy provides reimbursement only for certain specific medical expenses, you must use amounts you receive from that policy to reduce your total medical expenses, including those it doesn't reimburse. You have insurance policies that cover your hospital and doctors' bills but not your nursing bills.
The insurance you receive for the hospital and doctors' bills is more than their charges. In figuring your medical deduction, you must reduce the total amount you spent for medical care by the total amount of insurance you received, even if the policies don't cover some of your medical expenses. A health reimbursement arrangement is an employer-funded plan that reimburses employees for medical care expenses and allows unused amounts to be carried forward.
An HRA is funded solely by the employer and the reimbursements for medical expenses, up to a maximum dollar amount for a coverage period, aren't included in your income. Generally, you don't reduce medical expenses by payments you receive for: Permanent loss or loss of use of a member or function of the body loss of limb, sight, hearing, etc. You must, however, reduce your medical expenses by any part of these payments that is designated for medical costs.
For how to treat damages received for personal injury or sickness, see Damages for Personal Injuries , later. If you are reimbursed more than your medical expenses, you may have to include the excess in income.
You may want to use Figure 1 to help you decide if any of your reimbursement is taxable. This flowchart is used to determine if any reimbursements you receive for your medical expenses is taxable. Please click here for the text description of the image. If you pay either the entire premium for your medical insurance or all the costs of a plan similar to medical insurance and your insurance payments or other reimbursements are more than your total medical expenses for the year, you have excess reimbursement.
Generally, you don't include the excess reimbursement in your gross income. If both you and your employer contribute to your medical insurance plan and your employer's contributions aren't included in your gross income, you must include in your gross income the part of your excess reimbursement that is from your employer's contribution.
If you aren't covered by more than one policy, you can figure the amount of the excess reimbursement you must include in gross income using Worksheet B. If you are covered under more than one policy, see More than one policy , later. If your employer or your former employer pays the total cost of your medical insurance plan and your employer's contributions aren't included in your income, you must report all of your excess reimbursement as other income.
If you are covered under more than one policy, the cost of at least one of which is paid by both you and your employer, you must first divide the medical expenses among the policies to figure the excess reimbursement from each policy.
Then divide the policy costs to figure the part of any excess reimbursement that is from your employer's contribution. Any excess reimbursement that is due to your employer's contributions is includible in your income. You can figure the part of the excess reimbursement that is from your employer's contribution by using Worksheet C.
Use Worksheet C only if both you and your employer paid part of the cost of at least one policy. If you had more than one policy, but you didn't share in the cost of at least one policy, don't use Worksheet C.
If you are reimbursed in a later year for medical expenses you deducted in an earlier year, you generally must report the reimbursement as income up to the amount you previously deducted as medical expenses.
However, don't report as income the amount of reimbursement you received up to the amount of your medical deductions that didn't reduce your tax for the earlier year. For more information about the recovery of an amount that you claimed as an itemized deduction in an earlier year, see Recoveries in Pub. Once you have determined which medical expenses you can include, figure and report the deduction on your tax return.
You report your medical expense deduction on Schedule A, Form See the Instructions for Schedule A Form for more detailed information on figuring your medical and dental expense deduction. You should keep records of your medical and dental expenses to support your deduction. Don't send these records with your paper return. If you deduct the cost of medical equipment or property in one year and sell it in a later year, you may have a taxable gain. The taxable gain is the amount of the selling price that is more than the adjusted basis of the equipment or property.
Use Worksheet D, later, to figure the adjusted basis of the equipment or property. Next, use Worksheet E to figure the total gain or loss on the sale of the medical equipment or property.
If you have a loss, it isn't deductible. If you have a gain, it is includible in your income. The part of the gain that is a recovery of an amount you previously deducted is taxable as ordinary income. Enter it on Form Any part of the gain that is more than the recovery of an amount you previously deducted is taxable as a capital gain.
If you receive an amount in settlement of a personal injury suit, part of that award may be for medical expenses that you deducted in an earlier year. If it is, you must include that part in your income in the year you receive it to the extent it reduced your taxable income in the earlier year.
You sued this year for injuries you suffered in an accident last year. You deducted those expenses on last year's tax return. Your settlement didn't itemize or allocate the damages. If you receive an amount in settlement of a damage suit for personal injuries, part of that award may be for future medical expenses.
If it is, you must reduce any future medical expenses for these injuries until the amount you received has been completely used. You were injured in an accident. If you received workers' compensation and you deducted medical expenses related to that injury, you must include the workers' compensation in income up to the amount you deducted.
If you received workers' compensation, but didn't deduct medical expenses related to that injury, don't include the workers' compensation in your income. If you are a person with disabilities, you can take a business deduction for expenses that are necessary for you to be able to work. A physical or mental disability for example, blindness or deafness that functionally limits your being employed, or.
A physical or mental impairment for example, a sight or hearing impairment that substantially limits one or more of your major life activities, such as performing manual tasks, walking, speaking, breathing, learning, or working. Impairment-related expenses are those ordinary and necessary business expenses that are: For goods and services not required or used, other than incidentally, in your personal activities, and. If you are self-employed, deduct the business expenses on the appropriate form Schedule C, C-EZ, E, or F used to report your business income and expenses.
Enter the amount that is unrelated to your impairment on Schedule A Form You must use a reader to do your work. You use the reader both during your regular working hours at your place of work and outside your regular working hours away from your place of work. The reader's services are only for your work. You can deduct your expenses for the reader as business expenses.
If you were self-employed and had a net profit for the year, you may be able to deduct, as an adjustment to income, amounts paid for medical and qualified long-term care insurance on behalf of yourself, your spouse, your dependents, and your children who were under age 27 at the end of The insurance plan must be established under your trade or business and the deduction can't be more than your earned income from that trade or business.
You can't deduct payments for medical insurance for any month in which you were eligible to participate in a health plan subsidized by your employer, your spouse's employer, or an employer of your dependent, or your child under age 27, at the end of You can't deduct payments for a qualified long-term care insurance contract for any month in which you were eligible to participate in a long-term care insurance plan subsidized by your employer or your spouse's employer.
If you qualify to take the deduction, use the Self-Employed Health Insurance Deduction Worksheet in the Instructions for Form to figure the amount you can deduct. But if any of the following applies, don't use that worksheet. If you can't use the worksheet in the Instructions for Form , use the worksheet in Pub. When figuring the amount you can deduct for insurance premiums, don't include amounts paid for health insurance coverage with retirement plan distributions that were tax-free because you are a retired public safety officer.
You take this deduction on Form If the insurance policy covers your nondependent child who was under age 27 at the end of , you can claim the premiums for that coverage on Form Generally, family health insurance premiums don't increase if coverage for an additional child is added. If this is the situation, no allocation would be necessary.
If the premiums did increase such as where coverage was expanded from single to family to add the nondependent child , you can allocate the amount on Form to the nondependent child and any excess amounts not attributable to that child would be eligible to be claimed on Schedule A. Kate is self-employed in and has self-only coverage for health insurance. She changes to family coverage only to add her year-old nondependent child to the plan. The facts are the same as in Example 1 , except that Kate had family coverage when she added her year-old nondependent child to the policy.
The health coverage tax credit HCTC is a tax credit that pays The HCTC acts as partial reimbursement for premiums paid for qualified health insurance coverage. You must elect the HCTC. Once you make the election to take the HCTC for an eligible coverage month, you can't take the premium tax credit for the same coverage in that coverage month and for all subsequent coverage months during your tax year in which you're eligible to take the HCTC.
If you have qualified health insurance that covers anyone besides yourself and your qualifying family member s , you may not be able to take into account all of your payments. You can't treat an amount as paid for insurance for yourself and qualifying family members unless all of the following requirements are met.
The charge for insurance for yourself and qualifying family members is either separately stated in the contract or furnished to you by the insurance company in a separate statement. The amount you paid for insurance for yourself and qualifying family members isn't more than the charge that is stated in the contract or furnished by the insurance company. The amount stated in the contract or furnished by the insurance company isn't unreasonably large in relation to the total charges under the contract.
Also, see the Instructions for Form If you have questions about a tax issue, need help preparing your tax return, or want to download free publications, forms, or instructions, go to IRS.
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Get Your Tax Record. Bank Account Direct Pay. Debit or Credit Card. Payment Plan Installment Agreement. Standard mileage and other information. Instructions for Form Request for Transcript of Tax Return. Employee's Withholding Allowance Certificate. Employer's Quarterly Federal Tax Return.
Employers engaged in a trade or business who pay compensation. Popular For Tax Pros. Apply for Power of Attorney. Apply for an ITIN. Ordering forms and publications. Useful Items - You may want to see: Spouse Dependent Exception for adopted child. Qualifying Child Adopted child. Child of divorced or separated parents. Qualifying Relative Support claimed under a multiple support agreement. Decedent What if the decedent's return had been filed and the medical expenses weren't included?
What Medical Expenses Are Includible? Improvements to property rented by a person with a disability. Retired public safety officers. Health reimbursement arrangement HRA. Payments for future medical care. Maintenance and personal care services. Nursing Home Nursing Services Employment taxes. Transportation expenses you can't include. Premiums paid by you. Premiums paid by you and your employer.
Premiums paid by your employer. More than one policy. Impairment-Related Work Expenses Impairment-related expenses defined. Child under age Getting tax forms and publications. Access your online account Individual taxpayers only.
Delayed refund for returns claiming certain credits. Getting a transcript or copy of a return. Using online tools to help prepare your return. Resolving tax-related identity theft issues. Checking on the status of your refund. Making a tax payment. What if I cant pay now?
Checking the status of an amended return. Understanding an IRS notice or letter. Contacting your local IRS office. Getting tax information in other languages. How Can You Reach Us? Publication - Introductory Material. Forms and Instructions U. Publication - Main Content. The person was a qualifying child defined later or a qualifying relative defined later , and The person was a U. Exception for adopted child. Is your son, daughter, stepchild, foster child, brother, sister, stepbrother, stepsister, half brother, half sister, or a descendant of any of them for example, your grandchild, niece, or nephew , Was: Under age 19 at the end of and younger than you or your spouse, if filing jointly , Under age 24 at the end of , a full-time student, and younger than you or your spouse, if filing jointly , or Any age and permanently and totally disabled,.
The child is in the custody of one or both parents for more than half the year, The child receives over half of his or her support during the year from his or her parents, and The child's parents: Are divorced or legally separated under a decree of divorce or separate maintenance, Are separated under a written separation agreement, or Live apart at all times during the last 6 months of the year.
Son, daughter, stepchild, or foster child, or a descendant of any of them for example, your grandchild , Brother, sister, half brother, half sister, or a son or daughter of any of them, Father, mother, or an ancestor or sibling of either of them for example, your grandmother, grandfather, aunt, or uncle , Stepbrother, stepsister, stepfather, stepmother, son-in-law, daughter-in-law, father-in-law, mother-in-law, brother-in-law, or sister-in-law, or Any other person other than your spouse who lived with you all year as a member of your household if your relationship didn't violate local law,.
Support claimed under a multiple support agreement. Constructing entrance or exit ramps for your home. Widening doorways at entrances or exits to your home. Widening or otherwise modifying hallways and interior doorways. Installing railings, support bars, or other modifications to bathrooms. Lowering or modifying kitchen cabinets and equipment. Moving or modifying electrical outlets and fixtures.
Modifying fire alarms, smoke detectors, and other warning systems. Adding handrails or grab bars anywhere whether or not in bathrooms. Modifying hardware on doors.
Modifying areas in front of entrance and exit doorways. Grading the ground to provide access to the residence. Use this worksheet to figure the amount, if any, of your medical expenses due to a home improvement. Enter the amount you paid for the home improvement 1. Enter the value of your home immediately after the improvement 2.
Enter the value of your home immediately before the improvement 3. Subtract line 3 from line 2. This is the increase in the value of your home due to the improvement 4. Subtract line 4 from line 1. These are your medical expenses due to the home improvement 5. Medical expenses, or Work-related expenses for purposes of taking a credit for dependent care. 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.
Employer-Sponsored Health Insurance Plan. Payable in equal yearly installments or more often, and Payable for at least 10 years, or until you reach age 65 but not for less than 5 years. Insurance Premiums You Can't Include. Life insurance policies, Policies providing payment for loss of earnings, Policies for loss of life, limb, sight, etc. The lodging is primarily for and essential to medical care. The lodging isn't lavish or extravagant under the circumstances. Qualified Long-Term Care Services.
Required by a chronically ill individual, and Provided pursuant to a plan of care prescribed by a licensed health care practitioner.
Be guaranteed renewable, Not provide for a cash surrender value or other money that can be paid, assigned, pledged, or borrowed, Provide that refunds, other than refunds on the death of the insured or complete surrender or cancellation of the contract, and dividends under the contract must be used only to reduce future premiums or increase future benefits, and Generally not pay or reimburse expenses incurred for services or items that would be reimbursed under Medicare, except where Medicare is a secondary payer, or the contract makes per diem or other periodic payments without regard to expenses.
Qualified long-term care premiums up to the following amounts. Imported medicines and drugs. Teaching Braille to a visually impaired person, Teaching lip reading to a hearing disabled person, or Giving remedial language training to correct a condition caused by a birth defect.
Bus, taxi, train, or plane fares or ambulance service, Transportation expenses of a parent who must go with a child who needs medical care, Transportation expenses of a nurse or other person who can give injections, medications, or other treatment required by a patient who is traveling to get medical care and is unable to travel alone, and Transportation expenses for regular visits to see a mentally ill dependent, if these visits are recommended as a part of treatment. Travel that is merely for the general improvement of one's health.
The food doesn't satisfy normal nutritional needs, The food alleviates or treats an illness, and The need for the food is substantiated by a physician. Start This is the starting of the flowchart. Decision 1 Was any part of your premiums paid by your employer? Continue To End Decision 3 Did you pay any part of the premiums? See Premiums paid by you and your employer.
Continue To End End This is the ending of the flowchart. Use this worksheet to figure the amount of excess reimbursement you must include in income when both you and your employer contributed to your medical insurance and your employer's contributions aren't included in your gross income. Enter the amount contributed to your medical insurance for the year by your employer 1. Enter the total annual cost of the policy 2. Divide line 1 by line 2 3.
Enter the amount of excess reimbursement 4. Multiply line 3 by line 4. This is the amount of the excess reimburse- ment you must include as other income on Form 5.
Use this worksheet to figure the amount of excess reimbursement you must include as income on your tax return when a you are reimbursed under two or more health insurance policies, b at least one of which is paid for by both you and your employer, and c your employer's contributions aren't included in your gross income.
If you and your employer didn't share in the cost of at least one policy, don't use this worksheet. Enter the reimbursement from your employer's policy 1. Enter the reimbursement from your own policy 2. Add lines 1 and 2 3. Divide line 1 by line 3 4. Enter the total medical expenses you paid during the year.
If this amount is at least as much as the amount on line 3, stop here because there is no excess reimbursement 5. Multiply line 4 by line 5 6. Subtract line 6 from line 1 7.
Enter employer's contribution to the annual cost of the employer's policy 8. Enter total annual cost of the employer's policy 9. Divide line 8 by line 9. This is the percentage of your total excess reimbursement you must report as other income Multiply line 7 by line This is the amount of your total excess reimbursement you must report as other income on Form Use this worksheet if you deducted the cost of medical equipment or property in one year and sold the equipment or property in a later year.
This worksheet will give you the adjusted basis of the equipment or property you sold. Enter the cost of the equipment or property 1. Enter your total includible medical expenses for the year you included the cost in your medical expenses 2.
Your Health Plan through the University of Rochester will continue to be the primary payer since your insurance is through a large employer group health plan. If you enroll in any parts of Medicare, Medicare will be the secondary payer.
To learn more about Medicare, please visit www. Your health insurance through the University of Rochester will continue to be the primary payer for both you and your spouse since your insurance is through a large employer group health plan.
If your spouse enrolls in any parts of Medicare, Medicare will be the secondary payer for your spouse. Special Extended Health Coverage is available for adult children, who are not otherwise eligible for coverage under his or her parent's University Health Care Plan due to age, student status, or federal income tax dependent may be eligible to elect continuation coverage through age 29 under the University Health Care Plan.
Coverage will be cancelled effective on the last day of the pay period in which you terminate. When coverage stops, you will be sent a separate document that explains your rights under COBRA continuation coverage. For details on these differences, view the Dental Plans Comparison Chart.
No more than one half of the orthodontia lifetime maximum will be paid in any calendar year. Preventative Services are not subject to a deductible. Out-of-network claims are subject to balance billing. See the Health Program Guide for details. The dental plans allow you the freedom to see any dentist you choose. Dental Blue Options in-network gives you access to a range of participating dental providers to choose from, who have agreed to a discounted set of fees for covered services and accept these amounts as payment in full.
If your dentist does not fall within the Dental Blue Options network, you may be required to pay at time of service. Then, you can submit a claim to Excellus BCBS for reimbursement for the out of pocket costs you paid at the time of service. Before signing up for your biometric screening, please check the Well-U eligibility chart to make sure that you are eligible. You can sign up for your biometric screening using the online E-Health scheduler.
There will be a list of upcoming times and locations available to get a biometric screening. Your biometric screening will take approximately 15 minutes, but could be longer or shorter depending on how much information you would like to discuss with the nurse. You can choose whether you prefer to take the PHA before or after your screening, however, we do suggest that you take it before your screening so that the nurse giving you your screening can make appropriate suggestions based both on your PHA and Biometric Screening results.
You can log in to an existing account or create a new account here. Eligible individuals receive their incentive in pay periods after completing both their biometric screening and their online Personal Health Assessment. Please check the Well-U eligibility chart to see what programs you are eligible for.
Lifestyle management programs are no-cost for eligible individuals. Eligible individuals receive their incentive in pay periods after completing a lifestyle management program. Eligible employees must also be diagnosed with the condition in order to participate in the program.
Condition management programs are no-cost for eligible individuals. Eligible individuals receive their incentive in pay periods after completing a condition management program. EAP offers professional guidance to you and your immediate family members when personal or work-related problems become difficult to manage alone.
EAP offers free assessment, short-term counseling and referral information to employees and their family members. All University employees and their immediate family members are eligible for 5 free visits per calendar year per person. If you or another member of your household require more than 5 visits, your EAP counselor will refer you to a counselor in the community that is best suited to address your needs.
Once referred, you will be responsible for payment. However, EAP takes into consideration what type of insurance you have and your ability to pay the co-pay.
All services are confidential, unless you give written permission or when mandated by law. The EAP counselor will discuss the issue of confidentiality fully with you prior to or at your first appointment. There may be times when you need to speak with a counselor immediately. If it is after normal business hours 8: Their answering service will contact the EAP clinician on call who will return your call and provide immediate assistance.
BHP offers confidential, one-on-one, in-person or telephonic counseling sessions to help University employees deal with stress, anxiety, and depression.
BHP was developed in response to employee feedback about the need for accessible, affordable, and high-quality mental health care.
Please check the Well-U eligibility chart to see if you are eligible. Secure, web-based video conferencing, accessible via your smartphone, tablet, or any computer with a webcam, used to facilitate long-distance health care, and health-related education. You will need a smartphone, tablet, or any computer with a webcam. We recommend a secure internet connection, as telehealth will use large amounts of data.
Open the app store from your mobile device and download the Zoom Cloud Meetings app. Either enter the number into the Zoom app or click the link from the confirmation email you receive to enter the Zoom session at the time of your appointment.
Eligible individuals have access to the following Well-U programs via telehealth:. You will receive the same program via telehealth as you would in-person.
The only difference with telehealth is that you may choose to participate from the location of your choice. All University of Rochester regular full-time and part-time faculty and staff are eligible to participate.
You must sign up through the Well-U enrollment site to be eligible for reimbursement. You may attend meetings outside of the U of R and be eligible for the reimbursement once you sign up here. After the completion of 16 weeks of the program, employees must email a copy of their passbook, their employee ID number, and a copy of their account status to their liaison for those participating at work or to well-u-info rochester.
Typically, employees will see the reimbursement in their paycheck within two to three pay periods after they send in the required materials.
Monthly Pass offers members the flexibility to attend meetings anywhere. You may start attending meetings the day that you purchase the monthly pass, but you must print out a Monthly Pass Temporary Card to use until you receive your real one in the mail. It is a recurring billing model, which renews each month at the special University of Rochester price until you cancel.
Your credit card will be charged up to 15 days prior to the end of your first month, and each month thereafter, to ensure you receive your new Monthly Pass on time. An e-mail address and a credit or debit card are required. If you have a problem with mail delivery, or if you ever lose a card, you can print out a Monthly Pass Temporary Card from the WeightWatchers. Please contact Customer Service at monthlypass weightwatchers. Members can cancel their Monthly Pass through their WeightWatchers.
Note that we cannot process cancellation requests at meeting locations. Except in special refund circumstances, there are no refunds for the current subscription month. If a special refund circumstance exists, the member will be refunded for the entire month, as refunds are based on subscription months and are not prorated.
A full set of rules surrounding Monthly Pass cancellations and refunds can be found on the Weight Watchers website. No, all University of Rochester employee Monthly Pass members, regardless of how they purchased their Monthly Pass are welcome to attend the At-Work meeting.
However, if you want to obtain the special University of Rochester pricing and reimbursement, you must cancel your current subscription and sign up for a new subscription with the special University of Rochester discount code. If you wish to do this, you can contact Weight Watchers directly and have them transfer your existing account history to your new account so you will not lose previously recorded data.
Your Monthly Pass automatically renews each month at the special University of Rochester price until you cancel. Your credit card will be charged up to 15 days prior to the end of your first month, and then each month on that date thereafter, to ensure you receive your new Monthly Pass on time.
At Weight Watchers, weight management is a partnership that combines our knowledge and experience with your efforts. We teach you about good nutrition, activity, and healthy behavior.
Upon joining, you are weighed and choose an initial weight goal and ultimate goal. If your ultimate goal is within the Weight Watchers healthy weight ranges chart which is based on Body Mass Index or has been prescribed by your doctor, you will be eligible for Lifetime Membership when you achieve it and complete the maintenance phase of the Program.
The Weight Watchers two food plans The Flex Plan and the Core Plan are explained, and you choose the one that suits you best initially. Members are taught the 8 Good Health Guidelines and the four pillars of the Weight Watchers program, which include eating healthy, being active, optimizing healthy behaviors, and the importance of a supportive environment.
Please visit the Weight Watchers site to find local meeting locations. Once you have registered for and purchased a Weight Watchers Online subscription, you may access it via WeightWatchers. Help is available in the upper right-hand corner of every page on WeightWatchers. The typical response time is within 24 hours. The Become a Runner program starts out with a mix of walking and running and very slowly progresses to all running. By the end of the program you will run 3. At the beginning, expect to walk 1 minute, run 1 minute or as much as you can for 20 minutes total.
Register through the YMCA website- http: You will find additional enrollment information on the Well-U, Become a Runner page. You must attend 7 of the 9 in-person training sessions to receive the refund. Enter your employee ID number correctly and you will receive your refund loaded into your paycheck within 2 pay periods of program completion. This is your chance to meet the coach, look over the training plan, and ask any and all questions you have before committing to the program.
Refunds for participants dropping from the program will not be issued. Running in the rain is fun! Unless weather conditions are extreme, we will be running outside. Parking costs are based on the program location for each session. Listed below are the parking options for each location:. Parking is available in the visitor lot at Saunders Research Building for a fee. Well-U will not cover the cost of parking. This is about a minute walk to Saunders Research Building.
Champions are responsible for promoting wellness programs and events to their coworkers and communicating the needs and wants of their department back to Well-U. At the beginning of each year we require Champions to reenroll in order to affirm their commitment to being a Champion and allow new people to sign up if the previous Champion is no longer interested in being a Champion. Along with the title, Well-U also holds quarterly events, exclusively for our Champions, to thank you all for your dedication to health and wellness in our UR community.
The majority of classes are held once a week for 8-week sessions, and you must sign up again after the 8-week session is over if you would like to continue attending.
Session begin and end dates are listed on the Well-U fitness class page. Certain classes are held on a monthly basis. Participants enrolled in classes that are held monthly must still re-sign up at the end of every session. If someone is no longer able to attend, we immediately notify the next person on the waitlist. As a waitlist member, you may be notified to join the class early on, or you may never get into the class. We encourage all employees to pay attention to the registration opening date and enroll as early as you can.
Sign up for the Weekly Wellness newsletter to receive information about fitness class registration dates. As per the Enrollment Policy, employees may only enroll in 1 class per session. However, if a class still has open spaces in it after the first class, you may sign up for a second class. If you cannot make it to a class, please notify your instructor at least 24 hours in advance when possible so that we can notify the next person on the waitlist.
Log on to Securian Life's website, www. Pays the policy benefit and any accumulated cash value if the insured person dies during the term of coverage. Allows you to set aside money that can be used during your lifetime for longer term financial needs such as paying for college, buying a new home or building retirement funds. Often used to cover a specific need such as covering medical bills and burial or paying off a home mortgage. You may continue all of your GUL coverage until age if you terminate, retire from the University of Rochester or become ineligible for the plan.
You may continue your GOTL coverage, within limits, until age 70 if you terminate, retire from the University of Rochester or become ineligible for the plan. Service completed at any higher educational institution, teaching hospital, not-for-profit research foundation, or not-for-profit support organization for higher educational institutions, as well as service at a member of the controlled group of the University, will count towards the two-year service requirement.
To receive this service credit, you must complete a Retirement Service Credit Form. Complete the form within 90 days of your appointment date to receive University Contributions retroactively. Thompson Health System, Inc. All employees are eligible to make Voluntary Contributions; except you are not allowed to participate if you are a student whose employment is incidental to your education at the University.
In addition, eligible employees will be automatically enrolled explained below to make Voluntary Contributions.
Effective July 1, , newly hired or rehired eligible faculty and staff will be automatically enrolled to make their own contributions, unless you affirmatively elect a different percentage or affirmatively decline to make contributions within 60 days of becoming eligible to participate in the Plan.
If you opt out within 60 days of becoming eligible, no contributions will be withheld from your paycheck. Once automatic Voluntary Contributions start, you may elect to change or stop Voluntary Contributions at any time. You may elect to make Voluntary Contributions as soon as you are hired, and you may increase, decrease or begin making Voluntary Contributions any time during the year.
Complete your election online at TIAA. For the Plan Year during which you satisfy the eligibility requirements, Direct Contributions will be made on base salary paid for full payroll periods after you satisfy the eligibility requirements i. The University Direct Contribution is calculated each pay period based on your eligible gross earnings, using your accumulated earnings throughout the plan year July 1, June 30, and follows the formula below:.
No, the University of Rochester Retirement Program is not a matching plan. For the Plan Year during which you satisfy the eligibility requirements, Direct Contributions will be made for base salary paid for full payroll periods after you satisfy the eligibility requirement, regardless of your Voluntary Contributions. To review your contributions, log into your TIAA account online tiaa. You are not required to take action to begin receiving University Direct Contributions; however, you can complete your enrollment, elect your investment allocations, and designate your beneficiaries online at tiaa.
You will receive your first contribution on earnings from the first full pay period in which you are eligible. If you become eligible in the middle of a pay period, you will receive your first contribution with the next pay period's earnings.
Your combined pre-tax and Roth after-tax Voluntary Contributions to the Retirement Program may be made in any amount up to the limits imposed by the Internal Revenue Code. Maximum annual Voluntary Contribution limits for Calendar Year You may be able to 'roll' a distribution from another unrelated employer's plan and certain IRAs to the Retirement Program, provided that the distributing plan or IRA was qualified and the following requirements are met:.
If you have any questions about rollover contributions or would like to initiate a rollover into the Retirement Program, contact the record keeper, TIAA, at You may choose from wide range of mutual funds and annuity options from well-known financial providers. View the Investment Menu for more information.
Additional information on these funds, including performance, can be found at tiaa. TIAA can help you to understand, enroll, and manage your participation in the University of Rochester Retirement Program at no additional cost. Call , or schedule an individual advice session, with a local TIAA financial consultant. To schedule a session, go to TIAA. When you sever from employment from the University and members of its controlled group, you have four options with your accounts:.
The b Retirement Program allows eligible employees the opportunity to save for retirement on a tax-advantaged basis and provides a direct contribution toward retirement savings. Detailed eligibility information can be found here. The Deferred Compensation b Plan allows eligible participants to accumulate tax-deferred savings for retirement or other financial needs beyond the limits of the University of Rochester b Retirement Program.
The UR has established criteria in determining retirement eligibility. We use several key factors to determine eligibility and appropriate retirement grandparent level:.
There are additional factors that are detailed in our Retiree Benefits Summaries. We encourage employees to read through the summaries, attend a Retiree Session and meet with a Retiree HR Representative. A comprehensive list of retiree health benefits is located here.
These forms should only be completed once you have met with a Retiree HR Representative and have selected your retirement date. Your cost for retiree health plan benefits are determined by the UR health plan that you are enrolled in, your retirement grandparent level and the contribution from UR.
Retiree health plan costs are located here. Covered spouses and domestic partners will be included on billing statements.