Eligible individuals can 1) get a Letter of Medical Necessity from their licensed healthcare provider using the template provided by The Perfect Step, 2) sign up for The Perfect Step programming, 3) ask The Perfect Step for an itemized receipt, and 4) submit documents to their third-party HSA/FSA provider for reimbursement.

A Health Savings Account (HSA) and a Flexible Spending Account (FSA) are tax-favored accounts that can be used to pay for qualified medical expenses.

An HSA/FSA can be used to pay for qualified medical expenses for the account holder or employee, spouse and eligible dependents.

Employers offer employees FSA open enrollment periods once a year. Eligible individuals can open an HSA at any time by 1) researching HSA providers online (e.g., Fidelity, HealthEquity, Bank of America, Lively, 2) asking their health insurance company whether they partner with HSA financial institutions, or 3) asking their bank, credit union, or other financial institution whether they offer HSA options.

Yes, but only if they were purchased for the sole purpose of affecting a structure or function of the body or the sole purpose of treating a specific disease diagnosed by a licensed healthcare provider.

HSAs are available to individuals with qualified high-deductible health plans with no other major medical coverage. FSAs are available to individuals with employer-sponsored insurance. If employed, check with your employer’s human resources department.

Individuals can contribute up to $4,300 ($8,550 for families) to an HSA in 2025. The 2025 FSA contribution limit is $3,300. HSA funds roll over, FSA funds generally don’t.

A Letter of Medical Necessity is valid for up to one year from the date of signature.