HSA card and FSA account holders may use their pre-tax money for various medical needs. When requesting “medically necessary” products and equipment, a doctors note may be required. The IRS advises that certain health and fitness items do not qualify even with an official note from a physician. Some in the medical industry feel this is over stepping on the part of the government or that tax rules favor medicines over prevention. Read more here: Why the IRS doesn’t believe your doctor’s note for tax-free health items