Frequently asked questions

We turn your health information into a Letter of Medical Necessity packet — clinical summary, draft letter, and patient portal message — that your own doctor can review and sign in under a minute. We do not make medical decisions; we make the documentation easier.

Most doctors sign these letters when documentation is clean and the request is legitimate. We design every part of the packet to take less than 60 seconds of your doctor's time, with fully discretionary language.

Your packet is delivered in under 1 hour after submission. Doctor turnaround averages 3-7 days. Pro tier includes 24-hour priority turnaround on our side.

Yes. IRS Publication 502 explicitly allows fitness expenses to be reimbursed from HSA/FSA accounts when accompanied by a Letter of Medical Necessity from a physician for a qualifying condition.

Many chronic conditions where exercise has documented medical benefit, including chronic back pain, Type 2 diabetes, obesity (BMI 30+), hypertension, osteoarthritis, heart disease, depression, anxiety, postpartum recovery, and more.

The Pro tier supports multi-condition packets. Multiple conditions can strengthen the case for medical necessity.

Start the intake — it takes 5 minutes. We will guide you through condition selection and tell you upfront if you have a strong case. Or use our free Eligibility Checker tool.

Depending on your condition and your doctor's letter, reimbursable expenses can include gym/health club memberships, personal training sessions, structured exercise programs, fitness equipment for home use, swim memberships, yoga/Pilates therapy, and more. Reimbursement is determined by your FSA/HSA administrator.

Most patients see annual reimbursements of $1,500–$3,000 when documentation is in place. Your specific amount depends on your expenses and contribution limits.

We work with all major administrators including HealthEquity, Optum Bank, Lively, Fidelity, WageWorks, Inspira, PayFlex, Navia, and others.

Premium and Pro tiers include denial appeal support. We help you respond to administrator questions and resubmit. Most denials reverse on appeal when the underlying letter is clinically sound.

Three tiers: Basic $29, Premium $79, Pro $149 — all one-time fees. The savings on reimbursable expenses typically dwarf our fee 20–50x.

Some HSA/FSA admins allow direct payment for documentation services like ours; others reimburse after the fact. Check your specific plan.

Typically 12 months from date of issue. Premium tier includes a free renewal credit at the 1-year mark.

No. DoctorNoted is a documentation platform. We do not diagnose, treat, or determine medical necessity. Your physician retains full clinical discretion at all times.

Yes. We use HIPAA-compliant data handling, encryption at rest and in transit, and strict access controls. See our HIPAA Notice for details.

The LMN-supported reimbursement model is explicitly built into IRS Publication 502 and has been used by patients for decades. As long as you have a real condition, a real physician's letter, and clear receipts, this is straightforward compliance.