Letter of Medical Necessity Questions
Common customer questions about Letters of Medical Necessity
Below are the common questions we’ve seen from our partners over the past year. We will continue to update this page if and when new issues surface.
What is a Letter of Medical Necessity?
A letter is essentially a note from a doctor stating that you are purchasing an item to treat or manage a medical condition. More details can be found here.
Why do I need to provide [Brand] with health information?
In order to qualify to use your HSA or FSA card for [insert product name], the IRS requires you to have a Letter of Medical Necessity. [Brand] has partnered with Flex to enable asynchronous telehealth visits as part of our checkout. Within 24 hours of your purchase, Flex will email you both an itemized receipt.
Do I need to do anything with my Letter of Medical Necessity?
You should keep it on file for at least three years in the event of an IRS audit of your HSA or FSA account. Occasionally, FSAs may ask for the Letter to confirm the eligibility of your purchase.
Help! I mistakenly entered my name and/or date of birth and need to get an updated letter. Who can I reach out to?
Please email support@withflex.com and they will reach out to their telehealth team to reprocess and send your corrected Letter of Medical Necessity.
The date on my Letter of Medical Necessity is one day different from my receipt.
Thanks for letting us know! This may be a time zone issue. We’ll reach out to our partners at Flex to see if they can reissue the Letter with an updated date.
My FSA says I need [a product name, NPI number, other info] added to my Letter for approval.
Generally, we’re not able to accommodate one-off requests, but we will reach out to our partners at Flex and see if we can accommodate your request.
Help! I did not receive an itemized receipt and/or Letter of Medical Necessity from Flex. What should I do?
Please check your spam folder, as sometimes emails from notifications@withflex.com may be automatically filtered as spam by some email service providers. If you still can’t find it, please email support@withflex.com and let them know the email address associated with your order.