Pulsetto Triples HSA/FSA Sales in Three Months After Switching to Truemed

Pulsetto had offered HSA/FSA payments through another provider for more than a year, but wasn't satisfied with the results. The prior provider enabled HSA/FSA payments as a checkout method, but there was no marketing engine behind it to drive new customers to Pulsetto. At the same time, peer brands were describing HSA/FSA as a top-two revenue source. Pulsetto switched to Truemed in January 2026. Within three months, HSA/FSA sales were running 3X its final quarter with its previous provider.

Truemed isn't just a payment option for us. They're actively sending us new customers, and the impact was visible within weeks of the switch.

~ Ingrida Astikaitė

CRO, Pulsetto

After switching to Truemed, Pulsetto launched a brand page on the Truemed Marketplace to drive brand discovery with health-conscious HSA/FSA shoppers. Truemed also featured Pulsetto across its owned channels, including its newsletter with ~500K active email subscribers, to drive new customers.

That demand layer is what Pulsetto's previous HSA/FSA provider couldn't offer. The Truemed Marketplace put Pulsetto's vagus nerve stimulation devices in front of potential new customers already in HSA/FSA discovery mode. The share of HSA/FSA sales driven by the Truemed Marketplace more than tripled in the first four months, reaching 19 percent in May 2026. Pulsetto's HSA/FSA sales now run 5X ahead of the same period last year.

The compounding growth started in month one and has not slowed:

• 3X HSA/FSA Sales Growth vs. Prior Provider
• 5X HSA/FSA Sales Year over Year
• 19% Of HSA/FSA Sales Driven by Truemed Marketplace (May)

HSA/FSA went from another payment option in checkout to one of Pulsetto's fastest-growing acquisition channels.