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Get National Grid Medical Necessity Form Ny

E Flexible Spending Account (HCFSA) or Limited Expense Health Care Flexible Spending Account (LEX HCFSA) when your doctor or other licensed health care provider certifies that they are medically necessary. Your provider must indicate your (or your spouse s or dependent s) specific diagnosis, the specific treatment needed, the length of treatment, and how this treatment will alleviate your medical condition. FSAFEDS has developed this letter to assist you and your health care provider in prov.

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