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Since we launched at the end of September very quietly, most of the customers that have been using [FSAs/HSAs] are all new customers...
We wouldn't have acquired or we wouldn't have gotten that customer order if they weren't able to use their HSA/FSA funds.

Shizu Okusa

Shizu Okusa

CEO, Apothekary

AOV increased from $575 to $800 after offering HSA/FSA checkout and reimbursements with Truemed. Truemed accounted for 4% of sales in the first month of integration and we estimate 10% in month two. Leading cold plunge company

Leading cold plunge company

'We had 10 members sign up in the first week,' said Alexis Jaramillo, the owner of the Mt. Tabor CrossFit in Portland, Ore. 'They were, like, 'We can use these funds we've already been putting aside that long-term help keep us out of the doctor's office.'

Washington Post writer

Alexis Jaramillo

via Washington Post

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Traditional HSA/FSA spend
HSA spend methods

Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) let you set aside pre-tax dollars for healthcare costs. However, their applications have traditionally been limited to expenses such as co-pays, deductibles, and basic medical supplies like sunscreen and bandages—leaving many meaningful health investments out of reach.

Expanded Access with Truemed
HSA spend methods

There is a movement redefining healthcare, focusing on proactive, root-cause solutions like fitness, nutrition, and innovative health technology. When you shop with Truemed merchants, you can seamlessly qualify for a Letter of Medical Necessity (LMN), enabling you to use pre-tax HSA/FSA funds for these transformative health interventions—saving you an average of 30%.

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Join over 3,000 businesses that use Truemed to unlock HSA/FSA spending for their customers

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The Customer Journey

Health assessment

Health assessment

Customers privately share their medical conditions and health goals with an online consultation

Provider review

Provider review

A licensed provider reviews the provided information and writes a Letter of Medical Necessity, if appropriate

Checkout with HSA/FSA

Checkout with HSA/FSA

Customers are able to pay directly with HSA/FSA or with their credit card and reimburse themselves from their HSA/FSA account later

Common Questions

Health Savings Accounts (HSAs), Flexible Spending Accounts (FSAs), and Health Reimbursement Arrangements (HRAs) are all pre-tax accounts used to pay for medical expenses, but they differ in several ways.

HSAs require enrollment in a high-deductible health plan and allow contributions from both individuals and employers, with unused funds rolling over each year. FSAs are offered by employers, funded by employee contributions, and may have limited rollover options or a grace period for using funds. HRAsare also employer-sponsored but solely funded by employers, with rollover rules varying by the employer's plan.

HSAs are portable and stay with you if you change jobs, while FSAs and HRAs are not portable.

IRS Publication 502 describes the expenses that may be paid for with pre-tax HSA/FSA accounts, including "payments for the diagnosis, cure, mitigation, treatment, or prevention of disease, and for treatments affecting any part or function of the body." Some purchases like prescriptions and physicians visits are automatically qualified, while others require a Letter of Medical Necessity (LMN) issued by a licensed healthcare provider.

Truemed makes it easy for customers to find out if they qualify for HSA/FSA spending during checkout. After taking a short health survey, the customer's answers are reviewed by a third party licensed medical providers and begin writing a Letter of Medical Necessity if the products/services may help cure, mitigate, treat, or prevent relevant diseases. Customers may checkout immediately using their HSA funds and will receive their LMN in 1-2 business days.

If customers do not have their HSA/FSA payment method handy, Truemed can also process their payment via credit or debit card and provide simple instructions on how to reimburse themselves from their HSA/FSA later.

By spending from an HSA or FSA, money that would be paid in taxes can be used for qualified health & wellness purchases.

How does Truemed work?

* Based on 2022 average US net tax rate of 25%

If you offer products or services in the health and wellness sector, your business might be eligible. As stated in IRS publication 502, HSA/FSA money can cover expenses for the diagnosis, cure, mitigation, treatment, or prevention of disease, and for treatments affecting any part or function of the body. Sign up to partner with Truemed and find out.

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Americans use their pre-tax HSA/FSA funds on True Medicine

Don’t just take our word for it

“I really appreciate this service you provide! One of the main reasons I wasn’t paying for a membership and not reaching my activity goals was because it was a financial commitment.“

Chantel D.

Chantel D.

24 Hour Fitness

“I submitted the reimbursement to my HSA/FSA administrator and they already reimbursed me. I can confirm the process was smooth and successful!“

Vinay S.

Vinay S.

AG1

“Thanks for all of your efforts to make people more healthy!! I am thrilled to know that this process is effective to encourage better health!“

Beau C.

Beau C.

Pendulum

“Thank you! The process was so easy and straightforward to follow for application and reimbursement. Thank you for providing step by step instructions.“

Lauren S.

Lauren S.

Peloton

“I submitted a claim for my 2023 gym fees and it was approved! This is a great service you offer and will be telling all my friends!“

Heather G.

Heather G.

Anytime Fitness

“I submitted my claim with the LMN and it worked beautifully; my reimbursement was approved and paid! I can't thank you all enough.“

Lauren S.

Lauren S.

Mindbody Green

“This is so wonderful! It’s great to have things covered that really contribute to wellness, rather than just prescription drugs.“

Shauna M.

Shauna M.

Seed

“I received my hsa funds without a hassle and very promptly. I appreciate the service you provide!“

Michael S.

Michael S.

Novos

“Thank you again and thanks for saving me a bunch of money :)“

Jeff D.

Jeff D.

Ice Barrel

“Your customer support team has been amazing!!“

Hanna K.

Hanna K.

Supergut

Sign up & unlock your customers’ HSA/FSASign up now