Rose took a distribution from her HSA to pay her unreimbursed expenses: o 8 visits to a physical therapist after her knee surgery $400 o unreimbursed doctor bills for $1, 100 . prescription medicine $280 o replacement of a crown $1,500 o deep cleaning for teeth: $300 o over the counter medication $40 o gym membership $240 . Rose is a U.S. citizen with a valid Social Security number. Advanced Scenario 3: Test Questions 6. Form 8889, Part 1 is used to report HSA contributions made by a. Rose b. Rose's employer c. Rose's mother d. All of the above 7. Rose is eligible to contribute an additional $ to her HSA because she is age 55 or older. a. $0 b. $850 c. $1,000 d. $2,000 8. What is the total unreimbursed qualified medical expenses reported on Form 8889, Part II? a. $3,320 b. $3,580 c. $3,620 d. $3,860