What If I Need a Recurring LMN for a Subscription or Ongoing Purchase?

If you’re using your HSA or FSA for a recurring subscription or ongoing purchase (like a monthly supplement or coaching program), your Letter of Medical Necessity (LMN) must be renewed annually.

The IRS requires that LMNs are valid only for the period during which the treating professional has certified a medical need. Most LMNs issued through Truemed are valid for 12 months from the date of issuance. Once expired, a new LMN must be obtained to continue using your HSA/FSA funds for that product or service.

1. Check the expiration date on your current LMN.

2. When you're within 30 days of expiration, email support@truemed.com and request a new clinical intake survey to start the renewal process.

3. Once you complete the updated survey, our clinician network will review it and issue a new LMN if medical necessity is still justified.

4. You’ll receive a confirmation once your LMN is renewed.

You can find more details on how LMNs work and when they are required here:
Understanding Your LMN and When It Expires

Reach out to our support team at support@truemed.com. We’re here to help you stay compliant while continuing to use your HSA/FSA benefits effectively.