What Are the Benefits of Shopping at an FSA or HSA Store Online?

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What Are the Benefits of Shopping at an FSA or HSA Store Online?

Shopping at an FSA or HSA store online can make it easier to spend your pre-tax dollars on qualified medical expenses. This means less guesswork for you on which items are eligible and an easier process for submitting claims, though eligibility on items is still subject to IRS rules and depends on your individual plan. However, there are some drawbacks to shopping at FSA or HSA stores online, like higher prices. Shopping at an FSA or HSA marketplace—which links you to partner brands and products that are often eligible—instead could offer more options and better prices. Here is a breakdown of the benefits of shopping at an FSA or HSA store vs. marketplace online and what to watch for, so you can strategically spend your pre-tax funds on qualified health expenses.

FSA/HSA Store vs. Regular Retail Shopping

Shopping OptionsEligibility GuidancePayment & ReceiptsKey Benefits For You
Regular In-Store ShoppingYou mostly guess which items qualifyPay out-of-pocket, keep paper receipts to submit for reimbursementFamiliar, but more guesswork on which items are HSA vs FSA eligible
Standard Online Retailer (no HSA/FSA filters)Limited or no eligibility labelsMixed cart receipts, which makes it harder to separate eligible itemsConvenient, but can be harder to track eligible items, higher risk of ineligible purchases
Dedicated FSA Store (online)Items are flagged as FSA-eligibleCan pay with FSA card (if plan offers/allows); itemized digital receipts for claimsHelps you spend FSA dollars easily, which are generally use-it-or-lose it
Dedicated HSA Store (online)Items are flagged as HSA-eligibleCan pay with HSA card (if plan offers/allows); itemized digital receipts for claimsHelps you spend your HSA dollars on qualified medical expenses
Brand or Health Platform Store That Supports HSA/FSACertain items may qualify with documentation (such as an LMN)Receipts along with any supporting paperworkCan unlock more options for qualified medical expenses with proper documentation

What Is an Online FSA or HSA Store?

  • FSA or HSA stores are online shops or sections built specifically around FSA/HSA-eligible items.
  • The items on these sites are tagged FSA/HSA eligible so you know which items are available to spend your funds on. Items are tagged as eligible based on IRS rules— however, what you qualify for and reimbursements ultimately depend on your plan.
  • While there are specific online HSA and FSA stores, many big retailers now have FSA/HSA sections on their sites.
  • Some items found at FSA/HSA stores may also be more expensive than ones you find at a traditional retailer, so it can be a good idea to shop around and compare prices at an FSA or HSA marketplace, like Truemed,* to make the most of your FSA/HSA funds, and potentially unlock more spending options.

What Is An Online HSA/FSA Marketplace?

  • An HSA/FSA marketplace is a platform that features products and services that may be HSA/FSA-eligible (following IRS guidelines) for those who qualify.
  • If qualified, users can shop a wide variety of curated health and wellness products beyond what might be available at a traditional FSA/HSA online store, often directly from the brand’s site, which can ensure the best price.
  • An HSA/FSA marketplace may also provide additional documentation such as a Letter of Medical Necessity, when required.

Key Benefits: Why Use an FSA or HSA Store Instead of a Regular Cart?

  • FSA and HSA stores make it easier to see which items are eligible to spend your money on, with filters, categories, and FSA/HSA badges on products.
  • Since most items are generally pre-screened, you don’t have to wonder what you can buy with your FSA or HSA funds. Note: Eligibility rules vary from plan to plan, so make sure to check your individual plan rules to ensure you can get reimbursed.
  • If your plan offers a FSA or HSA debit card, you can use it to pay for eligible items directly at the FSA or HSA online store. Depending on your plan, some items may be automatically approved without having to submit a receipt. However, be sure to check your plan’s rules.
  • FSA/HSA online stores will also provide itemized digital receipts that separate eligible items, which make it easier to keep records and submit claims.
  • Since FSA funds are generally use-it-or-lose-it, shopping at an FSA store online can be an easier way to spend your funds before your plan’s deadline. HSA funds typically roll over from year to year, so it can be a good idea to save that money for long-term or bigger expenses.

What Can I Buy With My HSA Card or FSA Card at an Online Store?

Products you can buy with your HSA or FSA card at an online store include:

  • Many OTC medications such as pain relievers and allergy medications, menstrual care, vision and hearing items, first-aid and everyday medical supplies, acne and skincare products, sunscreen, and other health-related products.
  • Eligibility labels are a starting point—while these items may be tagged as “HSA or FSA-approved” it’s still important to check which items are available under your plan.
  • While HSA and FSA stores offer a variety of eligible products in one place, it’s important to note that prices are usually higher on these sites compared to other sites.
  • An HSA or FSA online store might have a limited selection of eligible products—there may be a wider variety of products and services you qualify for by exploring an HSA/FSA marketplace, like Truemed.

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

How Truemed Can Help You Spend Your FSA/HSA Funds:

There are many additional health products that are not featured on traditional HSA/FSA stores but that may be eligible for HSA/FSA spending when deemed by a medical professional to be necessary to prevent, treat, cure or mitigate a diagnosed medical condition. Here’s how Truemed* can help:

  • Truemed can help connect you with an independent licensed practitioner who will review the information in your clinical intake form.
  • When appropriate, the practitioner may issue a Letter of Medical Necessity (LMN) for specific products or services to help treat or manage a specific health condition.
  • Though traditional FSA/HSA stores allow you to buy things such as common OTC medications, sunscreen, and first-aid supplies, Truemed can unlock more options for ways to spend your HSA and FSA funds for qualified customers.
  • Qualified customers can browse thousands of potential HSA and FSA-eligible products and services tied to managing a diagnosed health condition such as adaptive footwear, wearable health tech, gym memberships and fitness equipment, mattresses, saunas and cold plunges, and more. You can buy qualifying products or services directly from the brand’s site, which ensures you’re getting the best price.
  • While you may be able to use your HSA or FSA funds for these items, your plan administrator may have different rules for eligibility and still makes final decisions on reimbursement.

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

Spending Strategies: Using FSA vs. HSA Dollars Wisely Online

When shopping for FSA and HSA-eligible products online, there are different spending strategies for an FSA versus an HSA.

  • Use up your FSA funds first on annual healthcare expenses such as co-pays, OTC medications, and glasses, since FSAs don’t typically rollover.
  • Since HSA funds usually roll over year to year, those can be used for bigger medical expenses and building long-term health savings.
  • Consider shopping at an FSA/HSA marketplace like Truemed which could potentially open up more HSA/FSA-eligible products for qualified customers, so you can make the most of HSA/FSA funds.
  • To avoid impulse buying products just to use up FSA funds at the end of the year, build a list of recurring health care products that you use the most such as allergy medication or first aid supplies so you can spend your FSA money on items you actually use.

Receipts and Documentation

  • Be sure to keep itemized receipts and invoices together in a folder to easily submit claims and provide any additional documentation your insurance may need.
  • If you have both an HSA and an FSA, never reimburse the same purchase from both accounts.
  • Some insurance plans may ask for a prescription or LMN to qualify for certain devices or specialty products or services.
  • Before making larger purchases, check your plan’s documents for their list of covered items.
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Key Takeaways
  • Easy to use your HSA/FSA funds: HSA/FSA online stores can make it easier to see which items are eligible to spend your money on, with FSA/HSA badges on products. However, items may be priced higher.

  • Eligibility rules vary: Eligibility rules vary from plan to plan, so be sure to check your plan's rules because they ultimately determine whether an item is eligible to spend your FSA/HSA funds on.

  • An FSA/HSA marketplace may offer more options: Shopping at an FSA or HSA marketplace—which links you to partner brands and products that are often eligible—instead could offer more options and better prices.

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At True Medicine, Inc., we believe better health starts with trusted information. Our mission is to empower readers with accurate and accessible content grounded in peer-reviewed research, expert insight, and clinical guidance to make smarter health decisions. Every article is written or reviewed by qualified professionals and updated regularly to reflect the latest evidence. For more details on our rigorous editorial process, see here.