Interview Notes . Carol Wheeler, age 56, is single. . Carol earned wages of $48,000 and was enrolled the entire year in a high deductible health plan (HDHP) with self-only coverage. . During the year, Carol contributed $3,000 to her Health Savings Account (HSA) and her cousin also contributed $1,000 to Carol's HSA account. . Carol's Form W-2 shows $600 in Box 12 with code W. She has Form 5498-SA showing $4,600 in Box 2. . Carol took a distribution from her HSA to pay her unreimbursed expenses: . 2 visits to a physical therapist due to a car accident $300 . unreimbursed doctor bills for $700 . prescription medicine $400 . replacement of a crown $1,500 over the counter sinus medication $80 10 Zumba classes for $125 . Carol is a U.S. citizen with a valid Social Security number. 7. Carol is eligible to contribute an additional $ to her HSA because she is age 55 or older. (Do not enter dollar signs, commas, periods, or decimal points in your answer.)