Christian Science Practitioner: HSA Eligibility

When recommended by a health care professional for vision, dental or preventive care, Christian Science practitioner reimbursement is eligible with a Letter of Medical Necessity (LMN) from a physician with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Christian Science practitioner reimbursement is not eligible with a limited care flexible spending account (LCFSA) or a dependent care flexible spending account (DCFSA).

What is Christian Science?

Christian Science, officially called the Church of Christ, Scientist, is a Christian sect founded in 1879 by Mary Baker Eddy, a New England spiritualist and writer. Adherents to Christian Science believe that reality itself is controlled by God and the mind, while major life struggles like sin and illness can only be overcome by prayer and a larger investment in one's faith. Christian Science is based on Eddy's major work, Science and Health with Key to the Scriptures, which is considered to be the "textbook" for Christian Science. Eddy described Christian Science as a return to "primitive Christianity and its lost element of healing."

While the church does not require its members to abstain from all forms of medical treatment, its core belief centers around the belief that Christian Science is more effective when it is not combined with medicine. Rather than being a physical disorder, disease and illness is viewed rather as a mental error that must be corrected by a form of prayer that will correct the beliefs responsible for the individual's ill health.

What is a Christian Science practitioner?

A Christian Science practitioner is an individual who is professionally trained in the beliefs of Christian Science and the Holy Bible to help others through prayer. While these practitioners are typically sought out for their assistance in treating medical conditions through prayer, they are also available to help people who are contending with financial difficulties, relationship issues and many other issues that may drive a person into crisis. Christian Science practitioners have individual rates for their services, and they can work with individuals in-person, as well as answering questions through letters, phone calls, emails and other forms of communication.

How do I obtain a Letter of Medical Necessity (LMN) for a Christian Science practitioner?

A Letter of Medical Necessity (LMN) from a doctor for a Christian Science practitioner is necessary for reimbursement with most benefits providers to ensure that it is necessary for the treatment of a medical condition. This letter must outline how an account holder's medical condition necessitates a Christian Science practitioner, how the treatment will be used to alleviate the issue and how long the treatment will last. If the treatment plan exceeds the current plan year, another LMN will have to be provided to the benefits administrator to cover the duration of the treatment.

Eligibility Table

Flexible Spending Account (FSA) Limited Care FSA Dependent Care FSA Health Savings Account (HSA) Health Reimbursement Account (HRA)

Eligible

Eligible with Rx

Eligible with LMN

Not Eligible

Legal Information / Regulations

Information Letter 2000-0410

 


AZ-PROD-WEB02 11/19/2017 9:34:42 PM