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The determination of a medical expense is not always simple. The answers to some basic questions may help. (Photo: iStock)

In my 20 years at the IRS, I often was asked: What exactly qualifies as a medical expense? Benefit plan administrators may reimburse an expense for a participant from a health savings account (HSA) or flexible spending account (FSA) only if it is an expense for “medical care” within the meaning of the tax code.

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