Can a chiropractor write a letter of medical necessity for HSA?
Asked by: Wendell Thompson | Last update: September 16, 2025Score: 4.1/5 (18 votes)
Can chiropractor be used for HSA?
HSAs can be used for large and small qualified medical expenses. You can use your HSA for ongoing medical services and treatments, like chiropractic care, acupuncture, or physical exams. Medical copays, deductibles, and coinsurance can also be covered under an HSA.
Who can write a Letter of medical necessity for HSA?
A nurse, nurse practitioner, psychiatrist, psychologist, occupational therapist, physical therapist, or chiropractor can also write you a valid Letter of Medical Necessity as long as the product or service they're recommending is in line with the treatment you're receiving from them.
Can a chiropractor write a medical note?
Yes. Chiropractors can write a note to an employer telling them that an employee is hurt and can not do their job. They can fill out a functional abilities form and suggest changes to duties or graduated hours. They can also write an employee a note telling them to go back to work.
What qualifies as a Letter of medical necessity?
A Letter of Medical Necessity (LMN) is the written explanation from the treating physician describing the medical need for services, equipment, or supplies to assist the claimant in the treatment, care, or relief of their accepted work-related illness(es).
What's a Letter of Medical Necessity (LMN)?
Can a chiropractor write a letter of medical necessity for massage therapy?
Yes, a physician or chiropractor can write a Letter of Medical Necessity for massage therapy if they determine it is essential for treating a specific condition. This letter is often required by insurers or for HSA/FSA eligibility to verify the medical need for therapy.
How to prove medical necessity?
How is “medical necessity” determined? A doctor's attestation that a service is medically necessary is an important consideration. Your doctor or other provider may be asked to provide a “Letter of Medical Necessity” to your health plan as part of a “certification” or “utilization review” process.
Can a chiropractor write a disability letter?
The Family and Medical Leave Act (FMLA) of 1993 does accept chiropractors as acceptable medical professionals. However, a chiropractor's scope of practice may not be helpful to you when seeking short-term disability.
What is a letter of medical necessity for HSA massage?
If a doctor recommends massage therapy as a medically necessary service that would benefit your condition, then it could be eligible for HSA or FSA coverage. Depending on your insurance plan, you may be required to obtain a Letter of Medical Necessity (LMN) to validate the clinical need for the service.
Is chiropractor a qualified medical expense?
Deductible medical expenses may include but aren't limited to the following: Amounts paid of fees to doctors, dentists, surgeons, chiropractors, psychiatrists, psychologists, and nontraditional medical practitioners.
Is a gym membership a medical necessity for HSA?
Generally, the IRS doesn't allow pretax dollars in HSAs or FSAs for gym memberships. This is because they see them as expenses for general well-being rather than medical necessity. However, with a Letter of Medical Necessity (LMN), your HSA or FSA could be used to fund those expenses.
Can I write my own letter of medical necessity?
A patient can write the letter, but it needs to be made official by a doctor. Any arguments for any service ultimately have to come from a treating physician. That means the doctor needs to know you, have some history with you, and in the end either write or 'sign off on' the letter.
What documentation is needed for HSA?
Hold on to any insurance carrier's Explanation of Benefits (EOB) statement that documents your expenses for services covered under your HSA-eligible health plan. Keep receipts for all other items purchased with your HSA, for example, vision and dental services.
Can I use my HSA at the joint chiropractic?
You can use your HSA or FSA card at The Joint Chiropractic! 🎉 That means keeping your back and body feeling great without dipping into your wallet. Take advantage of your pre-tax savings to get adjustments and feel your best all month long. It's easy, flexible, and perfect for making health a priority!
Are massage tools HSA eligible?
Registered massage tools like those from MedMassager are eligible for most HSA/FSA plans.
Is a chiropractic adjustment FSA eligible?
An FSA lets you pay for many different services. Alternative medicine such as chiropractic care is one such service that qualifies for FSA reimbursement. A chiropractic visit, exam, or treatment would then be covered by an FSA as long as the purpose is to treat a medical condition and not for general good health.
Do you need a letter of medical necessity for HSA?
In situations where expenses may not align with the Internal Revenue Service's (IRS) definition of a qualified medical expense, you may need a Letter of Medical Necessity (LMN) for the expense to be eligible with an FSA or HSA.
How do I get my HSA to pay for massage?
Your HSA can pay for massage therapy, though you'll likely need a letter of medical necessity (LMN) from your doctor. An LMN states what condition the treatment is for, how many sessions you need, and any other relevant details. An HSA may also be used on alternative or holistic treatments, such as: Massage therapy.
How to obtain a letter of medical necessity?
- Consult with your healthcare provider and share your condition, diagnosis and any relevant medical history.
- Ask your healthcare provider to issue a letter of medical necessity for the treatment or service you're seeking.
What is a letter of medical necessity chiropractic?
Key takeaways: A letter of medical necessity (LOMN) is a document from your healthcare provider recommending a particular treatment, product, or device for medical purposes. The letter often includes relevant patient history and information about the medical necessity and duration of the treatment being recommended.
Can a chiropractor write a doctor's note for work?
For example, if an employee has a back impairment and a chiropractor is recommending periodic breaks for stretches and rest, the chiropractor may be the appropriate professional to provide documentation. Chiropractors are trained to manage back impairments and their symptoms.
Can my chiropractor write an ESA letter?
Short Answer: No, it is unlikely a chiropractor can write an effective ESA letter. ESA letters must be signed by licensed healthcare professionals that have conducted a mental health assessment.
Why would a claim be denied for medical necessity?
However, many denied claims are caused by administrative issues, including claims being miscoded or submitted without the documentation needed to meet the payer's medical necessity requirements.
Can a doctor write their own letter of medical necessity?
Yes, a healthcare provider can draft a letter of medical necessity as long as the requested benefit is directly related to the care they are providing.
What are the four factors of medical necessity?
The determination of medical necessity is made on the basis of the individual case and takes into account: Type, frequency, extent, body site and duration of treatment with scientifically based guidelines of national medical or health care coverage organizations or governmental agencies.