Use Your HSA or FSA
Pay for your care with pre-tax dollars. We provide the paperwork — an itemized receipt, and a letter of medical necessity when your treatment supports one.
Read this first. There is no guarantee of approval. Every HSA and FSA is administered differently, and each plan sets its own rules about what it will reimburse and what documentation it wants. A letter of medical necessity from DonoMed supports your claim — it does not approve it. Your plan administrator makes that decision, not us. We cannot promise reimbursement, we cannot appeal a denial for you, and nothing on this page is tax advice. Ask your administrator before you assume an expense is covered.
What we give you
Two documents. Both are free, and both are yours whether or not you are a Concierge Care member.
- An itemized receipt. Our business name and address, your name, the date of service, a plain description of what you received, the quantity, and the amount you paid. This is what most administrators ask for first, and for many claims it is all you need.
- A letter of medical necessity (LMN). A signed letter from your provider naming the condition being treated, the treatment recommended for it, and how long it is expected to continue. This is what an administrator asks for when an expense could plausibly be personal spending rather than medical care.
What a letter of medical necessity actually is
The IRS treats an expense as medical care when it is for the diagnosis, cure, mitigation, treatment or prevention of disease. Some things are obviously medical. Others are what the IRS calls dual‑purpose — they could be treating a diagnosed condition, or they could be ordinary personal spending, and the receipt alone does not tell the difference.
An LMN closes that gap. It is a licensed practitioner stating, in writing, that this patient has this condition and that this treatment is being used to treat it. Your provider is Christopher Dono, PA‑C, Florida license PA9113324 — the same provider who reviewed your intake and wrote your prescription, not a stranger at a third‑party letter mill.
Every letter we issue contains the provider name, credentials and license number, your name, the date, the diagnosis, the specific treatment, the expected duration, and a signature. Those are the elements administrators look for.
Which of our services this applies to
Compounded semaglutide and tirzepatide
This is the clearest case we have. The IRS has held since 2002 that weight‑loss treatment for a disease diagnosed by a physician — obesity, hypertension, type 2 diabetes, heart disease — is medical care. Weight loss pursued to improve general appearance or general health is not.
If you were prescribed a GLP‑1 by us, you were prescribed it for a diagnosis. We put that diagnosis in the letter, with the ICD‑10 code, and we say plainly that the medication is treatment for it. We issue an LMN with every GLP‑1 order on request.
Sildenafil, tadalafil, enclomiphene
Erectile dysfunction and hypogonadism are diagnosed medical conditions, and these are prescription medications treating them. Prescription medicine is medical care under the IRS rules on its own, so an itemized receipt is usually enough here.
Some administrators still flag anything in this category. If yours does, ask us and we will write the letter.
NAD+, MIC+B12, glutathione, sermorelin
Read this one carefully, because it is the category where people get themselves in trouble. The IRS is explicit that supplements, vitamins and similar products are not medical care unless a practitioner recommends them as treatment for a specific diagnosed condition.
So it depends entirely on why you are taking it. A documented B12 deficiency, a diagnosed condition your provider is treating — that is a letter we can write. Energy, anti‑aging, recovery, general optimization, looking better — that is general health, and we will not write a letter claiming otherwise. A letter that overstates your situation puts you at risk in an audit, not us. We would rather tell you no than hand you a problem.
Membership fees
Membership buys medical care — visits, evaluation, ongoing management, labs review, and direct access to your provider. Members ask for documentation on this regularly and we provide it.
There is also a rule change worth knowing about. Beginning January 1, 2026, federal law lets people with a qualifying direct primary care arrangement stay HSA‑eligible and pay those periodic fees from an HSA, up to $150 a month for one person and $300 a month for a family. Whether your plan treats a DonoMed membership that way is your administrator's call, and the fee caps matter — ask before you assume, particularly on our VIP plan, which is priced above the individual cap.
Lab work and provider visits
Diagnostic lab work and visits with a licensed provider are medical care. An itemized receipt is normally all your administrator needs.
How to request one
- Ask us. Email Support@DonoMed.com or text (813) 733-8356. Tell us which treatment the letter is for.
- Tell us what your plan wants. Some administrators have their own form they require. If yours does, send it to us and we will complete and sign that form instead of using ours — it is faster than getting ours rejected.
- We review your chart. Your provider confirms the diagnosis on file supports the letter. If it does not, we tell you that instead of writing it anyway.
- You get both documents. The signed letter and an itemized receipt, normally within two business days.
- You submit them. Send both to your HSA or FSA administrator, following their process. That is the step we cannot do for you.
What we can't do
- We can't guarantee approval. There is no guarantee of approval via HSA given the information provided, and each and every HSA is different. Your administrator decides.
- We can't bill your insurance. DonoMed does not bill insurance, and we do not submit claims to any plan on your behalf. HSA and FSA reimbursement is something you submit yourself, after you have paid us.
- We can't produce an insurance‑claim superbill for compounded medication. Compounded medications do not carry the drug codes an insurance claim form requires. An itemized receipt for HSA and FSA purposes is a different document, and that we can provide.
- We can't write a letter that isn't true. No diagnosis, no letter. This is not a formality — a signed clinical letter is a legal document, and the person exposed if it is wrong is you.
- We can't give you tax advice. Nothing here is tax or legal advice. If real money is on the line, ask a tax professional.
Common questions
Do I need a letter for every purchase?
Usually not. Prescription medication and provider visits are medical care under the IRS rules on their own, so an itemized receipt often clears. Letters matter most for weight‑loss treatment, wellness items, and membership fees — the expenses an administrator cannot tell apart from personal spending just by looking at the receipt.
How long is a letter good for?
Most administrators treat a letter as valid for the treatment period it names, commonly twelve months. We date every letter and state the expected duration. If your treatment continues past that, ask us for a new one.
Can I use my HSA card at checkout?
You can try, and for prescription medication it often works. If the card declines, pay with a regular card and submit for reimbursement instead — that is the more reliable route, and it is the one we would recommend from the start for anything in Wellness Essentials.
Does this cost extra?
No. Letters and itemized receipts are free, for every patient, member or not.
What if my administrator denies it?
Ask them in writing what documentation they need. Send us their answer. If the gap is something we can legitimately document, we will revise the letter. If they simply do not reimburse that category, no letter will change it.
I have a prior year's expense. Can I still get a letter?
If you were our patient at the time and the diagnosis is in your chart, yes. Tell us the dates.
Questions
Support@DonoMed.com · (813) 733-8356.
DonoMed does not provide tax or legal advice. HSA and FSA rules change, plans differ, and eligibility is determined by your plan administrator and, ultimately, the IRS — not by DonoMed.