According to Treasury Regulation ‘1.213-1(e)(1)(iii), Private Letter Ruling 8009080, air conditioning reimbursement can be possible with a Health Savings Account (HAS), Flexible Spending Account (FSA), or Health Reimbursement Arrangement (HRA), given the submission of a Letter of Medical Necessity. It is crucial to note that reimbursement is not applicable for limited-purpose flexible spending accounts (LPFSA) or dependent care flexible spending accounts (DCFSA). The key is understanding when air conditioning becomes more than a cooling solution – it becomes a medical necessity.
To quality for reimbursement, the primary purpose of your air conditioner must be to treat or alleviate a medical condition. A Letter of Medical Necessity is required to show that the expense is primarily used for medical care. For more personalized information, we recommend speaking with your FSA, HAS, or HRA benefits administrator.
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