Ergonomic Items: FSA Eligibility

Ergonomic Items: requires a Letter of Medical Necessity (LMN) to be eligible with a Flexible Savings Account (FSA)
Ergonomic items are 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). Ergonomic items are not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

What are ergonomic items?


Ergonomic items are any device that has been designed with the physical interaction with its physical interaction with the user in mind. Examples include specialized keyboards, arm braces, cushions and lumbar supports, wristbands, knee braces, desk equipment, computer monitor stands, wrist supports, etc.

Ergonomic items are designed to minimize physical stresses from use or to minimize agitation to an existing injury or condition, such as wrist pain or back problems (Posturite). A doctor or other medical professional can provide a Letter of Medical Necessity (LMN) for a product that fits one of these needs due to a medical condition. If a doctor has written a Letter of Medical Necessity (LMN) for an ergonomic item, then the ergonomic item will be reimbursable under a consumer-directed spending account. 

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

A Letter of Medical Necessity (LMN) for ergonomic items 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 use of ergonomic items; how the ergonomic items will be used to alleviate the issue; and how the ergonomic items will be used. 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.