HSA/FSA vs. Health Insurance: Know the Difference

Truemed qualifies purchases as medically necessary for HSA (Health Savings Account) and FSA (Flexible Spending Account) reimbursement. These should not be treated as health insurance claims.

How to Find Your HSA or FSA Account

Your HSA or FSA is managed by a third-party administrator (TPA), which is a company your employer or bank has set up to hold your account and process claims. Common ones include HealthEquity, Optum, Fidelity, Inspira (formerly PayFlex), WEX, HSA Bank, Lively, Navia, Ameriflex, EBC, BAS, and Basic.

Here’s how to find yours:

• Check your benefits debit card. The logo or name on the card is usually your administrator (e.g., “Optum Bank,” “WEX,” “Payflex”).
• Check your employer benefits portal. Log into your company’s HR platform (ADP, Gusto, Rippling, etc.) and look for a “Spending Accounts” or “Health Benefits” section.
• Ask HR. Your People Operations or HR team can tell you who your administrator is and give you the portal link.

Am I in My Healthcare Portal or My HSA/FSA Portal?

This is one of the most common points of confusion, especially when the same company manages both your health insurance and your spending accounts.

You’re in your health insurance portal if:

• The site shows claims for doctor visits, hospital stays, or prescriptions
• You see “Explanation of Benefits (EOB)” documents
• The account shows coverage limits rather than a spendable dollar balance
• The portal is for Aetna, BlueCross BlueShield, Cigna, UnitedHealthcare, or Humana

You’re in your HSA/FSA portal if:

• You can see a dollar balance that you can spend or reimburse yourself from
• There’s a “Reimburse Myself” or “Submit a Claim” option for out-of-pocket expenses
• The portal is for HealthEquity, Optum, WEX, Payflex, Navia, or a similar benefits administrator

What Documents You’ll Need

Every reimbursement requires two documents:

1. Your Truemed Letter of Medical Necessity (LMN). Download this from your Truemed dashboard.
2. Your purchase receipt. This should come from either Truemed or the merchant and show the purchase date, item(s), and total amount paid. This receipt should be in your email.

Some administrators require itemized receipts, so make sure yours clearly shows the date, item description, and amount.

Submitting Your Claim

Once you’ve confirmed you’re in your HSA/FSA portal:

1. Log into your administrator’s portal or app
2. Go to the “Reimburse Myself” or “Submit a Claim” section
3. Enter the expense details including the date, merchant name, and amount
4. Upload your Truemed LMN and your purchase receipt
5. Submit the claim. Most administrators process within 7 to 10 business days.

For step-by-step instructions specific to your administrator, see the Submitting Your Claim by Administrator guide.

Still Not Sure Which Portal to Use?

• Check your benefits card. The name on the card is almost always your administrator.
• Contact HR. They can confirm who your administrator is and give you the right portal URL.
• Email us at support@truemed.com. We’re happy to help you figure out where to submit.