Q. An employee’s doctor has prescribed an experimental procedure for him. The procedure is not covered by insurance. May the amount the employee pays for the procedure be reimbursed from his health FSA?
A. Possibly. The participant would have to provide a letter of medical necessity from a provider stating that the procedure is necessary to treat a specific medical condition. The letter should provide the specific diagnosis, the treatment needed, how the treatment will address the medical condition and the length of treatment. We note that if the procedure is experimental, the provider may not be in a position to state that the procedure is medically necessary.