Lessons: FSA Eligibility

When required for the treatment of a medical condition, fees paid for lessons may be eligible for reimbursement with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Lessons reimbursement is not eligible with a limited care flexible spending account (LCFSA) or a dependent care flexible spending account (DCFSA).

What are lessons for the treatment of a medical condition?

When an individual is diagnosed with a legitimate medical condition, they will rely on their doctor and other health professionals to guide them through the treatment process, but in some cases, patients will have to develop an entirely different skill set or educate themselves on the day-to-day management of their conditions. Depending on the nature of the condition, some lessons are necessary to impart knowledge that doctors won't be able to cover during a single office visit.

There are a wide variety of medical conditions that could require additional educational resources for patients and their families that physicians may suggest after a diagnosis has been made. For example, patients may consider lessons in diabetes care, cancer pain management, nutrition, and countless other subjects that can enrich their understanding of their medical condition and improve their quality of life in managing their ailments.

How do I obtain a Letter of Medical Necessity for lessons?

A Letter of Medical Necessity (LMN) from a doctor for lessons is necessary for reimbursement with most benefits providers to ensure that it is necessary for the treatment of a medical condition. This letter must outline how an account holder's medical condition necessitates lessons, how the treatment 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

Specifically Not Covered

Fees paid for lessons not related to a medical condition are not qualified medical expenses.

 


AZ-PROD-WEB01 11/24/2017 5:18:41 AM