Truemed

Truemed: telehealth and payments for health purchases with HSA/FSA

Truemed is a telehealth and payments company that makes it easier for qualified customers to use Health Savings Account (HSA) or Flexible Spending Account (FSA) funds to purchase eligible health products and services. The company is not a healthcare provider and does not sell products directly: customers buy from partner brands, and Truemed enables payment in accordance with the rules for these accounts by coordinating an independent evaluation and documentation of a Letter of Medical Necessity (LMN).

How the purchase process works

The mechanism consists of three steps. First, the customer chooses from thousands of partner brands in categories such as fitness, supplements, sleep, recovery, and others. Second, at checkout they select the HSA/FSA payment option and complete an online clinical form, with no in-person visit required; they can pay directly with their HSA/FSA card or with a regular card and request reimbursement afterward. Third, an independent licensed clinician reviews the information and, if the purchase is considered medically necessary, issues an LMN that confirms the expense is eligible. Pre-approved items are paid instantly, while dual-use items go through clinical review.

Product categories and participating brands

Truemed's marketplace organizes its catalog into specific categories, each with associated health conditions that may justify eligibility:

• Fitness equipment: bikes, treadmills, and strength equipment that may qualify for customers with conditions such as obesity or hypertension.
• Health tech: activity trackers, recovery devices, and wearables for conditions such as anxiety or heart disease.
• Sleep: mattresses, pillows, and bedding for insomnia or sleep apnea.
• Supplements: daily nutrition, recovery supplements, and protein for nutritional deficiencies or chronic fatigue.
• Red light therapy: panels, masks, and handheld devices for chronic pain or certain skin conditions.
• Adaptive footwear: orthopedic shoes, support insoles, and zero-drop footwear for diabetes or arthritis.
• Sauna and cold plunge: infrared saunas and cold plunge tubs for chronic pain or poor circulation.
• Home health: air purifiers, water filters, and ergonomic furniture for allergies or chronic back pain.
• Gyms and studios: memberships, classes, and fitness subscriptions for obesity or diabetes.

Among the partner brands shown on the site are Peloton, Garmin, WHOOP, [solidcore], ARMRA, AG1, NOBULL, ClassPass, Meta, Eight Sleep, Tonal, Ritual, SmileSet, Hume Health, Hatch, Thorne, Purple, COROS, Amazfit, Speediance, Human Touch, Nike Strength, Wahoo, Apothékary, Dose, Huel, Heart & Soil, Flux Footwear, among others. The catalog includes both recently launched products and best sellers, with reference prices that at the time of analysis started at amounts such as $37.50 (Ritual) up to $15,999 (Human Touch).

Tax benefits and scope

According to the company's information, qualified customers save an average of 30% by using pre-tax HSA/FSA dollars at partner health brands. Truemed states that more than two million Americans have used its services to direct their health funds toward what it calls root cause health. The company also offers informational resources about HSAs and FSAs, including the ability to invest and roll over HSA funds from one year to the next, while employer-sponsored FSAs may expire annually depending on the plan. Some Health Reimbursement Arrangements (HRAs) may also cover eligible expenses depending on the employer's rules.

Customer testimonials

The site includes user experiences that highlight the ease of financing health purchases with HSA funds. Among the cases cited are customers of Apothékary, Wahoo, Dose, Huel, Heart & Soil, Flux Footwear, Peloton, and Nike Strength, who mention benefits such as the affordability of equipment, relief from joint pain, or the ability to take a preventive approach to health.