We make medically necessary exercise easier to document, approve, and reimburse.

The problem we solve

Roughly 70 million Americans hold FSA or HSA accounts with more than $130 billion in tax-advantaged dollars. IRS Publication 502 explicitly allows fitness and exercise expenses to be reimbursed from these accounts when accompanied by a Letter of Medical Necessity from a physician for a qualifying condition.

But getting that letter is a mess. Doctors are busy, the paperwork is unfamiliar, and most patients give up. Meanwhile, billions of dollars go forfeited each year while the same patients pay full price for gym memberships, training, and exercise programs their doctors already recommend.

Our approach

We do one thing: turn a 5-minute health intake into a clean, compliance-reviewed Letter of Medical Necessity packet your own primary care physician can review and sign in under a minute of their time.

We don't diagnose. We don't make medical decisions. We don't determine reimbursement. We make the documentation effortless so your doctor can focus on clinical judgment and your administrator can focus on processing.

Why your own doctor matters

Some services in this category use a "network physician" you've never met to sign your letter. It's fast — but it's also increasingly scrutinized by HSA administrators and the IRS. The patient's own treating physician signing creates the strongest possible compliance posture, both legally and clinically.

That's our bet, and our wedge. The doctor who knows your medical history is the right person to document medical necessity. We just make their part take under a minute.

What we believe

• Compliance first. Every part of our packet is built to align with IRS Publication 502, current administrator practices, and your physician's clinical authority.
• Your doctor is in charge. We prepare drafts. They review, edit, sign — or decline. Their judgment is what matters.
• Clarity over hype. We don't guarantee reimbursement, because we don't decide reimbursement. We're transparent about what we control and what we don't.
• Trainers are part of healthcare. Personal trainers, massage therapists, and wellness providers are doing real medical-adjacent work for millions of people with chronic conditions. Helping them be FSA/HSA-friendly raises the whole industry.

Who we're for

Patients with diagnosed chronic conditions where exercise is part of the care plan — chronic back pain, type 2 diabetes, obesity, hypertension, osteoarthritis, heart disease, depression, and many more.

Trainers, gyms, and wellness providers who want to make their services accessible to FSA/HSA account holders without taking on compliance burden themselves.

Where we're headed

DoctorNoted is the documentation layer that makes the next 10 years of "exercise as medicine" actually reimbursable. We're building toward becoming the trusted bridge between healthcare documentation and the wellness services that millions of Americans already pay for out of pocket.

If that future is the one you want too, we'd love to have you with us — whether you're a patient who needs a Letter of Medical Necessity, a trainer who wants to grow their business, or a healthcare partner thinking about FSA/HSA strategy.