Can I Use My HSA/FSA Card on Subscriptions?

It depends on the merchant. A limited number of merchants let you pay for a subscription directly with your HSA/FSA card through Truemed. At most merchants you will not see the Truemed payment option on a subscription order. In that case you check out as normal with a debit or credit card, then request a Letter of Medical Necessity (LMN) after the order is complete.

Start by checking your payment options

When you subscribe, look at the payment methods on the merchant’s checkout page.

  • If you see Truemed, Pay with HSA/FSA, you can select it and pay with your HSA/FSA card, the same way you would on a one-time purchase.
  • If you do not see it, that merchant does not support paying with Truemed on subscriptions. Check out with a debit or credit card and follow the steps below.

If the Truemed option is not available

  1. Complete your purchase with your debit or credit card as you normally would.
  2. Find the Truemed HSA/FSA link. It appears on the merchant’s order confirmation page, in your order confirmation email, or in both places.
  3. Open the link and complete the health survey. Do this as soon as possible after you place the order.
  4. If an independent licensed practitioner issues an LMN, download it from the Orders tab of your dashboard at truemed.com.
  5. Submit the LMN along with your purchase receipt from the merchant to your HSA/FSA administrator to request reimbursement.

Complete the health survey as soon as you can after you order. Your LMN needs to line up with the date of your purchase, and a gap between the two can cause problems when your administrator reviews your claim.

Eligibility is not automatic. An independent licensed practitioner decides whether to issue an LMN after reviewing your clinical intake form, and your HSA/FSA administrator makes the final decision on any reimbursement request.

Renewal charges

You do not need a new LMN for every renewal. As long as your subscription stays the same, you can submit the LMN you already have alongside each renewal receipt, until that LMN expires.

If you change your subscription and the new products fall under a different category, you may need a new LMN. See LMN Requests for how to request one.

If you already have a subscription

The Truemed HSA/FSA link generally does not appear on renewal orders for a subscription that is already active. It is tied to a new subscription order.

If you want the link and you already subscribe, you would need to cancel your existing subscription and place a new one. Contact the merchant first to check how cancelling affects your pricing, delivery schedule, or any subscriber discount you have.

What about one-time purchases?

One-time purchases work differently. The Truemed payment option is usually available at checkout, so you can complete the health survey during checkout and pay with your HSA/FSA card directly.

If you expect to see Truemed at checkout on a one-time purchase and it does not appear, log out of Shop Pay and check out as a guest. Shop Pay can hide the Truemed payment option.

For more on paying across two cards, see Can I Pay with Both My HSA/FSA Card and a Credit Card?.

Getting help

If you are not sure which path applies to your order, or the HSA/FSA link did not appear where you expected it, email support@truemed.com and include the email address you used at checkout.