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I don't normally use my HSA to pay long term care premiums,  but i realized that i can apply the extra 175 taken out to that expense.  I have a copy of my premiums for the year,  so the documentation is there.  I don't think i need to fill out another form. Since ttax only added the 2037 to 8889 income, the 175 extra won't be taxed and i don't need to add it in, if i have a legitimate expense.

Thanks.