FSAs (flexible spending accounts) and HSAs (health savings accounts)

Do you participate in a Flexible Spending Account (FSA) or Health Savings Account (HSA)? If so, that’s good news because, with a signed letter of medical necessity, prehabilitation services (that are not covered by other medical insurance programs and not otherwise deducted on your tax return) may be covered by your pre-tax dollars! As a preventive service, prehab aims to outfit you and your home with necessary exercises, equipment and education, to prevent complications from your surgery.

Coverage exceptions may apply in unique cases, such as those clients enrolled in Medicare, so we encourage you to contact your provider, if you wish to use your FSA funds to cover prehab.

Just 3 Easy Steps

Step 1 – Contact Victory Prehab for an initial consultation

Come in for a consultation so we can setup a fitness and wellness plan of action

Step 2 – Call your primary healthcare Physician

Call your primary healthcare physician and state that you have an FSA/HSA account and would like to utilize your pre-tax dollars for your prehabilitation before surgery, as it relates to your medical illness or disease (arthritis, back pain, etc). Your physician may ask you what is for and what information they need to put on the prescription. Below are the checkpoints the IRS requires to be included on the prescription. You will need to hold on to your prescription as well as your Fitness Together receipts for reimbursement and/or validation.

Step 3 – Submit your reimbursement claim

If you would like to be reimbursed for your payment to Victory Prehab, you need to submit your claim, along with a doctor’s letter of medical necessity/prescription. A prescription/letter of medical necessity is valid for one year from the date written. The doctor’s prescription should contain the following information:

1. Diagnosis (e.g. arthritis, back pain, herniated disc)
2. Treatment duration (we recommend 12 weeks, so if you wish to book any followup appointments with long breaks between, you won’t need a new prescription)
3. Equipment / medication / therapy / program needed for treatment (we recommend your physician writes: “prehabilitation and fitness for prevention of post-operative complications.” In the event that you would like to order medical equipment (walkers, bedside commodes, shower chairs, etc) before your operation so you can practice, you may need a separate form. We can help you with this part, if you wish.
4. Date of issue the physician’s Rx/letter of medical necessity.
5. For whom the treatment is prescribed (you or your family member)
6. Doctor’s name and signature

What is a qualifying medical expense for your FSA/HSA?

According to the IRS, qualifying medical expenses are the costs of diagnosis, cure, mitigation, treatment or prevention of disease and the costs associated for treatments affecting any part or function of the body. Medical care expenses are utilized primarily to alleviate or prevent a physical (or mental) defect or illness. Some examples of medical care expenses include back pain, stress, arthritis, fibromyalgia, and pain management. Clients can include amounts paid to prevent complications of surgery, such as back pain, knee pain, shoulder pain, difficulty walking, abnormality of gait, etc, if the treatment provided is geared to a specific disease diagnosed by a physician (such as osteoarthritis or a herniated disc).