FSA Letter of Medical Necessity Form - Maryland

FSA Letter of Medical Necessity Form is a legal document that was released by the Maryland Department of Budget and Management - a government authority operating within Maryland.

FAQ

Q: What is an FSA?
A: FSA stands for Flexible Spending Account, which is a tax-advantaged account that allows you to set aside pre-tax money for eligible medical expenses.

Q: What is a Letter of Medical Necessity?
A: A Letter of Medical Necessity is a document that explains why a specific medical expense is necessary for the treatment of a medical condition.

Q: Why would I need to fill out a Letter of Medical Necessity?
A: You may need to fill out a Letter of Medical Necessity to provide documentation to your FSA administrator to prove that an expense is eligible for reimbursement.

Q: What information do I need to include in a Letter of Medical Necessity?
A: You will generally need to include your name, the date, a description of the medical expense, the medical condition being treated, and a statement from a healthcare provider supporting the medical necessity.