Fitness Programs: FSA Eligibility

Fitness Programs: requires a Letter of Medical Necessity (LMN) to be eligible with a Flexible Spending Account (FSA)
Fitness programs may be eligible for reimbursement with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA). Fitness programs are not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).

Can fitness programs treat a medical condition?

The fitness industry has grown by leaps and bounds in recent decades as individuals from all walks of life seek to improve their overall health and wellness. While regular exercise can dramatically reduce an individual's chances of developing heart disease, diabetes and lung disease, the IRS considers these activities conducive to fostering a person's "general health," and does not directly work to treat a legitimate medical condition.

However, in some cases, fitness programs can be a major facet of an individual's medical treatment plan as a response to a major surgery, recovery from a serious illness or other forms of rehabilitative care. These fitness programs can be held at physical training and medical fitness facilities, and these programs follow the continuing care model with techniques developed by medical professionals to treat specific conditions. Additionally, these facilities differ greatly from standard gyms thanks to their expansive resources, such as a network of medical professionals for future referrals, as well as fitness staff that is degreed and certified to practice physical therapy or rehabilitative medicine (Mayo Clinic). If you think your fitness program treats a medical condition, talk with your plan administrator as it may be eligible with a Letter of Medical Necessity (LMN).

Not eligible for general use and well-being.

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