Truemed enables your customers to use their Health Savings Account (HSA) or Flexible Spending Account (FSA) funds toward purchases from your store. This page covers what Truemed does, how HSA/FSA payments work, and what the experience looks like for your customers.
Truemed is a health payments platform that connects merchants with qualified customers who want to use pre-tax HSA/FSA dollars on health-related products and services. Truemed partners with independent licensed healthcare providers who evaluate each customer’s eligibility and, when appropriate, issue a Letter of Medical Necessity (LMN). The LMN is the documentation required to make a purchase reimbursable under IRS rules.
Truemed serves two functions for merchants:
Truemed also operates a consumer-facing marketplace at truemed.com that educates shoppers on eligible health categories and partnered merchants. Purchases don’t happen on truemed.com. Instead, the marketplace drives qualified traffic to your site, where transactions occur. This gives your brand additional visibility to customers who are actively looking for ways to use their HSA/FSA funds.
HSA and FSA accounts hold pre-tax money set aside for qualified medical expenses. Because the funds are pre-tax, customers effectively save a percentage equal to their marginal tax rate, typically around 30% on average.
Products not automatically classified as medical expenses (like fitness equipment, supplements, or sleep technology) require a Letter of Medical Necessity from a licensed healthcare provider. Truemed handles this: customers complete a clinical intake form, an independent provider reviews their responses, and if the customer qualifies, an LMN is issued.
For merchants with Truemed’s checkout integration, customers can pay directly with their HSA/FSA card:
For merchants using Truemed’s post-purchase reimbursement product (common for subscriptions or non-integrated storefronts):
See What Is Required to Get Started for onboarding requirements and platform setup.