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Loophole

§2503(e) Direct Medical + Tuition Payments

Unlimited tax-free gifts when paid directly to the school or medical provider.

Overview

§2503(e) exempts unlimited payments made DIRECTLY to educational institutions (tuition only, not room/board) or medical providers (any medical expense, including insurance premiums) from gift tax — on top of the $18K annual exclusion and $13.6M lifetime exemption. Wealthy families use this to fund grandchildren's private school, college, medical care, and health insurance without touching either cap.

Best fit
Grandparents funding education / healthcareHigh-net-worth families
Estimated impact
Move $50K–$500K+/yr out of estate above exclusion limits

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