🤓 Customer Experience

What is Truemed?

Truemed partners with health and wellness brands to enable qualified customers to use HSA/FSA funds on health and wellness purchases. Truemed partners with a network of individual licensed providers who can issue Letters of Medical Necessity to qualifying customers, thereby saving customers money on health and wellness purchases.

Truemed is backed by best-in-class investors, including functional medicine pioneer Mark Hyman and founders from Thrive Market, Eight Sleep and Levels.

What does Truemed look like in action?

Reimbursement flow video walk through

Payment integration flow video walk through

How does using my HSA/FSA save me money?

HSA/FSA accounts were created so individuals could use pretax money to pay for expenses incurred in the prevention or alleviation of a disease. Because HSA/FSA uses tax-free money, you’re getting more purchasing power for your dollars. Rather than pay taxes on income and then spend it on health items, qualified customers can use pre-tax funds to invest in their health.

An individual can contribute up to $4,150 pretax to their HSA per year, or $8,300 for a family (plus an additional $1000 if you are 55+). Individuals can contribute up to $3,200 pretax to their FSA per year (with an additional $500 in employer contributions allowed). Almost every qualified individual will save between $1,000 and $2,000, depending on their state and tax rate. Use a calculator here to estimate your savings.

Why should I use my HSA/FSA funds with Truemed's partner brands?

Using your HSA/FSA funds on eligible products can result in significant savings. These accounts use pre-tax dollars, which means, if qualified by an independent licensed provider, you could save up to 30-40% on average on your purchases at Truemed’s partner brands to prevent or reverse a specific condition.

I don't have an HSA/FSA. Can I still benefit from TrueMed?

Unfortunately, Truemed’s services are for individuals who have HSA or FSA accounts (or plan to fund one during open enrollment). We encourage you to ask your employer about information on your HSA or FSA!

What is a Letter of Medical Necessity, and how is this compliant?

The items in your Truemed Letter of Medical Necessity (“LMN”) are now qualified health expenses in the same way a visit to the doctor’s office or pharmaceutical product is.

We are facing a chronic disease in the US. There are thousands of studies showing food and exercise is often the best medicine to prevent and reverse disease. Exercise qualifies as a qualified health expense with an LMN. Supplements and other wellness purchases qualify as health expenses if they treat or prevent a specific illness, and a licensed provider substantiates the need.

You have our guarantee that Truemed will pay the full amount you should have saved if any HSA/FSA purchase outlined in our LMNs is rejected. Please email [email protected] if you have any questions or need assistance.

What are HSA and FSA accounts anyway?

Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) are tax-free accounts that can be used to pay for qualified health expenses. These accounts are usually set up and managed by an HSA or FSA administrator, and you should have access to said HSA/FSA administrator through your employer (ask your HR department!).

HSAs are typically associated with a high-deductible health plan, and funds do not expire. FSAs are independent of your health plan, and funds elections occur in October-November each year for the following calendar year. FSA funds expire every calendar year.

Further key differences between an HSA and an FSA account, as outlined by Optum (a leading HSA/FSA administrator) in this article.

Unfortunately, HSAs and FSAs are not available outside of the US, and self-employed individuals (who do not have an HSA from a previous employment) do not qualify for HSAs or FSAs.

Can I just use my HSA or FSA card at checkout?

You can attempt to use your HSA card, but your FSA card will likely not transact successfully. In either case, it is imperative that you complete the Truemed intake survey and acquire a Letter of Medical Necessity in order for your purchase to be compliant and eligible for purchasing with your HSA or FSA funds. We strongly encourage simply transacting with your normal credit or debit card, and submitting for reimbursement as outlined above for the greatest likelihood of success.

How long does HSA or FSA reimbursement take?

For most FSA/HSA administrators, your expenses will be approved within days when you submit it with your Truemed Letter of Medical Necessity. The exact timing will vary based on your administrator.

I don't have enough funds in my HSA/FSA account to reimburse the entire purchase. Can I still use Truemed?

Yes. You can still submit for partial reimbursement. For example: if you purchase an eligible item for $100 but only have $60 in your account, you can reimburse $60 of your purchase with your tax-free funds (with the remaining $40 paid for as normal).

What if my reimbursement is rejected by administrator?

Truemed offers a reimbursement guarantee for purchases with official Truemed merchant partners. As long as you have funds in your HSA or FSA account, Truemed team will work with you to ensure that your purchase is reimbursed in full.

Can I use Truemed's services for past purchases?

While the exact policy depends on your specific HSA or FSA administrator, we generally advise that you submit expenses incurred on or after the date listed on your Letter of Medical Necessity.

Do I need to use Truemed every time I make a purchase from a partner brand?

If you have already received an LMN for purchases with a partner brand, as long as your LMN is still valid (ie. within 12 months of issuance), you do not need to complete the survey again.

Are there fees associated with using Truemed's services?

There is no cost to you, as long as you are shopping with a Truemed partner merchant.

What if I haven't contributed to my HSA or FSA? Will I still be able to maximize my savings?

For most Americans, open enrollment is in the last four months of the year. Simply elect to increase contributions to your HSA or FSA during this time and you can begin shopping with Truemed merchant partners. Starting on January 1st, qualified individuals will be able to spend their entire HSA amount on products that our independent provider partners determine to be effective intervention to prevent/reverse specific health conditions. This money will be pulled from your paycheck by your HSA administrator (tax free) in equal installments through the year.

If a customer wants to use an HSA/FSA card, but does not have enough funds, what happens?

The customer should checkout using the Truemed Payment option (Figure A). This option will take the customer to the standard intake survey (Figure B), which indicates:

"Optionally, use a credit card and get reimbursed through your HSA/FSA later".

The customer can input their credit card to complete the purchase (in lieu of their HSA/FSA card), and Truemed will automatically issue instructions for getting the purchase reimbursed with their HSA/FSA provider.

In the case that the customer attempts to use their HSA/FSA card but does not have enough funds, Truemed will reject the transaction and prompt the customer to use a credit card.

(Figure A) Truemed payment option at checkout

(Figure A) Truemed payment option at checkout

(Figure B) Health intake survey

(Figure B) Health intake survey

Q: Can customers seek reimbursement for services rendered/products purchased in the past prior to their medical recommendation letter being issued?

Reimbursing purchases from the past prior to the LMN issuance is generally not allowed and not something Truemed recommends that customers do.

🏦 Finance and Accounting

Q: How is sales tax handled for HSA/FSA payments?

A: Sales tax is still charged and eligible to be paid by FSAs and HSAs. More information here.

Q: How are customer refund requests handled?

A: For refunds of purchases made using our Shopify payments app, we refund the purchase + half of our fee. In the case of partial refunds, we refund half of our fee proportional to the refunded amount.
Example scenarios:
Order charge is $10.00. Truemed collects a $1.00 fee. Order refund is $10.00 (full). Truemed refunds $10.00 + 50% of $1.00 (our full application fee) = $10.50.
Order charge is $10.00. Truemed collects a $1.00 fee. Order refund is $8.00 (partial). Truemed refunds the $8.00 + 50% of $0.80 (80% of our application fee) = $8.40.

Reach out to Truemed to coordinate refunds of LMNs related to reimbursement purchases.


Q: What is an HSA/FSA? Where can I get one?

An HSA (Health Savings Account) and FSA (Flexible Spending Account) are tax-advantaged accounts that allow individuals to set aside money to pay for qualified health and medical expenses. These accounts are typically offered through employers. If you're unsure whether you have an HSA or FSA, you can check with your employer's HR department or your benefits administrator.