Message visit · No appointment needed
Letter of Medical Necessity
Physician review of your health history for an HSA, FSA, insurer or wellness-program letter.
About this service
A physician reviews your health history and, if it is clinically appropriate, writes a letter documenting that a recommended treatment — such as a supervised exercise program — is medically necessary for a diagnosed condition.
Some health savings accounts (HSA), flexible spending accounts (FSA), insurers and employer wellness programs will reimburse costs such as a gym membership, weight-management program or specialised equipment only when a physician documents that it treats a specific medical condition. This service provides that physician review.
Whether your plan accepts the letter is decided by your plan administrator, not by the practice. Check your plan's requirements before booking.
How it works
- Book and create your secure accountConfirm where you are, review the practice's consents, and add a card.
- Answer the questionnaireDescribe your situation so the clinician has what they need. You can upload supporting records. You'll have 48 hours from booking to finish — after that the visit is cancelled and you are not charged.
- Clinician reviewThe clinician reviews your answers and may message you with questions. If a video visit is needed, you'll be told before anything further is charged.
- Your decisionThe result is available in your secure account.
What's included
Included
- Review of your questionnaire and any records you upload
- Secure messaging with the physician during the review
- A signed letter on practice letterhead, if clinically appropriate
- One revision if your plan asks for different wording
Not included
- A guaranteed letter — the physician decides based on your information
- Diagnosis or treatment of a new condition
- Prescriptions, lab orders or referrals
- Forms that require an in-person examination
Charges
Your card is checked when you book and charged only after the clinician completes your visit. What you are paying for is the clinician's review and judgement, not a particular answer. For a message visit, the clinician's review of what you submit is the visit — so once they have completed that review the fee applies even where they conclude that the document you asked for should not be issued, or that no treatment is needed. If no clinician takes your request, or they determine it needs a scheduled visit, an in-person examination, or care beyond this service, you are not charged — any visit offered instead is quoted separately and charged only if you authorize it.
Questions
Will my HSA, FSA or insurer accept this letter?
Most plans that reimburse fitness or wellness costs ask for a letter like this, but each plan sets its own rules. The practice can't guarantee approval.
Do I need to be an existing patient?
No. You'll create a secure account as part of booking.
Can I use insurance to pay for this service?
No. This is a self-pay service. Patients covered by Medicaid, TRICARE, CHIP or VA Community Care can't book through the practice online.
How long is the letter valid?
Letters typically cover up to 12 months. Your plan may require a new letter each plan year.