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BobKamman
Level 15
May 8, 2022
Solved

Travel for Medical

  • May 8, 2022
  • 3 replies
  • 47 views

Let’s say you live in Texas or Mississippi and need a medical procedure that is not available in your state. So you travel to New York, and your employer (for example, Amazon or Tesla) pays for the travel.

IRS tells us in Pub 502,

“You can include in medical expenses amounts you pay for transportation to another city if the trip is primarily for, and essential to, receiving medical services. You may be able to include up to $50 for each night for each person. You can include lodging for a person traveling with the person receiving the medical care. For example, if a parent is traveling with a sick child, up to $100 per night can be included as a medical expense for lodging. Meals aren't included.”

Does the employer have to include the travel reimbursement as taxable wages? All of it, or just the part for lodging more than $50, and meals?

This topic has been closed for replies.
Best answer by qbteachmt

I'm pretty good at fringe benefit plans and tax treatment through payroll. Although this topic has a bit of a roaming range, I can take a stab at some of it.

"Does the employer have to include the travel reimbursement as taxable wages? All of it, or just the part for lodging more than $50, and meals?"

That Pub 502 quote and this question as posed are confusing employer medical reimbursement provisions under an employer health reimbursement provision and the tax regulation allowance for medical travel, which is an individual's provision and doesn't require there be an employer involved at all. Different provisions.

"Meanwhile, an HRA requires documentation of specific expenses, but allows a tax deduction for the private employer and no tax bill for the employee."

Exactly. The employer is acting as if they are the FSA/HSA, in other words.

The reason the employer should not pay for anything that falls under worker comp is to prevent the liability complexity that is typical for insurance coverage issues. That is not a tax issue but an exposure issue. Some States allow private insurers to offer WC and some operate it through the State, and in neither case do they want to find out an employer was hiding a potential claim by offering to pay out of pocket.

As individuals, we can repair our vehicle or submit it to insurance, for example, and no one else will be disadvantaged. The WC process can come back into consideration later, when the employee files a claim after all, and the insurers want to control all aspects of a claim or negotiation. I'd have to do the research, but I believe this goes back to the extractive resource industry (coal, metals) and the payoffs for not reporting on the job injuries (mine safety and health or MSHA, which is like OSHA).

3 replies

dkh
Level 15
May 9, 2022

I feel this is a trick question, especially since it is coming from you Bob.  However, I'm feeling pretty good this Monday morning so I'm going to throw in my answer.

I think the employer should include all of what they reimbursed as taxable wages.  Wouldn't the company paying for this be considered a taxable fringe benefit?      The amount the employee might be able to deduct on their taxes shouldn't factor into what is considered taxable.

 

IRonMaN
Level 15
May 9, 2022

It's always a trick question with Bob.  He waits for someone to bite and then sets the hook and reels you in.  Which isn't so bad, but on those days that he uses the gaff hook .................. that hurts.

Slava Ukraini!
dkh
Level 15
May 9, 2022

I'm wearing my suit of armor this morning...  I heard someone whisper that when I walked by ....funny how it almost sounded like they said that's some sweet odor ......  

qbteachmt
qbteachmtAnswer
Level 15
May 9, 2022

I'm pretty good at fringe benefit plans and tax treatment through payroll. Although this topic has a bit of a roaming range, I can take a stab at some of it.

"Does the employer have to include the travel reimbursement as taxable wages? All of it, or just the part for lodging more than $50, and meals?"

That Pub 502 quote and this question as posed are confusing employer medical reimbursement provisions under an employer health reimbursement provision and the tax regulation allowance for medical travel, which is an individual's provision and doesn't require there be an employer involved at all. Different provisions.

"Meanwhile, an HRA requires documentation of specific expenses, but allows a tax deduction for the private employer and no tax bill for the employee."

Exactly. The employer is acting as if they are the FSA/HSA, in other words.

The reason the employer should not pay for anything that falls under worker comp is to prevent the liability complexity that is typical for insurance coverage issues. That is not a tax issue but an exposure issue. Some States allow private insurers to offer WC and some operate it through the State, and in neither case do they want to find out an employer was hiding a potential claim by offering to pay out of pocket.

As individuals, we can repair our vehicle or submit it to insurance, for example, and no one else will be disadvantaged. The WC process can come back into consideration later, when the employee files a claim after all, and the insurers want to control all aspects of a claim or negotiation. I'd have to do the research, but I believe this goes back to the extractive resource industry (coal, metals) and the payoffs for not reporting on the job injuries (mine safety and health or MSHA, which is like OSHA).

Don't yell at us; we're volunteers
dkh
Level 15
May 9, 2022

Let’s say you live in Texas or Mississippi and need a medical procedure that is not available in your state. So you travel to New York, and your employer (for example, Amazon or Tesla) pays for the travel.

If these large businesses (for example, Amazon or Tesla) have onsite medical clinics (which I'm imagine they do) would it really be necessary for the employee to travel to New York for this medical procedure? ?????

qbteachmt
Level 15
May 9, 2022

"If these large businesses (for example, Amazon or Tesla) have onsite medical clinics"

OMG, I forgot those existed. Where I worked, one of the security/medical people had lost weight eating cereal for all meals. They held forced attendance meetings for us under "health training" where we all had to listed to how his miraculous weight loss program involved eating only cereal, every meal. And any time you stopped into the medical office, the doctor was out, so the security guards on duty got to "treat" you. Our Doctors were named Hope and Pitman, but we called them Hopeless and Pitiful.

Don't yell at us; we're volunteers