Missing Product Form

Occasionally, merchants, TPSs, or plan administrators believe that an eligible product is missing from the SIGIS Eligible Product List. Use this form to submit a product(s) to the SIGIS Eligible Product List Committee, following the steps below:

Step 1: Access and review the SIGIS Eligible Product List Criteria publication for what is an eligible item as defined by the IRS. Do not make assumptions about what products might seem obvious or logical to be eligible – these could be dual-purpose products which the IRS has said are not eligible without a doctor’s order. The consumer may be able to submit a manual reimbursement request for these items by submitting a copy of their doctor’s order, but the items are not eligible for inclusion in a merchant IIAS.

Step 2: Download the Missing Product Form and complete all the required information. If the Form is not completed in full, it will be returned as incomplete, thus, slowing consideration of the product by the Eligible Product List Committee.