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Form 8853

  1. Country USA
  2. Language English
  3. Activity Taxes
  4. Department Internal Revenue Service
Form 8853

Archer MSAs and Long-Term Care Insurance Contracts

Rev. 2023

This document provides instructions for completing Form 8853 for the tax year 2023. It includes sections for Long-Term Care (LTC) Insurance Contracts, Medicare Advantage MSAs, and Health Savings Accounts. The instructions cover what information is required for each section, how to calculate certain amounts, and when to check specific boxes.

Instructions

FAQ
  • What is an allocation ratio for determining how much of the per diem limitation remains to be allocated among multiple taxpayers?

    The percentage of the aggregate amount paid during the second or subsequent LTC period by each taxpayer relative to the total amount paid by all taxpayers.

  • What information is required in completing Form 8853 for the second or subsequent LTC periods?

    The aggregate amount paid during the period for qualified long-term care services under all contracts, and the total number of days in the period that services were received.

  • Who should file Form 8853?

    An individual who has received long-term care services or paid premiums for such services for themselves, their spouse, or a dependent.

  • What is an LTC period in the context of Form 8853?

    An extended period of continuous receipt of long-term care services due to physical or mental impairment that lasts at least 90 days or, if the individual is terminally ill with a life expectancy of less than 6 months, a shorter period.

  • What information is required in completing Form 8853 for the first LTC period?

    The total amount paid during the LTC period for qualified long-term care services and the total number of days in the period that services were received.

  • What happens if the total per diem limitation ($63,480 in 2023) is not enough to cover all the eligible individuals' allocations?

    The excess allocation amounts will be treated as miscellaneous medical expenses subject to the 7.5% or 10% AGI threshold.

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Tax forms

Form 8853 is one of Tax forms that are documents used to report information related to taxes to the relevant tax authority. There are various types of tax forms, including federal, state, and local tax forms, which can vary depending on the taxpayer's circumstances and location.

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