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EssentialIRS Requirement

Understanding Letter of Medical Necessity (LMN)

A Letter of Medical Necessity is a document from your doctor that explains why a particular product, service, or treatment is medically necessary for your specific condition. It's often required for certain HSA/FSA expenses.

What is a Letter of Medical Necessity?

Definition

A Letter of Medical Necessity (LMN) is a formal document written by a licensed healthcare provider that:

  • Diagnoses a specific medical condition you have
  • Explains why a particular treatment, product, or service is medically necessary
  • Prescribes or recommends the specific item or service
  • Documents that the expense is for treatment (not general health or cosmetic purposes)

When Do You Need an LMN?

You typically need a Letter of Medical Necessity for items and services that:

Conditional Eligibility

Items that are only eligible when used to treat a specific diagnosed medical condition (not for general health)

Dual-Purpose Items

Products or services that could be for personal use or medical treatment (e.g., gym membership, special diet)

Plan Administrator Request

When your HSA/FSA administrator asks for additional substantiation for a claim

IRS Audit Protection

For borderline expenses where you want documentation in case of an IRS audit

Common Items That May Require an LMN

Massage Therapy

Requires LMN to show it treats a specific diagnosed medical condition (e.g., chronic pain, injury recovery)

Gym Membership

Must be prescribed for a specific medical condition (e.g., obesity, heart disease, diabetes)

Swimming Pool

For physical therapy or treatment of a specific condition (e.g., arthritis, injury rehabilitation)

Vitamins & Supplements

Must be prescribed to treat a diagnosed deficiency or medical condition

Special Foods/Diet

Must treat a specific diagnosed condition (e.g., celiac disease, PKU) and be substantially different from normal diet

Air Purifier/Humidifier

For treatment of allergies, asthma, or other respiratory conditions

Weight Loss Program

Must treat obesity as a diagnosed disease or another specific condition

Acupuncture

Generally eligible, but some plans may require LMN for substantiation

What Should an LMN Include?

A valid Letter of Medical Necessity should include the following components to satisfy IRS requirements:

Patient Information

Full name, date of birth, and contact information

Required
Physician Information

Doctor's name, credentials, medical license number, and contact details

Required
Medical Diagnosis

Specific diagnosis (with ICD-10 code if possible) requiring treatment

Required
Medical Necessity Statement

Explanation of why the item/service is medically necessary for treating the condition

Required
Treatment/Item Prescribed

Specific product, service, or treatment being recommended

Required
Duration of Need

How long the treatment will be needed (ongoing, 6 months, etc.)

Required
Physician Signature & Date

Original signature and date of issuance

Required
Office Letterhead

Professional letterhead (recommended but not always required)

Optional

How to Get a Letter of Medical Necessity

Follow these steps to obtain an LMN from your healthcare provider:

1
Identify the Need

Determine if the expense you want to claim requires an LMN. Check with your HSA/FSA administrator or use our search tool.

2
Schedule an Appointment

Book an appointment with your physician (primary care doctor or specialist treating your condition).

3
Discuss Your Needs

Explain the item or service you need and how it relates to your medical condition. Be specific about the treatment.

4
Request the Letter

Ask your doctor to provide a Letter of Medical Necessity on their letterhead. You can provide them with the required components.

5
Review the Letter

Ensure the letter includes all required components: diagnosis, medical necessity, prescribed treatment, and duration.

6
Keep Copies

Make several copies of the LMN. Keep one with your receipts, submit one with your HSA/FSA claim, and keep a digital backup.

Sample LMN Template

Example Letter Format
This is a sample format you can share with your physician. Your doctor should customize it based on your specific condition.

[Physician's Letterhead]

(Doctor's Name, Credentials, Address, Phone)

Date: [Current Date]

RE: Letter of Medical Necessity for [Patient Name]

DOB: [Date of Birth]

To Whom It May Concern:

This letter is to certify that [Patient Name] is under my care for [Diagnosis/Medical Condition] (ICD-10: [Code]).

As part of the treatment plan for this condition, I am prescribing/recommending [Specific Item/Service/Treatment]. This [item/service] is medically necessary because [explain how it treats the condition and why it's necessary].

The patient will require this [item/service] for [duration: ongoing/6 months/1 year/etc.] to effectively manage and treat their condition.

If you have any questions regarding this recommendation, please contact my office at [phone number].

Sincerely,

[Physician Signature]

[Physician Name, Credentials]

[Medical License Number]

Important Reminders

IRS Guidance & Citations

Official Resources
Learn more from official IRS publications
Treasury Regulation §1.125-6

Substantiation requirements for health FSAs and other employer-provided health coverage

IRS Publication 502 (2025)

Medical and Dental Expenses - Defines qualified medical expenses and special circumstances

IRS Publication 969 (2025)

Health Savings Accounts and Other Tax-Favored Health Plans

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