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To purchase a fitness tracker with a consumer-directed healthcare account like an FSA, HSA or HRA, a Letter of Medical Necessity (LMN) is required to show that the device will be used to treat a legitimate medical condition such as obesity. The IRS has ruled that fitness trackers and other devices of their type are used to promote one's "general health" and are only medically necessary under special circumstances, which is why account holders must submit an LMN to their benefits administrators and it will most likely be covered under their benefits.
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