Home improvements (as required for a medical condition)

Home improvements with a Letter of Medical Necessity (LMN) are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), a health reimbursement arrangement (HRA). Some examples of home improvements with a medical necessity include elevators, ramps, expanded doorways and wheelchair lifts. Under current IRS regulations, these improvements fall under the status of products necessary to treat a legitimate medical condition. Under IRC 213(d)(1), these must be “for the diagnosis, cure, mitigation, treatment, or prevention of disease, or for the purpose of affecting any structure or function of the body.” Another vital distinction is that if these expenses are permanent improvements that increase the value of the building/property, the excess value is not reimbursable to the account holder.

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