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Both items you mention are deductible medical expenses if you paid them out of your pocket.
Yes, medical expenses include IVF.
The IRS recently ruled that the genetic test provided both ancestry-related information and health information. The IRS said only the health information portion could be reimbursed from the Health FSA. The rationale is that the health information is a permitted medical expense, similar to a diagnostic test.
However, because there was a single price for the combined ancestry and health information testing, the taxpayer had to allocate the total cost of the test between the health services and the ancestry services. Only the portion allocated to the health information could be paid from the Health FSA. Unfortunately, the private letter ruling does not go into great detail on how to do the allocation. It only says that the taxpayer may use “a reasonable method” to value the health information services.
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