IRS §213(d) · Signed only when the standard is met

One letter.
Documents your eligibility.

A physician-signed Letter of Medical Necessity documents the medical necessity of home care that qualifies under IRS §213(d) — your HSA/FSA administrator makes the final eligibility determination. You send a short request. Sage AI prepares the draft. A licensed physician signs, or declines. Nothing is charged or sold on this page.

verified_user Signed by a licensed physician, or not issued · Board-certified Family Medicine · practicing hospitalist physician
IRS §213(d)

What an LMN can cover

An LMN from a licensed physician documents medical necessity for care that already qualifies under your HSA or FSA rules.

home_health

Home care services

  • check_circle Companion care
  • check_circle Hands-on ADL assistance (bathing, dressing, mobility)
  • check_circle Personal care & homemaker services
  • check_circle Respite care & family caregiver relief
info

Subject to physician review and IRS §213(d) qualification. A licensed physician decides case by case. Not all requests qualify. Always verify eligibility with your HSA/FSA plan administrator.

Simple 3-step process

How it works

From request to a signed letter, when the standard is met.

01
1

Send your request

A short form. Describe the care you are paying for and why the person needs it. Sage AI prepares a draft from your answers.

02
2

A physician reviews and signs

A licensed physician reviews the AI-prepared draft and signs or declines. Nothing is issued without that signature, and you are told if the standard is not met.

03
3

Give it to your administrator

If signed, give the letter to your HSA/FSA administrator. They make the final reimbursement decision.

Case-by-case
HSA/FSA eligibility, documented for your plan
Signed or declined
a physician decides; you hear either way
Not a rubber stamp
the standard is published on this page
Request an LMN

Start your LMN

Send your request. A licensed physician decides whether to sign.

Nothing is charged or sold on this page. This form is not a secure medical record: describe the need in general terms, and do not include medical record, insurance or ID numbers.