Is Truemed Legit?

*Truemed is for qualified customers. HSA/FSA tax savings vary. Learn more at truemed.com/disclosures.

Truemed is a legitimate HSA/FSA marketplace that helps qualified customers use HSA or FSA funds for certain health-related purchases that may require additional medical documentation.

Some products—such as fitness equipment, mattresses, footwear, or wellness services—are not automatically eligible for HSA/FSA spending under many plans. Truemed supports eligible purchases by connecting customers with independent, licensed practitioners who review a clinical intake form and may issue a Letter of Medical Necessity (LMN) when appropriate.

Final eligibility and reimbursement decisions are always made by your HSA/FSA administrator or plan.

Shopping Truemed: Truemed partners with various health brands whose products may be eligible for HSA/FSA spending when used to treat or manage certain qualifying medical conditions.

If eligible, customers can purchase products directly from a participating brand’s website using an HSA or FSA card (when accepted and permitted under their plan rules), or by paying with a personal card and submitting a claim for reimbursement. Truemed helps provide the required documentation to support reimbursement for eligible purchases.

Eligibility, required documentation, and reimbursement are not guaranteed and are ultimately determined by your HSA/FSA provider, insurance plan rules, and individual health needs. Customers purchasing products and services to treat or manage a specific medical condition can buy directly from the brand’s site with their HSA or FSA card (if the brand allows and if the purchase is eligible under your plan rules) or a personal card at checkout and submit the claim to insurance for reimbursement along with the documentation that Trumed helps provide.

It’s important to note that eligibility, documentation, and reimbursement are not guaranteed by Truemed and ultimately subject to your HSA/FSA provider, plan rules, and your individual health needs.

Who Truemed Is For: Truemed is designed for customers who are purchasing a product or service to treat, manage, or prevent a documented medical condition and may need additional documentation for HSA/FSA eligibility. If you’re purchasing general-purpose items without a medical purpose, Truemed is likely not a fit.

Here’s a quick breakdown of how Truemed works, from the initial intake form to checkout.

• Browse thousands of potentially HSA/FSA eligible health products that may qualify based on a medical need and your plan rules on Truemed.com. Click “shop now” to head to the brand’s website.
• Add the product to cart from the brand’s site, proceed to checkout, and select “Pay with HSA/FSA - Truemed” at checkout.
• You will then be asked to complete a clinical intake form, a survey with questions about your medical history, to determine eligibility.
• An independent licensed practitioner reviews and determines whether an LMN is appropriate.
• Complete your purchase and save itemized documentation. Your purchase can be paid out-of-pocket or with your HSA/FSA card (if allowed by the Truemed brand partner and your plan).
• If you paid out-of-pocket instead of with an HSA/FSA card, submit for reimbursement per your plan’s process (Truemed can help provide the necessary documentation for this). Note: Processing times for reimbursement can vary depending on your provider and plan.

After making a purchase, qualified customers will typically receive the following documentation to support their purchase:

• A Letter of Medical Necessity: Issued when appropriate, by one of Truemed’s independent licensed practitioners, that links the purchase to the treatment of a specific medical condition.
• An itemized receipt: To show proof of purchase and transaction details to submit to your plan administrator. Again, a product or service’s eligibility and final reimbursement are subject to approval by your plan administrator.
• Guide for reimbursement: If you paid out-of-pocket with your credit card, you will typically receive a guide along with your LMN to submit your purchase for reimbursement.

Remember to keep track of itemized receipts, LMNs, and any other documentation or proof of purchase to make the reimbursement process smoother with your plan administrator.

Common Mixups:

• Mixed carts: Just because Truemed is partnered with a brand, does not mean all of a brand’s products are HSA/FSA eligible. Look out for mixed carts with various items where some are HSA/FSA eligible and some aren’t, as this could complicate your reimbursement process. Make sure your receipts clearly show what items or services you are buying through Truemed and which medical condition they support.
• Unclear plan rules: If you’re unclear about any of your plan’s rules, make sure you reach out to your insurance plan or HSA/FSA administrator to clarify a product or service’s eligibility.

• HSA vs. FSA: One of the main differences between an HSA and an FSA is that an HSA is a portable account that is owned by you, with funds that grow tax-free and carry over each year. An FSA is owned by your employer, with funds that are use-it-or-lose-it, meaning any leftover funds typically don’t carry over into a new plan year (though you may have a grace period).
• Receipts: Both an HSA and FSA will typically need you to submit claims and itemized receipts for reimbursement on eligible items, so be sure to hold on to those receipts.
• Eligibility: Just because an item may be eligible at checkout or is labeled HSA/FSA eligible on a site, it does not automatically guarantee that your plan will reimburse it. Check your plan rules before buying.
• Medical Purpose: Some plans may require more paperwork than others, especially if it’s an item that is not automatically HSA/FSA eligible (such as a gym membership or massages). That’s why having the proper documentation, such as a Letter of Medical Necessity, is important in such cases.

With the proper documentation, such as a LMN, you may be eligible to spend your HSA and FSA funds on certain products and services with Truemed. This means that eligibility depends on your individual medical needs, whether you qualify for a LMN, and final approval by your HSA/FSA administrator or insurance plan.

Here is a table with examples of conditions and Truemed* products and services that you may be eligible for with the proper documentation if you’re managing a specific medical condition.

Conditions and Products That May Be Eligible With Truemed

*Truemed is for qualified customers. See terms at truemed.com/disclosures.

• Truemed has thousands of positive, legitimate reviews, is backed by top-ranked global venture capital firm, Andreessen Horowitz, and has partnerships with name brands like Peloton, Nike, Tempur-Pedic, and more.
• Negative experiences can often come from an individual’s plan rules, mixed carts, or missing documentation—not necessarily Truemed.
• It’s important to evaluate whether Truemed is a fit for you before you shop. Look at product type, whether you have a medical need that could qualify for additional documentation, comfort with keeping and submitting receipts for reimbursement, and your plan rules.

• Misconception: “Truemed isn’t IRS compliant”
• Truth: Truemed's process aligns with IRS rules for HSA/FSA eligibility, but whether a product is eligible under a HSA/FSA plan depends on the individual product, a customer’s medical condition, and plan rules.
• Misconception: “If Truemed is involved, reimbursement is guaranteed”
• Truth: Reimbursement is not guaranteed by Truemed. Plan administrators have final say on reimbursements, which is why it’s important to check what’s eligible for reimbursement with documentation under your specific plan before shopping.
• Misconception: “All products in a category are eligible”

Truth: You may not be eligible for all products in a category, because it depends on the health condition you’re managing and your plan’s rules. Similarly, just because Truemed has a partnership with a brand, does not mean that all of the brand’s products may be HSA/FSA eligible.