Select language

Form 8853

  1. Country USA
  2. Language English
  3. Activity Taxes
  4. Department Internal Revenue Service
Fill out this form
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.

HOW TO

How to fill out Form 8853 for free, online in 3 easy steps:

  1. 1
    Open form template in editor
    Click on the “Get this template” button.
  2. 2
    Fill out Form 8853
    Wait a moment and you will be redirected to our online PDF Filler app.
  3. 3
    Download file
    Download your completed Form 8853 for free. You can also save it to a cloud storage.
Formize PDF Filler app
ABOUT

Tax forms

Form 8853 is one of Tax forms that are documents used to report information about an individual's or business's income, deductions, and tax liability to the relevant tax authority. These forms are necessary to comply with tax laws and fulfill tax obligations. Tax forms vary depending on the country and the specific tax requirements in place. Here are some common types of tax forms:

Individual Tax Forms: These forms are used by individual taxpayers to report their personal income and claim deductions, credits, and exemptions. Examples include the 1040 form in the United States or the Self-Assessment Tax Return form in the United Kingdom.

Business Tax Forms: Business tax forms are used by companies, partnerships, or self-employed individuals to report their business income, expenses, and other tax-related information. Examples include the Schedule C form (Profit or Loss from Business) in the United States or the CT600 form (Company Tax Return) in the United Kingdom.

Payroll Tax Forms: These forms are used by employers to report the wages, salaries, and taxes withheld from their employees' paychecks. Examples include the W-2 form in the United States or the P60 form in the United Kingdom.

Sales Tax Forms: Sales tax forms are used by businesses to report and remit sales tax collected on taxable goods or services. The specific sales tax forms vary by jurisdiction.

Value Added Tax (VAT) Forms: VAT forms are used in countries that impose a value-added tax to report and remit VAT collected on sales and claim VAT credits for purchases. Examples include the VAT return forms used in many countries.

Estimated Tax Forms: Estimated tax forms are used to report and pay estimated taxes on income that is not subject to withholding, such as self-employment income or investment income.

These are just a few examples of the numerous tax forms that may exist. The specific forms required depend on the tax laws and regulations in your country or jurisdiction. It is important to consult the tax authority's guidelines or seek professional advice to determine which forms are applicable to your situation.

FEATURES

PDF Filler

The easiest way to fill Form 8853 online

  • Quickly fill out Form 8853
    Looking for a way to quickly fill Form 8853 online? With our online free PDF form filler, you’ll know how to how to edit and fill this pdf document in less than a minute.
  • Easy to use online PDF editor
    Fed up with printing out PDF files so you can edit them, before rescanning and sending them back? Edit PDF documents for free online. Use our online pdf editor to save time and paper.
  • Great tools, all platforms
    Wondering how to fill in Form 8853 on a Mac, or maybe how to use a PDF filler free? Our online PDF tools work on all platforms.
  • Secure file storage
    Completed "Form 8853" files are stored in a secured database managed by Amazon Cloud hosting. You can delete your files from our system anytime. In any case, these files are automatically deleted after 24 hours.
  • Chat with Form 8853
    Chat with "Form 8853" on Chatize that is a free PDF reader assistant. Ask questions and get answers from "Form 8853". Just click on Chat With Document button above.

Delete filling session

Delete the selected filling session? In this case, your progress in completing the form will be lost.

Delete editing session

Delete the selected editing session? In this case, your progress in creating and editing the form will be lost.