

FSA/HSA – Letter of Medical Necessity Request
See below for more information on FSH/HSA letters of medical necessity:
FSA/HSA – Letter of Medical Necessity Request
We’re happy to assist with your request for a Letter of Medical Necessity to support your FSA/HSA submission.
To get started, please complete the template linked below:
Once submitted, your provider will review your request and prepare your Letter of Medical Necessity. You will receive a copy via email once it has been completed.