Talk to your Doctor

Share the sample letter below with your Urologist, for possible reimbursement.


Save with your FSA

Read below and use this form for possible reimbursement.

Getting the most for your dollar with a FSA, HRA, or HSA

We don’t want the cost to stand in the way of you getting the medical care you need, especially when it comes to medical health. A Flexible Spending Account (FSA), Health Reimbursement Arrangement (HRA), or Health Savings Account (HSA) is a great way to make the most of your healthcare resources, as it allows you to set aside funds (tax-free!) for qualified medical expenses. 


RX Sleeve’s product line is considered a dual purpose product.


Some items are universally accepted as eligible medical expenses, to be reimbursed by your FSA/HRA/HSA. This includes costs such as co-pays, dental or vision care, and prescription drugs. There are other medical expenses (including prostate, incontinences and erection devices!) that are eligible, but with a slight catch. These items that are not universally accepted as eligible expenses require a Letter of Medical Necessity (LMN). An LMN is simply a letter from your doctor or other licensed medical provider, verifying that the services or items you are purchasing are for the diagnosis, treatment, or prevention of a medical condition or disease and are a “medical necessity.” 


At RX Sleeve,  we hope to make it as simple and easy as possible to use your healthcare funds to get the support you need in the realm
of your health. Simply fill out the Letter of Medical Necessity template we’ve
created to ensure you don’t miss any of the important information requested by
the IRS.


How to Submit Your Request

Reach out to your FSA/HRA/HSA administrator for details on where to send your completed form and any additional information they may require.