Educational Classes for Medical Condition: FSA Eligibility

Fees for educational classes for medical conditions are eligible with a Letter of Medical Necessity (LMN) from a doctor with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Fees for education classes for medical conditions are not eligible with a limited care flexible spending account (LCFSA) or a dependent care flexible spending account (DCFSA).

What are educational classes for medical conditions?

Educational classes for medical conditions which are eligible include instructions related to childbirth such as breathing and relaxation (Lamaze), stages and phases of labor, labor and delivery procedures, birthing positions, movies depicting vaginal and cesarean deliveries and discussions on them. Breastfeeding classes are also a form of eligible educational class for a medical condition.

What is the purpose of these educational classes for medical conditions?

Educational classes for medical conditions can help a patient with a self-managed aspect of a medical condition. In the case of childbirth, an educational class can help patients become better prepared for the process by learning special techniques, learning about the birthing process, learning about medical procedures involved with the birthing process, and learning about birthing options.

In the case of breastfeeding, another type of educational class for a medical condition, a patience can learn all aspects of breastfeeding and various options to determine the best method for breastfeeding a child.

More specific birthing classes, like Lamaze technique classes, are also classified as an educational class for a medical condition. Lamaze technique classes instruct patients on special breathing techniques which aid with the discomfort and issues surrounding childbirth. Lamaze technique classes are eligible for reimbursement as an educational class for a medical condition.

How do I obtain a Letter of Medical Necessity (LMN)?

A Letter of Medical Necessity (LMN) from a doctor for an educational class for a medical condition is necessary for reimbursement with most benefits providers. This letter must outline how an account holder's needs for help, related to their medical condition, necessitates the instruction of an educational class; how the instructions learned will be used to alleviate the issue; and how long the treatment will last. If the treatment plan exceeds the current plan year, another LMN will have to be provided to the benefits administrator to cover the duration of the treatment.

Eligibility Table

Flexible Spending Account (FSA) Limited Care FSA Dependent Care FSA Health Savings Account (HSA) Health Reimbursement Account (HRA)

Eligible

Eligible with Rx

Eligible with LMN

Not Eligible

 


AZ-PROD-WEB01 11/22/2017 9:15:34 AM