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Future Developments
Publication 969

Go to IRS.gov/Pub969 for the latest information about
Pub. 969.

Health Savings What’s New
Accounts and
Other
Tax-Favored
Health Plans

Telehealth and other remote care services. Public
Law 119-21, July 4, 2025, amended Code section 223 to
provide that:
1. A Health Savings Account (HSA) eligible individual
may have disregarded coverage (besides the high deductible health plan (HDHP)) for telehealth and other
remote care, and

2. A plan will not fail to be treated as an HDHP by reason
of failing to have a deductible for telehealth and other
remote care services.

For use in preparing

The amendments apply to plan years beginning after
2024.

2025 Returns

Health Flexible Spending Arrangement (FSA) contribution and carryover for 2025. Revenue Procedure
2024-40, October 22, 2024, provides that for tax years beginning in 2025, the dollar limitation under section 125(i)
on voluntary employee salary reductions for contributions
to Health Flexible Spending Arrangements is $3,300. If
the cafeteria plan permits the carryover of unused
amounts, the maximum carryover amount is $660.

Reminders
Preventive care for purposes of qualifying as an
HDHP under section 223. Notice 2024-75, October 28,
2024, expands the list of preventive care benefits permitted to be provided by an HDHP without a deductible or
with a deductible below the applicable minimum deductible for the HDHP, to include over-the-counter oral contraceptives (including emergency contraceptives) and male
condoms. Notice 2024-75 also clarifies that (1) all types of
breast cancer screening for individuals who have not been
diagnosed with breast cancer are treated as preventive
care, (2) continuous glucose monitors for individuals diagnosed with diabetes are generally treated as preventive
care, and (3) the safe harbor for absence of a deductible
for certain insulin products applies without regard to
whether the insulin product is prescribed to treat an individual diagnosed with diabetes or prescribed for the purpose of preventing the exacerbation of diabetes or the development of a secondary condition.
For more information on Notice 2024-75, 2024-44
I.R.B. 1026, see IRS.gov/irb/2024-44_IRB#NOT-2024-75.
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Feb 11, 2026

Expenses treated as amounts paid for medical care.
Notice 2024-71, October 28, 2024, provides a safe harbor
under section 213 of the Internal Revenue Code for
amounts paid for condoms. The Treasury Department and
the IRS will treat amounts paid for condoms as amounts

Publication 969 (2025) Catalog Number 24216S
Department of the Treasury Internal Revenue Service www.irs.gov

paid for medical care under section 213(d). Because
amounts paid for condoms are treated as expenses for
medical care under section 213(d), if the other requirements of section 213(a) are met (for example, if a taxpayer’s total medical expenses exceed the 7.5% adjusted
gross income limitation and are not compensated for by
insurance or otherwise), then amounts paid by the taxpayer for condoms for the taxpayer, the taxpayer’s spouse,
or the taxpayer’s dependent are deductible as expenses
for medical care under section 213. Additionally, because
amounts paid for condoms are treated as expenses for
medical care under section 213(d), the amounts are also
eligible to be paid or reimbursed under a health Flexible
Spending Arrangement (FSA), Archer Medical Savings
Account (MSA), Health Reimbursement Arrangement
(HRA), or HSA. However, if an amount paid for condoms
is paid or reimbursed under a health FSA, Archer MSA,
HRA, HSA, or any other health plan or otherwise, it is not
a deductible expense under section 213.
For more information on Notice 2024-71, 2024-44
I.R.B. 1026, see IRS.gov/irb/2024-44_IRB#NOT-2024-71.
Expenses related to COVID-19 and preventive care
for purposes of HDHPs. Notice 2023-37, June 23,
2023, addresses the announced end of the COVID-19
public health emergency and the National Emergency
Concerning the Novel Coronavirus Disease 2019 Pandemic on May 11, 2023; it modifies prior guidance regarding benefits relating to testing for and treatment of
COVID-19 that can be provided by a health plan that otherwise satisfies the requirements to be an HDHP under
section 223(c)(2)(A) of the Internal Revenue Code (Code).
Specifically, the relief described in Notice 2020-15,
2020-14 I.R.B 559, applies only with respect to plan years
ending on or before December 31, 2024.
Notice 2023-37 also clarifies whether certain items and
services are treated as preventive care under section
223(c)(2)(C). Specifically, the preventive care safe harbor
as described in Notice 2004-23, 2004-15 I.R.B 725, does
not include screening (for example, testing) for COVID-19,
effective as of July 24, 2023. Notice 2023-37 also provides that items and services recommended with an “A” or
“B” rating by the United States Preventive Services Task
Force on or after March 23, 2010, are treated as preventive care for purposes of section 223(c)(2)(C), regardless
of whether these items and services must be covered,
without cost sharing, under Public Health Service Act section 2713.
For more information on Notice 2023-37, 2023-30
I.R.B. 359, see IRS.gov/irb/2023-30_IRB#NOT-2023-37.
Insulin products. Public Law 117-169, August 16, 2022,
amended section 223 to provide that an HDHP may have
a $0 deductible for selected insulin products. The amendment applies to plan years beginning after 2022.
Surprise billing for emergency services or air ambulance services. Public Law 116-260, December 27,
2020, amended section 223 to provide that an HDHP may
provide benefits under federal and state anti-“surprise billing” laws with a $0 deductible. Also, an “eligible individual”
remains eligible to make contributions to its HSA even if
the individual receives anti-“surprise billing” benefits
2

outside of the HDHP. The amendment applies to plan
years beginning after 2021.
Note: Anti-“surprise billing” laws generally protect individuals from “surprise billing” for items like emergency
medical services, some non-emergency medical services,
and air ambulance services.
Caution: Ask your insurance provider whether your
HDHP and any other coverage meet the requirements of
section 223.
Caution: Ask your HSA trustee whether the HSA and
trustee meet the requirements of section 223.
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Introduction
Various programs are designed to give individuals tax advantages to offset health care costs. This publication explains the following programs.

• Health Savings Accounts (HSAs).
• Medical Savings Accounts (Archer MSAs and Medicare Advantage MSAs).

• Health Flexible Spending Arrangements (FSAs).
• Health Reimbursement Arrangements (HRAs).
An HSA may receive contributions from an eligible individual or any other person, including an employer or a
family member, on behalf of an eligible individual. Contributions, other than employer contributions, are deductible
on the eligible individual’s return whether or not the individual itemizes deductions. Employer contributions aren’t
included in income. Distributions from an HSA that are
used to pay qualified medical expenses aren’t taxed.
An Archer MSA may receive contributions from an eligible individual and the eligible individual’s employer, but
not both in the same year. Contributions by the individual
are deductible whether or not the individual itemizes deductions. Employer contributions aren’t included in income. Distributions from an Archer MSA that are used to
pay qualified medical expenses aren’t taxed.
A Medicare Advantage MSA is an Archer MSA designated by Medicare to be used solely to pay the qualified
medical expenses of the account holder who is enrolled in
Medicare. Contributions can be made only by Medicare.
The contributions aren’t included in your income. Distributions from a Medicare Advantage MSA that are used to
pay qualified medical expenses aren’t taxed.
A health FSA may receive contributions from an eligible
individual. Employers may also contribute. Contributions
aren’t includible in income. Reimbursements from an FSA
Publication 969 (2025)

that are used to pay qualified medical expenses aren’t
taxed.
An HRA must receive contributions from the employer
only. Employees may not contribute. Contributions aren’t
includible in income. Reimbursements from an HRA that
are used to pay qualified medical expenses aren’t taxed.

What are the benefits of an HSA? You may enjoy several benefits from having an HSA.

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You can send us comments through IRS.gov/
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• Contributions to your HSA made by your employer (in-

Getting answers to your tax questions. If you have
a tax question not answered by this publication or the How
To Get Tax Help section at the end of this publication, go
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• You can claim a tax deduction for contributions you or

someone other than your employer make to your HSA
even if you don’t itemize your deductions on Schedule A (Form 1040).

cluding contributions made through a cafeteria plan)
may be excluded from your gross income.

• The contributions remain in your account until you use
them.

• The interest or other earnings on the assets in the account are tax free.

• Distributions may be tax free if you pay qualified medical expenses.

• An HSA is “portable.” It stays with you if you change
employers or leave the work force.

Qualifying for an HSA Contribution
To be an eligible individual and qualify for an HSA contribution, you must meet the following requirements.

• You are covered under a high deductible health plan

(HDHP), described later, on the first day of the month.

• You have no other health coverage except what is permitted under Other health coverage, later.

• You aren’t enrolled in Medicare.
• You can’t be claimed as a dependent on someone
else’s 2025 tax return.

Tip: Under the last-month rule, you are considered to
be an eligible individual for the entire year if you are an eligible individual on the first day of the last month of your
tax year (December 1 for most taxpayers) and you meet
certain other requirements.

Health Savings Accounts
(HSAs)

If you meet these requirements, you are an eligible individual even if your spouse has non-HDHP family coverage, provided your spouse’s coverage doesn’t cover you.

An HSA is a tax-exempt trust or custodial account you set
up with a qualified HSA trustee to pay or reimburse certain
medical expenses you incur. You must be an eligible individual to contribute to an HSA.

Also, you may be an eligible individual even if you receive hospital care or medical services under any law administered by the Secretary of Veterans Affairs for a service-connected disability.

No permission or authorization from the IRS is necessary to establish an HSA. You set up an HSA with a
trustee. A qualified HSA trustee can be a bank, an insurance company, or anyone already approved by the IRS to
be a trustee of individual retirement arrangements (IRAs)
or Archer MSAs. The HSA can be established through a
trustee that is different from your health plan provider.
Your employer may already have some information on
HSA trustees in your area.
Tip: If you have an Archer MSA, you can generally roll
it over into an HSA tax free. See Rollovers, later.
Publication 969 (2025)

Caution: If another taxpayer is entitled to claim you as
a dependent, you can’t claim a deduction for an HSA contribution. This is true even if the other person doesn’t receive an exemption deduction for you because the exemption amount is zero for tax years 2018 through 2025.
Tip: Each spouse who is an eligible individual who
wants an HSA must open a separate HSA. You can’t have
a joint HSA.
High deductible health plan (HDHP). An HDHP has:

• A higher annual deductible than typical health plans,
and

3

• A maximum limit on the sum of the annual deductible

and out-of-pocket medical expenses that you must
pay for covered expenses. Out-of-pocket expenses include co-payments and other amounts but don’t include premiums.

An HDHP may provide preventive care benefits without
a deductible or with a deductible less than the minimum
annual deductible. Preventive care includes but isn’t limited to the following.
1. Periodic health evaluations, including tests and diagnostic procedures ordered in connection with routine
examinations, such as annual physicals.
2. Routine prenatal and well-child care.

Self-only coverage

Family coverage

Minimum annual
deductible

$1,650

$3,300

Maximum annual
deductible and other
out-of-pocket
expenses*

$8,300

$16,600

* This limit doesn’t apply to deductibles and expenses for out-of-network
services if the plan uses a network of providers. Instead, only deductibles
and out-of-pocket expenses for services within the network should be used
to figure whether the limit applies.

Tip: The following table shows the minimum annual
deductible and maximum annual deductible and other
out-of-pocket expenses for HDHPs for 2026.

3. Child and adult immunizations.
4. Tobacco cessation programs.
5. Obesity weight-loss programs.
6. Screening services. This includes screening services
for the following.
a. Cancer.
b. Heart and vascular diseases.
c. Infectious diseases.
d. Mental health conditions.
e. Substance abuse.
f. Metabolic, nutritional, and endocrine conditions.
g. Musculoskeletal disorders.
h. Obstetric and gynecological conditions.
i. Pediatric conditions.
j. Vision and hearing disorders.
For more information on screening services, see
Notice 2004-23, 2004-15 I.R.B. 725, available at
IRS.gov/irb/2004-15_IRB#NOT-2004-23.
For additional guidance on preventive care, see
Notice 2004-50, 2004-2 C.B. 196, Q&A 26 and 27,
available at IRS.gov/irb/2004-33_IRB#NOT-2004-50;
Notice 2013-57, 2013-40 I.R.B. 293, available at
IRS.gov/pub/irs-drop/n-13-57.pdf;
and
Notice
2024-75, 2024-44 I.R.B. 1026, available at
IRS.gov/irb/2024-44_IRB#NOT-2024-75. Preventive
care can also include coverage for treatment of individuals with certain chronic conditions listed in the Appendix of Notice 2019-45, 2019-32 I.R.B. 593, if such
services were received or items were incurred on or
after July 17, 2019. For information on preventive care
for chronic conditions, see Notice 2019-45, 2019-32
I.R.B. 593, available at IRS.gov/pub/irs-drop/
n-19-45.pdf.
The following table shows the minimum annual deductible and maximum annual deductible and other
out-of-pocket expenses for HDHPs for 2025.

4

Self-only coverage

Family coverage

Minimum annual
deductible

$1,700

$3,400

Maximum annual
deductible and other
out-of-pocket
expenses*

$8,500

$17,000

* This limit doesn’t apply to deductibles and expenses for out-of-network
services if the plan uses a network of providers. Instead, only deductibles
and out-of-pocket expenses for services within the network should be used
to figure whether the limit applies.

Self-only HDHP coverage is HDHP coverage for only
an eligible individual. Family HDHP coverage is HDHP
coverage for an eligible individual and at least one other
individual (whether or not that individual is an eligible individual).
Family plans that don’t meet the high deductible
rules. There are some family plans that have deductibles
for both the family as a whole and for individual family
members. Under these plans, if you meet the individual
deductible for one family member, you don’t have to meet
the higher annual deductible amount for the family. If either the deductible for the family as a whole or the deductible for an individual family member is less than the minimum annual deductible for family coverage, the plan
doesn’t qualify as an HDHP.
Other health coverage. If you (and your spouse, if
you have family coverage) have HDHP coverage, you
can’t generally have any other health coverage. However,
you can still be an eligible individual even if your spouse
has non-HDHP coverage, provided you aren’t covered by
that plan.
You can have additional insurance that provides benefits only for the following items.

• Liabilities incurred under workers’ compensation laws,
tort liabilities, or liabilities related to ownership or use
of property.

• A specific disease or illness.
• A fixed amount per day (or other period) of hospitalization.

Publication 969 (2025)

You can also have coverage (whether provided through
insurance or otherwise) for the following items.

• Accidents.
• Disability.
• Dental care.
• Vision care.
• Long-term care.
• Telehealth and other remote care.
Caution: Plans in which substantially all of the coverage is through the items listed earlier aren’t HDHPs. For
example, if your plan provides coverage substantially all of
which is for a specific disease or illness, the plan isn’t an
HDHP for purposes of establishing an HSA.
Prescription drug plans. You can have a prescription drug plan, either as part of your HDHP or a separate
plan (or rider), and qualify as an eligible individual if the
plan doesn’t provide benefits until the minimum annual deductible of the HDHP has been met. If you can receive
benefits before that deductible is met, you aren’t an eligible individual.
Other employee health plans. An employee covered by an HDHP and a health FSA or an HRA that pays
or reimburses qualified medical expenses can’t generally
make contributions to an HSA. FSAs and HRAs are discussed later.
However, an employee can make contributions to an
HSA while covered under an HDHP and one or more of
the following arrangements.

• Limited-purpose health FSA or HRA. These arrange-

ments can pay or reimburse the items listed earlier under Other health coverage except long-term care.
Also, these arrangements can pay or reimburse preventive care expenses because they can be paid without having to satisfy the deductible.

• Suspended HRA. Before the beginning of an HRA

coverage period, you can elect to suspend the HRA.
The HRA doesn’t pay or reimburse, at any time, the
medical expenses incurred during the suspension period except preventive care and items listed under
Other health coverage, earlier. When the suspension
period ends, you are no longer eligible to make contributions to an HSA.

• Post-deductible health FSA or HRA. These arrange-

ments don’t pay or reimburse any medical expenses
incurred before the minimum annual deductible
amount is met. The deductible for these arrangements
doesn’t have to be the same as the deductible for the
HDHP, but benefits may not be provided before the
minimum annual deductible amount is met.

balance in the health FSA at the end of its prior-year plan
is zero.

Contributions to an HSA
Any eligible individual can contribute to an HSA. For an
employee’s HSA, the employee, the employee’s employer,
or both may contribute to the employee’s HSA in the same
year. For an HSA established by a self-employed (or unemployed) individual, the individual can contribute. Family
members or any other person may also make contributions on behalf of an eligible individual.
Contributions to an HSA must be made in cash. Contributions of stock or property aren’t allowed.

Limit on Contributions
The amount you or any other person can contribute to
your HSA depends on the type of HDHP coverage you
have, your age, the date you become an eligible individual, and the date you cease to be an eligible individual.
For 2025, if you have self-only HDHP coverage, you can
contribute up to $4,300. If you have family HDHP coverage, you can contribute up to $8,550.
Tip: For 2026, if you have self-only HDHP coverage,
you can contribute up to $4,400. If you have family HDHP
coverage, you can contribute up to $8,750.
If you are or were considered (under the last-month
rule, discussed later) an eligible individual for the entire
year and didn’t change your type of coverage, you can
contribute the full amount based on your type of coverage.
However, if you weren’t an eligible individual for the entire
year or changed your coverage during the year, your contribution limit is the greater of:
1. The limitation shown on the Line 3 Limitation Chart
and Worksheet in the Instructions for Form 8889,
Health Savings Accounts (HSAs); or
2. The maximum annual HSA contribution based on
your HDHP coverage (self-only or family) on the first
day of the last month of your tax year.
Tip: If you had family HDHP coverage on the first day
of the last month of your tax year, your contribution limit for
2025 is $8,550 even if you changed coverage during the
year.

• Retiree-only HRA. This arrangement pays or reimbur-

Last-month rule. Under the last-month rule, if you are an
eligible individual on the first day of the last month of your
tax year (December 1 for most taxpayers), you are considered an eligible individual for the entire year. You are treated as having the same HDHP coverage for the entire year
as you had on the first day of the last month if you didn’t
otherwise have coverage.

Health FSA—grace period. Coverage during a grace
period by a general purpose health FSA is allowed if the

Testing period. If contributions were made to your
HSA based on you being an eligible individual for the entire year under the last-month rule, you must remain an eligible individual during the testing period. For the
last-month rule, the testing period begins with the last

ses only those medical expenses incurred after retirement. After retirement with such an HRA, you are no
longer eligible to make contributions to an HSA.

Publication 969 (2025)

5

month of your tax year and ends on the last day of the
12th month following that month (for example, December
1, 2025, through December 31, 2026).
If you fail to remain an eligible individual during the testing period, for reasons other than death or becoming disabled, you will have to include in income the total contributions made to your HSA that wouldn’t have been made
except for the last-month rule. You include this amount in
your income in the year in which you fail to be an eligible
individual. This amount is also subject to a 10% additional
tax. The income and additional tax are calculated on Form
8889, Part III.
Example 1. You, age 53, become an eligible individual on December 1, 2025. You have family HDHP coverage on that date. Under the last-month rule, you contribute
$8,550 to your HSA.
You fail to be an eligible individual in June 2026. Because you didn’t remain an eligible individual during the
testing period (December 1, 2025, through December 31,
2026), you must include in your 2026 income the contributions made for 2025 that wouldn’t have been made except
for the last-month rule. You use the worksheet in the Form
8889 instructions to determine this amount.
January . . . . . . . . . . . . . . . .
February . . . . . . . . . . . . . . . .
March . . . . . . . . . . . . . . . . . .
April . . . . . . . . . . . . . . . . . . .
May . . . . . . . . . . . . . . . . . . .
June . . . . . . . . . . . . . . . . . .
July . . . . . . . . . . . . . . . . . . .
August . . . . . . . . . . . . . . . . .
September . . . . . . . . . . . . . .
October . . . . . . . . . . . . . . . .
November . . . . . . . . . . . . . . .
December . . . . . . . . . . . . . . .
Total for all months . . . . . . . .
Limitation. Divide the total by 12

-0-0-0-0-0-0-0-0-0-0-0$8,550.00
$8,550.00
$712.50

You would include $7,837.50 ($8,550.00 − $712.50) in
your gross income on your 2026 tax return. Also, a 10%
additional tax applies to this amount.
Example 2. You, age 39, have self-only HDHP coverage on January 1, 2025. You change to family HDHP coverage on November 1, 2025. Because you have family
HDHP coverage on December 1, 2025, you contribute
$8,550 for 2025.
You fail to be an eligible individual in March 2026. Because you didn’t remain an eligible individual during the
testing period (December 1, 2025, through December 31,
2026), you must include in income the contribution made
that wouldn’t have been made except for the last-month
rule. You use the worksheet in the Form 8889 instructions
to determine this amount.

January . . . . . . . . . . . . . . . .
February . . . . . . . . . . . . . . . .
March . . . . . . . . . . . . . . . . . .
April . . . . . . . . . . . . . . . . . . .
May . . . . . . . . . . . . . . . . . . .
June . . . . . . . . . . . . . . . . . .
July . . . . . . . . . . . . . . . . . . .
August . . . . . . . . . . . . . . . . .
September . . . . . . . . . . . . . .
October . . . . . . . . . . . . . . . .
November . . . . . . . . . . . . . . .
December . . . . . . . . . . . . . . .
Total for all months . . . . . . . .
Limitation. Divide the total by 12

$4,300.00
$4,300.00
$4,300.00
$4,300.00
$4,300.00
$4,300.00
$4,300.00
$4,300.00
$4,300.00
$4,300.00
$8,550.00
$8,550.00
$60,100.00
$5,008.33

You would include $3,541.67 ($8,550.00 − $5,008.33) in
your gross income on your 2026 tax return. Also, a 10%
additional tax applies to this amount.
Additional contribution. If you are an eligible individual
who is age 55 or older at the end of your tax year, your
contribution limit is increased by $1,000. For example, if
you have self-only coverage, you can contribute up to
$5,300 (the contribution limit for self-only coverage
($4,300) plus the additional contribution of $1,000).
Caution: If you have more than one HSA in 2025, your
total contributions to all the HSAs can’t be more than the
limits discussed earlier.
Reduction of contribution limit. You must reduce the
amount that can be contributed (including any additional
contribution) to your HSA by the amount of any contribution made to your Archer MSA (including employer contributions) for the year. A special rule applies to married people, discussed next, if each spouse has family coverage
under an HDHP.
Rules for married people. If either spouse has family
HDHP coverage, both spouses are treated as having family HDHP coverage. If each spouse has family coverage
under a separate plan, the contribution limit for 2025 is
$8,550. You must reduce the limit on contributions, before
taking into account any additional contributions, by the
amount contributed to both spouses’ Archer MSAs. After
that reduction, the contribution limit is split equally between the spouses unless you agree on a different division.
Caution: The rules for married people apply only if
both spouses are eligible individuals.
If both spouses are 55 or older and not enrolled in Medicare, each spouse’s contribution limit is increased by the
additional contribution. If both spouses meet the age requirement, the total contributions under family coverage
can’t be more than $10,550. Each spouse must make the
additional contribution to their own HSA.
Employer contributions. You must reduce the
amount you or any other person can contribute to your
HSA by the amount of any contributions made by your employer that are excludable from your income. This includes

6

Publication 969 (2025)

amounts contributed to your account by your employer
through a cafeteria plan.
Enrolled in Medicare. Beginning with the first month
you are enrolled in Medicare, your contribution limit is
zero. This rule applies to periods of retroactive Medicare
coverage. So if you delayed applying for Medicare and
later your enrollment is backdated, any contributions to
your HSA made during the period of retroactive coverage
are considered excess. See Excess contributions, later.
Example. You turned age 65 in July 2025 and enrolled in Medicare. You had an HDHP with self-only coverage
and are eligible for an additional contribution of $1,000.
Your contribution limit is $2,650 ($5,300 × 6 ÷ 12).
Qualified HSA funding distribution. A qualified HSA
funding distribution may be made from your traditional IRA
or Roth IRA to your HSA. This distribution can’t be made
from an ongoing SEP IRA or SIMPLE IRA. For this purpose, a SEP IRA or SIMPLE IRA is ongoing if an employer
contribution is made for the plan year ending with or within
the tax year in which the distribution would be made.
The maximum qualified HSA funding distribution depends on the HDHP coverage (self-only or family) you
have on the first day of the month in which the contribution
is made and your age as of the end of the tax year. The
distribution must be made directly by the trustee of the
IRA to the trustee of the HSA. The distribution isn’t included in your income, isn’t deductible, and reduces the
amount that can be contributed to your HSA. The qualified
HSA funding distribution is shown on Form 8889 for the
year in which the distribution is made.
You can generally make only one qualified HSA funding
distribution during your lifetime. However, if you make a
distribution during a month when you have self-only HDHP
coverage, you can make another qualified HSA funding
distribution in a later month in that tax year if you change
to family HDHP coverage. The total qualified HSA funding
distribution can’t be more than the contribution limit for
family HDHP coverage plus any additional contribution to
which you are entitled.
Funding distribution—testing period. You must remain an eligible individual during the testing period. For a
qualified HSA funding distribution, the testing period begins with the month in which the qualified HSA funding
distribution is contributed and ends on the last day of the
12th month following that month.
If you fail to remain an eligible individual during the testing period for reasons other than death or becoming disabled, you will have to include in income the qualified HSA
funding distribution. You include this amount in income in
the year in which you fail to be an eligible individual. This
amount is also subject to a 10% additional tax. The income and the additional tax are calculated on Form 8889,
Part III.
Each qualified HSA funding distribution allowed has its
own testing period. For example, you are an eligible individual, age 45, with self-only HDHP coverage. On June
18, 2025, you make a qualified HSA funding distribution.
On July 27, 2025, you enroll in family HDHP coverage and
on August 17, 2025, you make a qualified HSA funding
Publication 969 (2025)

distribution. Your testing period for the first distribution begins in June 2025 and ends on June 30, 2026. Your testing period for the second distribution begins in August
2025 and ends on August 31, 2026.

Rollovers
A rollover contribution isn’t included in your income, isn’t
deductible, and doesn’t reduce your contribution limit.
Archer MSAs and other HSAs. You can roll over
amounts from Archer MSAs and other HSAs into an HSA.
You don’t have to be an eligible individual to make a rollover contribution from your existing HSA to a new HSA.
Rollover contributions don’t need to be in cash. Rollovers
aren’t subject to the annual contribution limits.
You must roll over the amount within 60 days after the
date of receipt. You can make only one rollover contribution to an HSA during a 1-year period.
Note: If you instruct the trustee of your HSA to transfer
funds directly to the trustee of another of your HSAs, the
transfer isn’t considered a rollover. There is no limit on the
number of these transfers. Don’t include the amount transferred in income, deduct it as a contribution, or include it
as a distribution on Form 8889.

When To Contribute
You can make contributions to your HSA for 2025 through
April 15, 2026. If you fail to be an eligible individual during
2025, you can still make contributions through April 15,
2026, for the months you were an eligible individual.
Your employer can make contributions to your HSA
from January 1, 2026, through April 15, 2026, that are allocated to 2025. Your employer must notify you and the
trustee of your HSA that the contribution is for 2025. The
contribution will be reported on your 2026 Form W-2,
Wage and Tax Statement.

Reporting Contributions on Your Return
Contributions made by your employer aren’t included in
your income. Contributions to an employee’s account by
an employer using the amount of an employee’s salary reduction through a cafeteria plan are treated as employer
contributions. Generally, you can claim contributions you
made and contributions made by any other person other
than your employer on your behalf as a deduction.
Contributions by a partnership to a partner’s HSA that
are treated as distributions to the partner are not deductible by the partnership and do not affect the distributive
shares of partnership income and deductions. These distributions are not included in the partner’s net earnings
from self-employment. The partner, if an eligible individual
as defined in section 223(c)(1), is entitled to deduct the
amount of the contributions made to the partner’s HSA
during the tax year as an adjustment to gross income on
their federal income tax return. For more information, see
7

Notice
2005-8,
A-1,
available
2005-04_IRB#NOT-2005-8.

at

IRS.gov/irb/

Contributions by a partnership to a partner’s HSA for
services rendered to the partnership that are treated as
guaranteed payments are deductible by the partnership
and are includible in the partner’s gross income. Because
the contributions are guaranteed payments that are derived from the partnership’s trade or business and are for
services rendered to the partnership, the contributions are
included in the partner’s net earnings from self-employment. The partner, if an eligible individual as defined in
section 223(c)(1), is entitled to deduct the amount of the
contributions made to the partner’s HSA during the tax
year as an adjustment to gross income on their federal income tax return. For more information, see Notice 2005-8,
A-2, available at IRS.gov/irb/2005-04_IRB#NOT-2005-8.
Contributions by an S corporation to a 2% shareholder-employee’s HSA for services rendered are treated
as guaranteed payments and are deductible by the S corporation and includible in the shareholder-employee’s
gross income. The shareholder-employee can deduct the
contribution made to the shareholder-employee’s HSA.
Form 8889. Report all contributions to your HSA on
Form 8889 and file it with your Form 1040, 1040-SR, or
1040-NR. You should include all contributions made for
2025, including those made from January 1, 2026,
through April 15, 2026, that are designated for 2025. Contributions made by your employer and qualified HSA funding distributions are also shown on the form.
You should receive Form 5498-SA, HSA, Archer MSA,
or Medicare Advantage MSA Information from the trustee
showing the amount contributed to your HSA during the
year. Your employer’s contributions will also be shown on
Form W-2, box 12, code W. Follow the Instructions for
Form 8889. Report your HSA deduction on Form 1040,
1040-SR, or 1040-NR.
Excess contributions. You will have excess contributions if the contributions to your HSA for the year are
greater than the limits discussed earlier. Excess contributions aren’t deductible. Excess contributions made by your
employer are included in your gross income. If the excess
contribution isn’t included in Form W-2, box 1 you must report the excess as “Other income” on your tax return.
Generally, you must pay a 6% excise tax on excess
contributions. See Form 5329, Additional Taxes on Qualified Plans (Including IRAs) and Other Tax-Favored Accounts, to figure the excise tax. The excise tax applies to
each tax year the excess contribution remains in the account.
You may withdraw some or all of the excess contributions and avoid paying the excise tax on the amount withdrawn if you meet the following conditions.

• You withdraw the excess contributions by the due

date, including extensions, of your tax return for the
year the contributions were made.

• You withdraw any income earned on the withdrawn
contributions and include the earnings in “Other

8

income” on your tax return for the year you withdraw
the contributions and earnings.
Deducting an excess contribution in a later year. You
may be able to deduct excess contributions for previous
years that are still in your HSA. The excess contribution
you can deduct for the current year is the lesser of the following two amounts.

• Your maximum HSA contribution limit for the year mi-

nus any amounts contributed to your HSA for the year.

• The total excess contributions in your HSA at the beginning of the year.

Amounts contributed for the year include contributions
by you, your employer, and any other person. They also
include any qualified HSA funding distribution made to
your HSA. Any excess contribution remaining at the end of
a tax year is subject to the excise tax. See Form 5329.

Distributions From an HSA
You will generally pay medical expenses during the year
without being reimbursed by your HDHP until you reach
the annual deductible for the plan. When you pay medical
expenses during the year that aren’t reimbursed by your
HDHP, you can ask the trustee of your HSA to send you a
distribution from your HSA.
You can receive tax-free distributions from your HSA to
pay or be reimbursed for qualified medical expenses you
incur after you establish the HSA. If you receive distributions for other reasons, the amount you withdraw will be
subject to income tax and may be subject to an additional
20% tax. You don’t have to make withdrawals from your
HSA each year.
Generally, a distribution is money you get from your
HSA. Your total distributions include amounts paid with a
debit card and amounts withdrawn from the HSA by other
individuals that you have designated. The trustee will report any distribution to you and the IRS on Form 1099-SA,
Distributions From an HSA, Archer MSA, or Medicare Advantage MSA.
Qualified medical expenses. In general, “qualified medical expenses” means amounts paid by the HSA beneficiary for “medical care” (as defined in Code section
213(d)) for the individual, the spouse of the individual, and
any dependent of the individual, but only to the extent the
amounts are not compensated for by insurance or otherwise. Amounts paid for menstrual care products are treated as paid for medical care.
For HSA purposes, expenses incurred before you establish your HSA aren’t qualified medical expenses. State
law determines when an HSA is established. An HSA that
is funded by amounts rolled over from an Archer MSA or
another HSA is established on the date the prior account
was established.
If, under the last-month rule, you are considered to be
an eligible individual for the entire year for determining the
contribution amount, only those expenses incurred after
you actually establish your HSA are qualified medical
expenses.
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Qualified medical expenses include those incurred by
the following persons.
1. You and your spouse.
2. All dependents you claim on your tax return.
3. Any person you could have claimed as a dependent
on your return except that:
a. The person filed a joint return;
b. The person had gross income equal to or more
than the exemption amount or
c. You, or your spouse if filing jointly, could be
claimed as a dependent on someone else’s return.
Tip: For this purpose, a child of parents that are divorced, separated, or living apart for the last 6 months of
the calendar year is treated as the dependent of both parents whether or not the custodial parent releases the
claim to the child’s exemption.
Caution: You can’t deduct qualified medical expenses
as an itemized deduction on Schedule A (Form 1040) that
are equal to the tax-free distribution from your HSA.
Insurance premiums. You may not use HSA funds to
pay for insurance, except for the following.
1. Long-term care insurance.

market value of the assets used as security for the
loan as income on Form 1040, 1040-SR, or 1040-NR.
Examples of prohibited transactions include the direct
or indirect:

• Sale, exchange, or leasing of property between you
and the HSA;

• Lending of money between you and the HSA;
• Furnishing goods, services, or facilities between you
and the HSA; and

• Transfer to or use by you or for your benefit of any assets of the HSA.

Any deemed distributions won’t be treated as used to
pay qualified medical expenses. These distributions are
included in your income and are subject to the additional
20% tax, discussed later.
Recordkeeping. You must keep records sufficient to
show that:

• The distributions were exclusively to pay or reimburse
qualified medical expenses,

• The qualified medical expenses hadn’t been previ-

ously paid or reimbursed from another source, and

• The medical expenses hadn’t been taken as an itemized deduction in any year.

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

Don’t send these records with your tax return. Keep them
with your tax records.

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

Reporting Distributions on Your Return

4. 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.
Deemed distributions from HSAs. The following situations result in deemed taxable distributions from your
HSA.

• You engaged in any transaction prohibited by section
4975 with respect to any of your HSAs at any time in
2025. Your account ceases to be an HSA as of January 1, 2025, and you must include the fair market
value of all assets in the account as of January 1,
2025, on Form 8889.

• You used any portion of any of your HSAs as security

for a loan at any time in 2025. You must include the fair

Publication 969 (2025)

How you report your distributions depends on whether or
not you use the distribution for qualified medical expenses.

• If you use a distribution from your HSA for qualified

medical expenses, you don’t pay tax on the distribution but you have to report the distribution on Form
8889. However, the distribution of an excess contribution taken out after the due date, including extensions,
of your return is subject to tax even if used for qualified
medical expenses. Follow the instructions for the form
and file it with your Form 1040, 1040-SR, or 1040-NR.

• If you don’t use a distribution from your HSA for quali-

fied medical expenses, you must pay tax on the distribution. Report the amount on Form 8889 and file it
with your Form 1040, 1040-SR, or 1040-NR. You may
have to pay an additional 20% tax on your taxable distribution.

Tip: HSA administration and maintenance fees withdrawn by the trustee aren’t reported as distributions from
the HSA.
Additional tax. There is an additional 20% tax on the
part of your distributions not used for qualified medical expenses. Figure the tax on Form 8889 and file it with your
Form 1040, 1040-SR, or 1040-NR.

9

Exceptions. There is no additional tax on distributions made after the date you are disabled, reach age 65,
or die.

Balance in an HSA
An HSA is generally exempt from tax. You are permitted to
take a distribution from your HSA at any time; however,
only those amounts used exclusively to pay for qualified
medical expenses are tax free. Amounts that remain at the
end of the year are generally carried over to the next year.
Earnings on amounts in an HSA aren’t included in your income while held in the HSA.

Death of HSA Holder
You should choose a beneficiary when you set up your
HSA. What happens to that HSA when you die depends
on whom you designate as the beneficiary.
Spouse is the designated beneficiary. If your spouse
is the designated beneficiary of your HSA, it will be treated
as your spouse’s HSA after your death.
Spouse isn’t the designated beneficiary. If your
spouse isn’t the designated beneficiary of your HSA:

• The account stops being an HSA, and
• The fair market value of the HSA becomes taxable to
the beneficiary in the year in which you die.

If your estate is the beneficiary, the value is included on
your final income tax return. The amount taxable to a beneficiary other than the estate is reduced by any qualified
medical expenses for the decedent that are paid by the
beneficiary within 1 year after the date of death.

Filing Form 8889
You must file Form 8889 with your Form 1040, 1040-SR,
or 1040-NR if you (or your spouse, if married filing jointly)
had any activity in your HSA during the year. You must file
the form even if only your employer or your spouse’s employer made contributions to the HSA.
If, during the tax year, you are the beneficiary of two or
more HSAs or you are a beneficiary of an HSA and you
have your own HSA, you must complete a separate Form
8889 for each HSA. Enter “statement” at the top of each
Form 8889 and complete the form as instructed. Next,
complete a controlling Form 8889 combining the amounts
shown on each of the statement Forms 8889. Attach the
statements to your tax return after the controlling Form
8889.

Employer Participation
This section contains the rules that employers must follow
if they decide to make HSAs available to their employees.
Unlike the previous discussions, “you” refers to the employer and not to the employee.
10

Health plan. If you want your employees to be able to
have HSAs, they must have an HDHP. You can provide no
additional coverage other than those exceptions listed
earlier under Other health coverage.
Contributions. You can make contributions to your employees’ HSAs. You deduct the contributions on your business income tax return for the year in which you make the
contributions. If the contribution is allocated to the prior
year, you still deduct it in the year in which you made the
contribution.
For more information on employer contributions, see
Notice 2008-59, 2008-29 I.R.B. 123, questions 23 through
27, available at IRS.gov/irb/2008-29_IRB/ar11.html.
Comparable contributions. If you decide to make contributions, you must make comparable contributions to all
comparable participating employees’ HSAs. Your contributions are comparable if they are either:

• The same amount, or
• The same percentage of the annual deductible limit
under the HDHP covering the employees.

The comparability rules don’t apply to contributions made
through a cafeteria plan.
Comparable participating employees. Comparable
participating employees:

• Are covered by your HDHP and are eligible to establish an HSA,

• Have the same category of coverage (either self-only
or family coverage), and

• Have the same category of employment (part time, full
time, or former employees).

To meet the comparability requirements for eligible employees who have neither established an HSA by December 31 nor notified you that they have an HSA, you must
meet a notice requirement and a contribution requirement.
You will meet the notice requirement if by January 15 of
the following calendar year you provide a written notice to
all such employees. The notice must state that each eligible employee who, by the last day of February, establishes
an HSA and notifies you that the eligible employee has established an HSA will receive a comparable contribution to
the HSA for the prior year. For a sample of the notice, see
Regulations section 54.4980G-4 A-14(c). You will meet
the contribution requirement for these employees if by
April 15, 2026, you contribute comparable amounts plus
reasonable interest to the employees’ HSAs for the prior
year.
Note: For purposes of making contributions to HSAs
of non-highly compensated employees, highly compensated employees may not be treated as comparable participating employees.
Excise tax. If you made contributions to your employees’
HSAs that weren’t comparable, you must pay an excise
tax of 35% of the amount you contributed.

Publication 969 (2025)

Employment taxes. Amounts you contribute to your employees’ HSAs aren’t generally subject to employment
taxes. You must report the contributions (including
amounts the employee elected to contribute through a cafeteria plan) on Form W-2, box 12, code W.

Qualifying for an Archer MSA
To qualify for an Archer MSA, you must be either of the following.

• An employee (or the spouse of an employee) of a

small employer (defined later) that maintains a
self-only or family HDHP for you (or your spouse).

Medical Savings Accounts
(MSAs)

• A self-employed person (or the spouse of a self-em-

Archer MSAs were created to help self-employed individuals and employees of certain small employers meet the
medical care costs of the account holder, the account
holder’s spouse, or the account holder’s dependent(s).

You can have no other health or Medicare coverage except what is permitted under Other health coverage, later.
You must be an eligible individual on the first day of a
given month to get an Archer MSA deduction for that
month.

Caution: After 2007, you can’t be treated as an eligible
individual for Archer MSA purposes unless:
1. You were an active participant for any tax year ending
before 2008, or
2. You became an active participant for a tax year ending
after 2007 by reason of coverage under a high deductible health plan (HDHP) of an Archer MSA participating employer.
A Medicare Advantage MSA is an Archer MSA designated by Medicare to be used solely to pay the qualified
medical expenses of the account holder who is eligible for
Medicare.

ployed person) who maintains a self-only or family
HDHP.

Small employer. A small employer is generally an employer who had an average of 50 or fewer employees during either of the last 2 calendar years.
Growing employer. A small employer may begin
HDHPs and Archer MSAs for its employees and then grow
beyond 50 employees. The employer will continue to meet
the requirement for small employers if the employer:

• Had 50 or fewer employees when the Archer MSAs
began,

• Made a contribution that was excludable or deductible
as an Archer MSA for the last year the employer had
50 or fewer employees, and

Archer MSAs

• Had an average of 200 or fewer employees each year

An Archer MSA is a tax-exempt trust or custodial account
that you set up with a U.S. financial institution (such as a
bank or an insurance company) in which you can save
money exclusively for future medical expenses.

Changing employers. If you change employers, your
Archer MSA moves with you. However, you may not make
additional contributions unless you are otherwise eligible.

What are the benefits of an Archer MSA? You may
enjoy several benefits from having an Archer MSA.

High deductible health plan (HDHP). To be eligible to
contribute to an Archer MSA, you must be covered under
an HDHP. An HDHP has:

• You can claim a tax deduction for contributions you

make even if you don’t itemize your deductions on
Schedule A (Form 1040) or Schedule A (Form
1040-NR). However, you may not claim a deduction if
you are a dependent of another taxpayer.

• The interest or other earnings on the assets in your
Archer MSA are tax free.

• Distributions may be tax free if you pay qualified medical expenses.

after 1996.

• A higher annual deductible than typical health plans,
and

• A maximum limit on the annual out-of-pocket medical
expenses that you must pay for covered expenses.

Limits. The following table shows the limits for annual
deductibles and the maximum out-of-pocket expenses for
HDHPs for 2025.

• The contributions remain in your Archer MSA until you
use them.

• An Archer MSA is “portable,” so it stays with you if you
change employers or leave the work force.

Self-only coverage

Family coverage

Minimum annual
deductible

$2,850

$5,700

Maximum annual
deductible

$4,300

$8,550

Maximum annual
out-of-pocket
expenses

$5,700

$10,500

Family plans that don’t meet the high deductible
rules. There are some family plans that have deductibles
Publication 969 (2025)

11

for both the family as a whole and for individual family
members. Under these plans, if you meet the individual
deductible for one family member, you don’t have to meet
the higher annual deductible amount for the family. If either the deductible for the family as a whole or the deductible for an individual family member is less than the minimum annual deductible for family coverage, the plan
doesn’t qualify as an HDHP.
Other health coverage. If you (and your spouse, if you
have family coverage) have HDHP coverage, you can’t
generally have any other health coverage. However, you
can still be an eligible individual even if your spouse has
non-HDHP coverage, provided you aren’t covered by that
plan. However, you can have additional insurance that
provides benefits only for the following items.

• Liabilities incurred under workers’ compensation laws,
torts, or ownership or use of property.

• A specific disease or illness.
• A fixed amount per day (or other period) of hospitalization.

plan, you are treated as having family coverage with the
lower annual deductible of the two health plans. The contribution limit is split equally between the two of you unless
you agree on a different division.
Income limit. You can’t contribute more than you earned
for the year from the employer through whom you have
your HDHP.
If you are self-employed, you can’t contribute more than
your net self-employment income. This is your income
from self-employment minus expenses (including the deductible part of self-employment tax).
Individuals enrolled in Medicare. Beginning with the
first month you are enrolled in Medicare, you can’t contribute to an Archer MSA. However, you may be eligible for a
Medicare Advantage MSA, discussed later.

When To Contribute
You can make contributions to your Archer MSA for 2025
through April 15, 2026.

You can also have coverage (whether provided through insurance or otherwise) for the following items.

Reporting Contributions on Your Return

• Accidents.
• Disability.
• Dental care.
• Vision care.
• Long-term care.

Report all contributions to your Archer MSA on Form 8853
and file it with your Form 1040, 1040-SR, or 1040-NR. You
should include all contributions you or your employer
made for 2025, including those made from January 1,
2026, through April 15, 2026, that are designated for
2025.

Contributions to an MSA
Contributions to an Archer MSA must be made in cash.
Who can contribute to my Archer MSA? You can contribute except if:
1. Your employer contributes; or
2. Your spouse is covered by your HDHP and your spouse’s employer contributes to your spouse’s Archer
MSA.

Limits
There are two limits on the amount you or your employer
can contribute to your Archer MSA.

• The annual deductible limit.
• An income limit.
Annual deductible limit. You or your employer can contribute up to 75% of the annual deductible of your HDHP
(65% if you have a self-only plan) to your Archer MSA. You
must have the HDHP all year to contribute the full amount.
If you don’t qualify to contribute the full amount for the
year, determine your annual deductible limit by using the
Line 3 Limitation Chart and Worksheet in the Instructions
for Form 8853, Archer MSAs and Long-Term Care Insurance Contracts. If you and your spouse each have a family
12

You should receive Form 5498-SA, HSA, Archer MSA,
or Medicare Advantage MSA Information from the trustee
showing the amount you or your employer contributed during the year. Your employer’s contributions should be
shown on Form W-2, box 12, code R. Follow the Instructions for Form 8853 and complete the Line 3 Limitation
Chart and Worksheet in the instructions. Report your
Archer MSA deduction on Form 1040, 1040-SR, or
1040-NR.
Excess contributions. You will have excess contributions if the contributions to your Archer MSA for the year
are greater than the limits discussed earlier. Excess contributions aren’t deductible. Excess contributions made by
your employer are included in your gross income. If the excess contribution isn’t included in Form W-2, box 1, you
must report the excess as “Other income” on your tax return.
Generally, you must pay a 6% excise tax on excess
contributions. See Form 5329, Additional Taxes on Qualified Plans (Including IRAs) and Other Tax-Favored Accounts, to figure the excise tax. The excise tax applies to
each tax year the excess contribution remains in the account.
You may withdraw some or all of the excess contributions and avoid paying the excise tax on the amount withdrawn if you meet the following conditions.

• You withdraw the excess contributions by the due
date, including extensions, of your tax return.

Publication 969 (2025)

• You withdraw any income earned on the withdrawn

contributions and include the earnings in “Other income” on your tax return for the year you withdraw the
contributions and earnings.

Deducting an excess contribution in a later year. You
may be able to deduct excess contributions for previous
years that are still in your Archer MSA. The excess contribution you can deduct in the current year is the lesser of
the following two amounts.

• Your maximum Archer MSA contribution limit for the
year minus any amounts contributed to your Archer
MSA for the year.

• The total excess contributions in your Archer MSA at
the beginning of the year.

Any excess contributions remaining at the end of a tax
year are subject to the excise tax. See Form 5329.

Distributions From an MSA
You will generally pay medical expenses during the year
without being reimbursed by your HDHP until you reach
the annual deductible for the plan. When you pay medical
expenses during the year that aren’t reimbursed by your
HDHP, you can ask the trustee of your Archer MSA to
send you a distribution from your Archer MSA.
You can receive tax-free distributions from your Archer
MSA to pay for qualified medical expenses (discussed
later). If you receive distributions for other reasons, the
amount will be subject to income tax and may be subject
to an additional 20% tax as well. You don’t have to make
withdrawals from your Archer MSA each year.
Tip: If you no longer qualify to make contributions, you
can still receive tax-free distributions to pay or reimburse
your qualified medical expenses.
A distribution is money you get from your Archer MSA.
The trustee will report any distribution to you and the IRS
on Form 1099-SA, Distributions From an HSA, Archer
MSA, or Medicare Advantage MSA.
Qualified medical expenses. In general, “qualified
medical expenses” means amounts paid by the MSA
holder for “medical care” (as defined in Code section
213(d)) for the individual, the spouse of the individual, and
any dependent of the individual, but only to the extent the
amounts are not compensated for by insurance or otherwise. Amounts paid for menstrual care products are treated as paid for medical care.
Qualified medical expenses include those incurred by
the following persons.
1. You and your spouse.
2. All dependents you claim on your tax return.
3. Any person you could have claimed as a dependent
on your return except that:
a. The person filed a joint return;
b. The person had gross income equal to or more
than the exemption amount; or
Publication 969 (2025)

c. You, or your spouse if filing jointly, could be
claimed as a dependent on someone else’s 2025
return.
Tip: For this purpose, a child of parents that are divorced, separated, or living apart for the last 6 months of
the calendar year is treated as the dependent of both parents whether or not the custodial parent releases the
claim to the child’s exemption.
Caution: You can’t deduct qualified medical expenses
as an itemized deduction on Schedule A (Form 1040) that
are equal to the tax-free distribution from your Archer
MSA.
Special rules for insurance premiums. Generally,
you can’t treat insurance premiums as qualified medical
expenses for Archer MSAs. You can, however, treat premiums for long-term care coverage, health care coverage
while you receive unemployment benefits, or health care
continuation coverage required under any federal law as
qualified medical expenses for Archer MSAs.
Deemed distributions from Archer MSAs. The following situations result in deemed taxable distributions from
your Archer MSA.

• You engaged in any transaction prohibited by section

4975 with respect to any of your Archer MSAs at any
time in 2025. Your account ceases to be an Archer
MSA as of January 1, 2025, and you must include the
fair market value of all assets in the account as of January 1, 2025, on Form 8853.

• You used any portion of any of your Archer MSAs as

security for a loan at any time in 2025. You must include the fair market value of the assets used as security for the loan as income on Form 1040, 1040-SR,
or 1040-NR.

Examples of prohibited transactions include the direct
or indirect:

• Sale, exchange, or leasing of property between you
and the Archer MSA;

• Lending of money between you and the Archer MSA;
• Furnishing goods, services, or facilities between you
and the Archer MSA; and

• Transfer to or use by you, or for your benefit, of any assets of the Archer MSA.

Any deemed distribution won’t be treated as used to
pay qualified medical expenses. These distributions are
included in your income and are subject to the additional
20% tax, discussed later.
Recordkeeping: You must keep records sufficient to
show that:

• The distributions were exclusively to pay or reimburse
qualified medical expenses,

• The qualified medical expenses hadn’t been previ-

ously paid or reimbursed from another source, and

13

• The medical expenses hadn’t been taken as an item-

Death of the Archer MSA Holder

Don’t send these records with your tax return. Keep them
with your tax records.

You should choose a beneficiary when you set up your
Archer MSA. What happens to that Archer MSA when you
die depends on whom you designate as the beneficiary.

ized deduction in any year.

Reporting Distributions on Your Return
How you report your distributions depends on whether or
not you use the distribution for qualified medical expenses.

• If you use a distribution from your Archer MSA for

qualified medical expenses, you don’t pay tax on the
distribution but you have to report the distribution on
Form 8853. Follow the instructions for the form and file
it with your Form 1040, 1040-SR, or 1040-NR.

• If you don’t use a distribution from your Archer MSA

for qualified medical expenses, you must pay tax on
the distribution. Report the amount on Form 8853 and
file it with your Form 1040, 1040-SR, or 1040-NR. You
may have to pay an additional 20% tax, discussed
later, on your taxable distribution.

Caution: If an amount (other than a rollover) is contributed to your Archer MSA this year (by you or your employer), you must also report and pay tax on a distribution
you receive from your Archer MSA this year that is used to
pay medical expenses of someone who isn’t covered by
an HDHP or is also covered by another health plan that
isn’t an HDHP at the time the expenses are incurred.
Rollovers. Generally, any distribution from an Archer
MSA that you roll over into another Archer MSA or an HSA
isn’t taxable if you complete the rollover within 60 days. An
Archer MSA and an HSA can receive only one rollover
contribution during a 1-year period. See the Form 8853 instructions for more information.
Additional tax. There is a 20% additional tax on the part
of your distributions not used for qualified medical expenses. Figure the tax on Form 8853 and file it with your Form
1040, 1040-SR, or 1040-NR. Report the additional tax in
the total on Form 1040, 1040-SR, or 1040-NR.
Exceptions. There is no additional tax on distributions made after the date you are disabled, reach age 65,
or die.

Balance in an Archer MSA
An Archer MSA is generally exempt from tax. You are permitted to take a distribution from your Archer MSA at any
time; however, only those amounts used exclusively to pay
for qualified medical expenses are tax free. Amounts that
remain at the end of the year are generally carried over to
the next year. Earnings on amounts in an Archer MSA
aren’t included in your income while held in the Archer
MSA.

Spouse is the designated beneficiary. If your spouse
is the designated beneficiary of your Archer MSA, it will be
treated as your spouse’s Archer MSA after your death.
Spouse isn’t the designated beneficiary. If your
spouse isn’t the designated beneficiary of your Archer
MSA:

• The account stops being an Archer MSA, and
• The fair market value of the Archer MSA becomes taxable to the beneficiary in the year in which you die.

If your estate is the beneficiary, the fair market value of
the Archer MSA will be included on your final income tax
return.
Tip: The amount taxable to a beneficiary other than the
estate is reduced by any qualified medical expenses for
the decedent that are paid by the beneficiary within 1 year
after the date of death.

Filing Form 8853
You must file Form 8853 with your Form 1040, 1040-SR,
or 1040-NR if you (or your spouse, if married filing a joint
return) had any activity in your Archer MSA during the
year. You must file the form even if only your employer or
your spouse’s employer made contributions to the Archer
MSA.
If, during the tax year, you are the beneficiary of two or
more Archer MSAs or you are a beneficiary of an Archer
MSA and you have your own Archer MSA, you must complete a separate Form 8853 for each MSA. Enter “statement” at the top of each Form 8853 and complete the form
as instructed. Next, complete a controlling Form 8853
combining the amounts shown on each of the statement
Forms 8853. Attach the statements to your tax return after
the controlling Form 8853.

Employer Participation
This section contains the rules that employers must follow
if they decide to make Archer MSAs available to their employees. Unlike the previous discussions, “you” refers to
the employer and not to the employee.
Health plan. If you want your employees to be able to
have Archer MSAs, you must make an HDHP available to
them. You can provide no additional coverage other than
those exceptions listed earlier under Other health coverage.
Contributions. You can make contributions to your employees’ Archer MSAs and deduct them for the year in
which you make them.

14

Publication 969 (2025)

Comparable contributions. If you decide to make contributions, you must make comparable contributions to all
comparable participating employees’ Archer MSAs. Your
contributions are comparable if they are either:

• The same amount, or
• The same percentage of the annual deductible limit
under the HDHP covering the employees.

Comparable participating employees. Comparable
participating employees:

• Are covered by your HDHP and are eligible to establish an Archer MSA,

• Have the same category of coverage (either self-only
or family coverage), and

• Have the same category of employment (either part
time or full time).

Excise tax. If you made contributions to your employees’
Archer MSAs that weren’t comparable, you must pay an
excise tax of 35% of the amount you contributed.

Flexible Spending
Arrangements (FSAs)
A health FSA allows employees to be reimbursed for medical expenses. FSAs are usually funded through voluntary
salary reduction agreements with your employer. The employer may also contribute.
For information on the interaction between a health
FSA and an HSA, see Other employee health plans under
Qualifying for an HSA, earlier.
What are the benefits of an FSA? You may enjoy several benefits from having an FSA.

• Contributions made by your employer can be excluded from your gross income.

• No employment or federal income taxes are deducted
from the contributions.

• Reimbursements may be tax free if you pay qualified
medical expenses.

Employment taxes. Amounts you contribute to your employees’ Archer MSAs aren’t generally subject to employment taxes. You must report the contributions on Form
W-2, box 12, code R.

• You can use an FSA to pay qualified medical expen-

Medicare Advantage MSAs

Qualifying for an FSA

A Medicare Advantage MSA is an Archer MSA designated
by Medicare to be used solely to pay the qualified medical
expenses of the account holder. To be eligible for a Medicare Advantage MSA, you must be enrolled in Medicare
and have an HDHP that meets the Medicare guidelines.

Health FSAs are employer-established benefit plans.
These may be offered in conjunction with other employer-provided benefits as part of a cafeteria plan. Employers have flexibility to offer various combinations of
benefits in designing their plans.

A Medicare Advantage MSA is a tax-exempt trust or
custodial savings account that you set up with a financial
institution (such as a bank or an insurance company) in
which the Medicare program can deposit money for qualified medical expenses. The money in your account isn’t
taxed if it is used for qualified medical expenses, and it
may earn interest or dividends.
An HDHP is a special health insurance policy that has a
high deductible. You choose the policy you want to use as
part of your Medicare Advantage MSA plan. However, the
policy must be approved by the Medicare program.
Medicare Advantage MSAs are administered through
the federal Medicare program. You can get information by
calling 800-MEDICARE (800-633-4227) or through the Internet at Medicare.gov.
Note: See the Instructions for Form 8853, Archer
MSAs and Long-Term Care Insurance Contracts, to learn
whether you must file Form 8853.

ses even if funds have not yet been credited to the arrangement.

Self-employed persons aren’t eligible for FSAs.
Caution: Certain limitations may apply if you are a
highly compensated participant or a key employee.

Contributions to an FSA
You contribute to your FSA by electing an amount to be
voluntarily withheld from your pay by your employer. This
is sometimes called a “salary reduction agreement.” The
employer may also contribute to your FSA if specified in
the plan.
You don’t pay federal income tax or employment taxes
on the salary you contribute or the amounts your employer
contributes to the FSA. However, contributions made by
your employer to provide coverage for long-term care
must be included in income.

When To Contribute
At the beginning of the plan year, you must designate how
much you want to contribute. Then your employer will deduct amounts periodically (generally, every payday) in accordance with your annual election. You can change or revoke your election only if specifically allowed by law and
the plan.

Publication 969 (2025)

15

Amount of Contribution
For tax years beginning in 2025, the dollar limitation under
Code section 125(i) on voluntary employee salary reductions for contributions to health flexible spending arrangements is $3,300. If the cafeteria plan permits the carryover
of unused amounts, the maximum carryover amount is
$660. (See Revenue Procedure 2024–40.)

Distributions From an FSA
Generally, distributions from a health FSA must be paid
only to reimburse you for qualified medical expenses you
incurred during the period of coverage. You must be able
to receive the maximum amount of reimbursement (the
amount you have elected to contribute for the year) at any
time during the coverage period, regardless of the amount
you have actually contributed. The maximum amount you
can receive tax free is the total amount you elected to contribute to the health FSA for the year.
You must provide the health FSA with a written statement from an independent third party stating that the medical expense has been incurred and the amount of the expense. You must also provide a written statement that the
expense hasn’t been paid or reimbursed under any other
health plan coverage. The FSA can’t make advance reimbursements of future or projected expenses.
Debit cards, credit cards, and stored value cards given
to you by your employer can be used to reimburse participants in a health FSA. If the use of these cards meets certain substantiation methods, you may not have to provide
additional information to the health FSA. For information
on these methods, see Revenue Ruling 2003-43, 2003-21
I.R.B. 935, available at IRS.gov/pub/irs-drop/rr-03-43.pdf;
Notice 2006-69, 2006-31 I.R.B. 107, available at
IRS.gov/irb/2006-31_IRB/ar10.html; and Notice 2007-2,
2007-2 I.R.B. 254, available at IRS.gov/irb/2007-02_IRB/
ar09.html.
Qualified medical expenses. Qualified medical expenses are those specified in the plan that would generally
qualify for the medical and dental expenses deduction.
Expenses incurred for over-the-counter medicine
(whether or not prescribed) and menstrual care products
are considered medical care and are considered a covered expense.
Qualified medical expenses include those incurred by
the following persons.
1. You and your spouse.
2. All dependents you claim on your tax return.
3. Any person you could have claimed as a dependent
on your return except that:
a. The person filed a joint return;
b. The person had gross income equal to or more
than the exemption amount; or
16

c. You, or your spouse if filing jointly, could be
claimed as a dependent on someone else’s 2025
return.
4. Your child under age 27 at the end of your tax year.
You can’t receive distributions from your FSA for the following expenses.

• Amounts paid for health insurance premiums.
• Amounts paid for long-term care.
• Amounts that are covered under another health plan.
If you are covered under both a health FSA and an HRA,
see Notice 2002-45, Part V, 2002-28 I.R.B. 93, available at
IRS.gov/pub/irs-drop/n-02-45.pdf.
Caution: You can’t deduct qualified medical expenses
as an itemized deduction on Schedule A (Form 1040) that
are equal to the reimbursement you receive from the FSA.
Qualified reservist distribution. A special rule allows
amounts in a health FSA to be distributed to reservists ordered or called to active duty. This rule applies to distributions made after June 17, 2008, if the plan has been
amended to allow these distributions. Your employer must
report the distribution as wages on your Form W-2 for the
year in which the distribution is made. The distribution is
subject to employment taxes and is included in your gross
income.
A qualified reservist distribution is allowed if you were
(because you were in the reserves) ordered or called to
active duty for a period of more than 179 days or for an indefinite period, and the distribution is made during the period beginning on the date of the order or call and ending
on the last date that reimbursements could otherwise be
made for the plan year that includes the date of the order
or call.

Balance in an FSA
FSAs are generally “use-it-or-lose-it” plans. This means
that amounts in the account at the end of the plan year
can’t generally be carried over to the next year. However,
the plan can provide for either a grace period or a carryover.
The plan can provide for a grace period of up to 2 1/2
months after the end of the plan year. If there is a grace
period, any qualified medical expenses incurred in that
period can be paid from any amounts left in the account at
the end of the previous year. Your employer isn’t permitted
to refund any part of the balance to you.
Plans may allow up to $660 of unused amounts remaining at the end of the plan year to be paid or reimbursed for
qualified medical expenses you incur in the following plan
year. The plan may specify a lower dollar amount as the
maximum carryover amount. If the plan permits a carryover, any unused amounts in excess of the carryover
amount are forfeited. The carryover doesn’t affect the
maximum amount of salary reduction contributions that
you are permitted to make.
Publication 969 (2025)

A plan adopting a carryover provision is not permitted
to also provide a grace period with respect to health FSAs.
(See Notice 2013–71.)

Employer Participation
For the health FSA to maintain tax-qualified status, employers must comply with certain requirements that apply
to cafeteria plans. For example, there are restrictions for
plans that cover highly compensated employees and key
employees. The plans must also comply with rules applicable to other accident and health plans. Pub. 15-B, Employer’s Tax Guide to Fringe Benefits, explains these requirements.

Health Reimbursement
Arrangements (HRAs)
An HRA must be funded solely by an employer. The contribution can’t be paid through a voluntary salary reduction
agreement on the part of an employee. Employees are reimbursed tax free for qualified medical expenses up to a
maximum dollar amount for a coverage period. An HRA
may be offered with other health plans, including FSAs.
For information on the interaction between an HRA and
an HSA, see Other employee health plans under Qualifying for an HSA, earlier.
What are the benefits of an HRA? You may enjoy several benefits from having an HRA.

• Contributions made by your employer can be excluded from your gross income.

• Reimbursements, which must be for qualified medical
expenses, are tax free.

• Any unused amounts in the HRA can be carried forward for reimbursements in later years.

Qualifying for an HRA
HRAs are employer-established benefit plans. These may
be offered in conjunction with other employer-provided
health benefits. Employers have flexibility to offer various
combinations of benefits in designing their plans.
Self-employed persons aren’t eligible for HRAs.
Caution: Certain limitations may apply if you are a
highly compensated participant.

Contributions to an HRA
HRAs are funded solely through employer contributions
and may not be funded through employee salary reductions under a cafeteria plan. These contributions aren’t included in the employee’s income. You don’t pay federal income tax or employment taxes on amounts your employer
contributes to the HRA.
Publication 969 (2025)

Amount of Contribution
There is no limit on the amount of money your employer
can contribute to the arrangements. Additionally, the maximum reimbursement amount credited under the HRA in
the future (not including amounts carried forward from previous coverage periods) may be increased or decreased.
See Balance in an HRA, later.

Distributions From an HRA
Generally, distributions from an HRA must be paid to reimburse you for qualified medical expenses you have incurred. The expense must have been incurred on or after the
date you are enrolled in the HRA.
Debit cards, credit cards, and stored value cards given
to you by your employer can be used to reimburse participants in an HRA. If the use of these cards meets certain
substantiation methods, you may not have to provide additional information to the HRA. For information on these
methods, see Revenue Ruling 2003-43, 2003-21 I.R.B.
935, available at IRS.gov/pub/irs-drop/rr-03-43.pdf; Notice
2006-69, 2006-31 I.R.B. 107, available at IRS.gov/irb/
2006-31_IRB/ar10.html; and Notice 2007-2, 2007-2 I.R.B.
254, available at IRS.gov/irb/2007-02_IRB/ar09.html.
If any distribution is or can be made for other than the
reimbursement of qualified medical expenses, any distribution (including reimbursement of qualified medical expenses) made in the current tax year is included in gross
income. For example, if an unused reimbursement is payable to you in cash at the end of the year or upon termination of your employment, any distribution from the HRA is
included in your income. This also applies if any unused
amount upon your death is payable in cash to your beneficiary or estate or if the HRA provides an option for you to
transfer any unused reimbursement at the end of the year
to a retirement plan.
If the plan permits amounts to be paid as medical benefits to a designated beneficiary (other than the employee’s
spouse or dependents), any distribution from the HRA is
included in income.
Reimbursements under an HRA can be made to the following persons.
1. Current and former employees.
2. Spouses and dependents of those employees.
3. Any person you could have claimed as a dependent
on your return except that:
a. The person filed a joint return;
b. The person had gross income equal to or more
than the exempt amount; or
c. You or your spouse if filing jointly could be claimed
as a dependent on someone else’s 2025 return.
4. Your child under age 27 at the end of your tax year.
5. Spouses and dependents of deceased employees.
17

Tip: For this purpose, a child of parents that are divorced, separated, or living apart for the last 6 months of
the calendar year is treated as the dependent of both parents whether or not the custodial parent releases the
claim to the child’s exemption.

banks and investment firms (Forms 1099), you have several options to choose from to prepare and file your tax return. You can prepare the tax return yourself, see if you
qualify for free tax preparation, or hire a tax professional to
prepare your return.

Qualified medical expenses. Qualified medical expenses are those specified in the plan that would generally
qualify for the medical and dental expenses deduction .
Expenses incurred for over-the-counter medicine
(whether or not prescribed) and menstrual care products
are considered medical care and are considered a covered expense.
Qualified medical expenses from your HRA include the
following.

Free options for tax preparation. Your options for preparing and filing your return online or in your local community, if you qualify, include the following.

• Amounts paid for health insurance premiums.
• Amounts paid for long-term care coverage.
If you are covered under both an HRA and a health FSA,
see Notice 2002-45, Part V, which is available at
IRS.gov/pub/irs-drop/n-02-45.pdf.
Caution: You can’t deduct qualified medical expenses
as an itemized deduction on Schedule A (Form 1040) that
are equal to the distribution from the HRA.

Balance in an HRA
Some, but not all, HRAs permit amounts that remain at the
end of the year to be carried to the next year. Your employer isn’t permitted to refund any part of the balance to
you. These amounts may never be used for anything but
reimbursements for qualified medical expenses.

Employer Participation
For an HRA to maintain tax-qualified status, employers
must comply with certain requirements that apply to other
accident and health plans. Pub. 15-B, Employer’s Tax
Guide to Fringe Benefits, explains these requirements.

How To Get Tax Help
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.gov to find resources that
can help you right away.
Tax reform. Tax reform legislation impacting federal
taxes, credits, and deductions was enacted in P.L. 119-21,
commonly known as the One Big Beautiful Bill Act on July
4, 2025. Go to IRS.gov/OBBB for more information and
updates on how this legislation affects your taxes.
Preparing and filing your tax return. After receiving all
your wage and earnings statements (Forms W-2, W-2G,
1099-R, 1099-MISC, 1099-NEC, etc.); unemployment
compensation statements (by mail or in a digital format) or
other government payment statements (Form 1099-G);
and interest, dividend, and retirement statements from
18

• Free File. This program lets you prepare and file your

federal individual income tax return for free using software or Free File Fillable Forms. However, state tax
preparation may not be available through Free File. Go
to IRS.gov/FreeFile to see if you qualify for free online
federal tax preparation, e-filing, and direct deposit or
payment options.

• VITA. The Volunteer Income Tax Assistance (VITA)

program offers free tax help to people with
low-to-moderate incomes, persons with disabilities,
and limited-English-speaking taxpayers who need
help preparing their own tax returns. Go to IRS.gov/
VITA, download the free IRS2Go app, or call
800-906-9887 for information on free tax return preparation.

• TCE. The Tax Counseling for the Elderly (TCE) pro-

gram offers free tax help for all taxpayers, particularly
those who are 60 years of age and older. TCE volunteers specialize in answering questions about pensions and retirement-related issues unique to seniors.
Go to IRS.gov/TCE or download the free IRS2Go app
for information on free tax return preparation.

• MilTax. Members of the U.S. Armed Forces and quali-

fied veterans may use MilTax, a free tax service offered by the Department of Defense through Military
OneSource. For more information, go to
MilitaryOneSource (MilitaryOneSource.mil/MilTax).
Also, the IRS offers Free Fillable Forms, which can
be completed online and then e-filed regardless of income.

Using online tools to help prepare your return. Go to
IRS.gov/Tools for the following.

• The Earned Income Tax Credit Assistant (IRS.gov/
EITCAssistant) determines if you’re eligible for the
earned income credit (EITC).

• The Online EIN Application (IRS.gov/EIN) helps you
get an employer identification number (EIN) at no
cost.

• The Tax Withholding Estimator (IRS.gov/W4App)

makes it easier for you to estimate the federal income
tax you want your employer to withhold from your paycheck. This is tax withholding. See how your withholding affects your refund, take-home pay, or tax due.

• The Sales Tax Deduction Calculator (IRS.gov/

SalesTax) figures the amount you can claim if you
itemize deductions on Schedule A (Form 1040).

Publication 969 (2025)

Getting answers to your tax questions. On
IRS.gov, you can get up-to-date information on
current events and changes in tax law.

• IRS.gov/Help: A variety of tools to help you get answers to some of the most common tax questions.

sites. Always protect your identity when using any social
networking site.
The following IRS YouTube channels provide short, informative videos on various tax-related topics in English
and ASL.

• IRS.gov/ITA: The Interactive Tax Assistant, a tool that

• Youtube.com/irsvideos.
• Youtube.com/irsvideosASL.

• IRS.gov/Forms: Find forms, instructions, and publica-

Online tax information in other languages. You can
find information on IRS.gov/MyLanguage if English isn’t
your native language.

will ask you questions and, based on your input, provide answers on a number of tax topics.

tions. You will find details on the most recent tax
changes and interactive links to help you find answers
to your questions.

• You may also be able to access tax information in your
e-filing software.

Need someone to prepare your tax return? There are
various types of tax return preparers, including enrolled
agents, certified public accountants (CPAs), accountants,
and many others who don’t have professional credentials.
If you choose to have someone prepare your tax return,
choose that preparer wisely. A paid tax preparer is:

• Primarily responsible for the overall substantive accuracy of your return,

• Required to sign the return, and
• Required to include their preparer tax identification
number (PTIN).

Although the tax preparer always signs the return,
you’re ultimately responsible for providing all the
CAUTION information required for the preparer to accurately
prepare your return and for the accuracy of every item reported on the return. Anyone paid to prepare tax returns
for others should have a thorough understanding of tax
matters. For more information on how to choose a tax preparer, go to Tips for Choosing a Tax Preparer on IRS.gov.

!

Employers can register to use Business Services Online. The Social Security Administration (SSA) offers online service at SSA.gov/employer for fast, free, and secure
W-2 filing options to CPAs, accountants, enrolled agents,
and individuals who process Form W-2, Wage and Tax
Statement; and Form W-2c, Corrected Wage and Tax
Statement.
Business tax account. If you are a sole proprietor, a
partnership, an S corporation, a C corporation, or a single-member limited liability company (LLC), you can view
your tax information on record with the IRS and do more
with a business tax account. Go to IRS.gov/
BusinessAccount for more information.
IRS social media. Go to IRS.gov/SocialMedia to see the
various social media tools the IRS uses to share the latest
information on tax changes, scam alerts, initiatives, products, and services. At the IRS, privacy and security are our
highest priority. We use these tools to share public information with you. Don’t post your social security number
(SSN) or other confidential information on social media
Publication 969 (2025)

Over-the-Phone Interpreter (OPI) Service. The IRS offers the OPI Service to taxpayers needing language interpretation. The OPI Service is available at Taxpayer Assistance Centers (TACs), most IRS offices, and every
VITA/TCE tax return site. This service is available in Spanish, Mandarin, Cantonese, Korean, Vietnamese, Russian,
and Haitian Creole.
Accessibility Helpline available for taxpayers with
disabilities. Taxpayers who need information about accessibility services can call 833-690-0598. The Accessibility Helpline can answer questions related to current and
future accessibility products and services available in alternative media formats (for example, braille-ready, large
print, audio, etc.). The Accessibility Helpline does not
have access to your IRS account. For help with tax law, refunds, or account-related issues, go to IRS.gov/
LetUsHelp.
Alternative media preference. Form 9000, Alternative
Media Preference, or Form 9000(SP) allows you to elect to
receive certain types of written correspondence in the following formats.

• Standard Print.
• Large Print.
• Braille.
• Audio (MP3).
• Plain Text File (TXT).
• Braille-Ready File (BRF).
Disasters. Go to IRS.gov/DisasterRelief to review the
available disaster tax relief.
Getting tax forms and publications. Go to IRS.gov/
Forms to view, download, or print all the forms, instructions, and publications you may need. Or, you can go to
IRS.gov/OrderForms to place an order.
Mobile-friendly forms. You’ll need an IRS Online Account (OLA) to complete mobile-friendly forms that require
signatures. You’ll have the option to submit your form(s)
online or download a copy for mailing. You’ll need scans of
your documents to support your submission. Go to
IRS.gov/MobileFriendlyForms for more information.
Getting tax publications and instructions in eBook
format. Download and view most tax publications and
19

instructions (including the Instructions for Form 1040) on
mobile devices as eBooks at IRS.gov/eBooks.
IRS eBooks have been tested using Apple’s iBooks for
iPad. Our eBooks haven’t been tested on other dedicated
eBook readers, and eBook functionality may not operate
as intended.
Access your online account (individual taxpayers
only). Go to IRS.gov/Account to securely access information about your federal tax account.

• View the amount you owe and a breakdown by tax
year.

• See payment plan details or apply for a new payment
plan.

• Make a payment or view 5 years of payment history
and any pending or scheduled payments.

• Access your tax records, including key data from your
most recent tax return, and transcripts.

• View digital copies of select notices from the IRS.
• Approve or reject authorization requests from tax professionals.

Get a transcript of your return. With an online account,
you can access a variety of information to help you during
the filing season. You can get a transcript, review your
most recently filed tax return, and get your adjusted gross
income. Create or access your online account at IRS.gov/
Account.
Tax Pro Account. This tool lets your tax professional
submit an authorization request to access your individual
taxpayer IRS OLA. For more information, go to IRS.gov/
TaxProAccount.
Using direct deposit. The safest and easiest way to receive a tax refund is to e-file and choose direct deposit,
which securely and electronically transfers your refund directly into your financial account. Direct deposit also
avoids the possibility that your check could be lost, stolen,
destroyed, or returned undeliverable to the IRS. Eight in
10 taxpayers use direct deposit to receive their refunds. If
you don’t have a bank account, go to IRS.gov/
DirectDeposit for more information on where to find a bank
or credit union that can open an account online.
Reporting and resolving your tax-related identity
theft issues.

• Tax-related identity theft happens when someone

steals your personal information to commit tax fraud.
Your taxes can be affected if your SSN is used to file a
fraudulent return or to claim a refund or credit.

• The IRS doesn’t initiate contact with taxpayers by

email, text messages (including shortened links), telephone calls, or social media channels to request or
verify personal or financial information. This includes
requests for personal identification numbers (PINs),
passwords, or similar information for credit cards,
banks, or other financial accounts.

20

• Go to IRS.gov/IdentityTheft, the IRS Identity Theft

Central webpage, for information on identity theft and
data security protection for taxpayers, tax professionals, and businesses. If your SSN has been lost or
stolen or you suspect you’re a victim of tax-related
identity theft, you can learn what steps you should
take.

• Get an Identity Protection PIN (IP PIN). IP PINs are

six-digit numbers assigned to taxpayers to help prevent the misuse of their SSNs on fraudulent federal income tax returns. When you have an IP PIN, it prevents someone else from filing a tax return with your
SSN. To learn more, go to IRS.gov/IPPIN.

Ways to check on the status of your refund.

• Go to IRS.gov/Refunds.
• Download the official IRS2Go app to your mobile device to check your refund status.

• Call the automated refund hotline at 800-829-1954.
The IRS can’t issue refunds before mid-February
for returns that claimed the EITC or the additional
CAUTION child tax credit (ACTC). This applies to the entire
refund, not just the portion associated with these credits.

!

Making a tax payment. The IRS recommends paying
electronically whenever possible. Options to pay electronically are included in the list below. Payments of U.S. tax
must be remitted to the IRS in U.S. dollars. Digital assets
are not accepted. Go to IRS.gov/Payments for information
on how to make a payment using any of the following options.

• IRS Direct Pay: Pay taxes from your bank account. It’s

free and secure, and no sign-in is required. You can
change or cancel within 2 days of scheduled payment.

• Debit Card, Credit Card, or Digital Wallet: Choose an
approved payment processor to pay online or by
phone.

• Electronic Funds Withdrawal: Schedule a payment

when filing your federal taxes using tax return preparation software or through a tax professional.

• Electronic Federal Tax Payment System: This is the
best option for businesses. Enrollment is required.

• Check or Money Order: Mail your payment to the address listed on the notice or instructions.

• Cash: You may be able to pay your taxes with cash at
a participating retail store.

• Same-Day Wire: You may be able to do same-day

wire from your financial institution. Contact your financial institution for availability, cost, and time frames.

Note: The IRS uses the latest encryption technology to
ensure that the electronic payments you make online, by
phone, or from a mobile device using the IRS2Go app are
safe and secure. Paying electronically is quick and easy.

Publication 969 (2025)

What if I can’t pay now? Go to IRS.gov/Payments for
more information about your options.

• Apply for an online payment agreement (IRS.gov/

OPA) to meet your tax obligation in monthly installments if you can’t pay your taxes in full today. Once
you complete the online process, you will receive immediate notification of whether your agreement has
been approved.

The Taxpayer Advocate Service (TAS)
Is Here To Help You
What Is the Taxpayer Advocate Service?

• Use the Offer in Compromise Pre-Qualifier to see if

The Taxpayer Advocate Service (TAS) is an independent
organization within the Internal Revenue Service (IRS).
TAS helps taxpayers resolve problems with the IRS,
makes administrative and legislative recommendations to
prevent or correct the problems, and protects taxpayer
rights. We work to ensure that every taxpayer is treated
fairly and that you know and understand your rights under
the Taxpayer Bill of Rights. We are Your Voice at the IRS.

Filing an amended return. Go to IRS.gov/Form1040X
for information and updates.

How Can TAS Help Me?

Checking the status of your amended return. Go to
IRS.gov/WMAR to track the status of Form 1040-X amended returns.

TAS can help you resolve problems that you haven’t been
able to resolve with the IRS on your own. Always try to resolve your problem with the IRS first, but if you can’t, then
come to TAS. Our services are free.

you can settle your tax debt for less than the full
amount you owe. For more information on the Offer in
Compromise program, go to IRS.gov/OIC.

It can take up to 3 weeks from the date you filed
your amended return for it to show up in our sysCAUTION tem, and processing it can take up to 16 weeks.

!

Understanding an IRS notice or letter you’ve received. Go to IRS.gov/Notices to find additional information about responding to an IRS notice or letter.
IRS Document Upload Tool. You may be able to use
the Document Upload Tool to respond digitally to eligible
IRS notices and letters by securely uploading required
documents online through IRS.gov. For more information,
go to IRS.gov/DUT.
Schedule LEP. You can use Schedule LEP (Form 1040),
Request for Change in Language Preference, to state a
preference to receive notices, letters, or other written communications from the IRS in an alternative language. You
may not immediately receive written communications in
the requested language. The IRS’s commitment to LEP
taxpayers is part of a multi-year timeline that began providing translations in 2023. You will continue to receive
communications, including notices and letters, in English
until they are translated to your preferred language.
Contacting your local TAC. Keep in mind, many questions can be answered on IRS.gov without visiting a TAC.
Go to IRS.gov/LetUsHelp for the topics people ask about
most. If you still need help, TACs provide tax help when a
tax issue can’t be handled online or by phone. All TACs
now provide service by appointment, so you’ll know in advance that you can get the service you need without long
wait times. Before you visit, go to IRS.gov/TACLocator to
find the nearest TAC and to check hours, available services, and appointment options. Or, on the IRS2Go app,
under the Stay Connected tab, choose the Contact Us option and click on “Local Offices.”
————————————————————————
Below is a message to you from the Taxpayer Advocate
Service, an independent organization established by Congress.
Publication 969 (2025)

• TAS helps all taxpayers (and their representatives), including individuals, businesses, and exempt organizations. You may be eligible for TAS help if your IRS
problem is causing financial difficulty, if you’ve tried
and been unable to resolve your issue with the IRS, or
if you believe an IRS system, process, or procedure
just isn’t working as it should.

• To get help any time with general tax topics, visit

www.TaxpayerAdvocate.IRS.gov. The site can help
you with common tax issues and situations, such as
what to do if you make a mistake on your return or if
you get a notice from the IRS.

• TAS works to resolve large-scale (systemic) problems

that affect many taxpayers. You can report systemic issues at www.IRS.gov/SAMS. (Be sure not to include
any personal identifiable information.)

How Do I Contact TAS?
TAS has offices in every state, the District of Columbia,
and Puerto Rico. To find your local advocate’s number:

• Go to www.TaxpayerAdvocate.IRS.gov/Contact-Us,
• Check your local directory, or
• Call TAS toll free at 877-777-4778.
What Are My Rights as a Taxpayer?
The Taxpayer Bill of Rights describes ten basic rights that
all taxpayers have when dealing with the IRS. Go to
www.TaxpayerAdvocate.IRS.gov/Taxpayer-Rights
for
more information about the rights, what they mean to you,
and how they apply to specific situations you may encounter with the IRS. TAS strives to protect taxpayer rights and
ensure the IRS is administering the tax law in a fair and
equitable way.

21

Index

To help us develop a more useful index, please let us know if you have ideas for index entries.
See “Comments and Suggestions” in the “Introduction” for the ways you can reach us.

C

Contributions to:
FSA 15
HRA 17
HSA 5
MSA 12

Balance in 16
Contributions to 15
Distributions from 16
Grace period 16
Qualifying for 15
When to contribute 15
Form:
5329 8, 12
5498–SA 8, 12
8853 14
8889 8-10

D

H

A

Archer MSAs 11-15
Assistance (See Tax help)

Death of:
HSA holder 10
MSA holder 14
Distributions from:
FSA 16
HRA 17
HSA 8
MSA 13

E

Employer participation:
FSA 17
HRA 18
HSA 10
MSA 14

F

Flexible spending
arrangements 15-17

22

Health plans, high deductible 3, 11
Health reimbursement
arrangements 17, 18
Balance in 18
Contributions to 17
Distributions from 17
Qualifying for 17
Health savings accounts 3-11
Balance in 10
Contributions to 5
Deemed distributions 9
Distributions from 8
Last-month rule 5
Partnerships 8
Qualifying for 3
Rollovers 7
S corporations 8
When to contribute 7
High deductible health plan 3, 11

M

Medical expenses, qualified 8, 13,
16, 18
Medical savings accounts 11-15
Balance in 14
Contributions to 12
Deemed distributions 13
Distributions from 13
Medicare Advantage MSAs 15
Qualifying for 11
When to contribute 12
Medicare Advantage MSAs 15

P

Preventive care 4
Publications (See Tax help)

Q

Qualified HSA funding
distribution 7

T

Tax help 18
Testing period:
Last-month rule 5
Qualified HSA funding distribution 7

Publication 969 (2025)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/agency%3Airs%3A9f19a96a7c32308d. Public record. Not legal advice.
