How to get your itemized receipt and letter of medical necessity for HSA/FSA reimbursement
Last updated: October 27, 2025
When you purchase eligible products using Flex's HSA/FSA payment option, we automatically send you two important documents for reimbursement: an itemized receipt and a letter of medical necessity. These emails come from notifications@withflex.com.
If you can't find your documents
If you didn't receive these documents or can't locate them, here are the most common reasons and solutions:
Check your spam folder
Our emails sometimes get filtered into spam folders, especially by email providers like AOL, iCloud, and Yahoo. Be sure to check your junk/spam folder for emails from notifications@withflex.com.
Wrong email address
If you entered an incorrect email address during checkout, you won't receive the documents. Common issues include:
Typos in your email address
Using Apple's private relay email system
Using a different email than expected
If this happened, contact our support team at support@withflex.com with your correct email address, and we can help locate your order and resend the documents.
You didn't use Flex checkout
If you simply entered your HSA/FSA card information during regular checkout without selecting "Flex | Pay with HSA/FSA" and completing our medical consultation, we won't have a record of your transaction and cannot provide documentation.
Requesting documents to be resent
If you need your documents resent, contact us at support@withflex.com and include:
Your name
The email address used during checkout
Your order number (if available)
We can quickly reissue both documents to your email address.
Email address corrections
If you need documents sent to a different email address than what was used during checkout, we'll need to verify your identity first. Please provide a copy of your valid ID (driver's license works) before we can update your email and send the documents to a new address.
Auto-substantiated products
Some products are marked as "auto-substantiated" by the IRS, meaning they don't require a letter of medical necessity. For these items, you'll only receive an itemized receipt, as no additional medical documentation is needed for HSA/FSA reimbursement.
What documents you'll receive
For HSA/FSA reimbursement, we recommend submitting both documents to cover all bases:
Itemized receipt: Shows the purchase details and amount
Letter of medical necessity: Provides medical justification for the purchase
Your HSA/FSA administrator may not require both documents, but having them ensures you're fully covered for reimbursement.