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🔑 About Truemed
Truemed is a telehealth and payments company that enables Americans to use their HSA and FSA accounts to take control over their health and lead healthier lives. HSAs are the most tax-advantaged accounts in the U.S. tax code, and Truemed has modernized the HSA approval process, allowing consumers to purchase thousands of fitness, sleep, supplement and digital health tools in compliance with IRS guidelines. Truemed integrates directly into the brand’s checkout and seamlessly facilitates medical evaluations conducted by independent clinicians. Truemed makes it easier to invest in long-term health.
How It Works
- Truemed allows consumers to purchase thousands of preventive healthcare products using HSA/FSA funds.
- IRS regulations allow for the reimbursement of health products and services when prescribed by a medical practitioner for the diagnosis, cure, mitigation, treatment, or prevention of disease, or payments for treatments affecting any structure or function of the body.
- Truemed has used telehealth to make the HSA/FSA process seamless, integrating directly into thousands of brands’ checkout and managing end-to-end compliance, including medical evaluations conducted by independent clinicians who issue Letters of Medical Necessity (LMNs).
HSA vs. FSA
- HSA: Owned by the individual, not tied to an employer. Funds roll over indefinitely — no year-end deadline, no forfeiture.
- FSA: Owned by the employer as a benefit plan. Funds are generally "use it or lose it" within the plan year, unless the employer offers a grace period or limited carryover.
The FSA "Use It or Lose It"
- Nearly half of FSA accountholders forfeit funds back to their employer each year — but that's a fraction of what they contribute, not most of it.
- In 2023 (the latest year on record), the average forfeiture was $436 against an average contribution of $1,291 (EBRI FSA Database).
- Most plans soften the "year end" deadline with a grace period (up to 2.5 extra months) or carryover (up to $680), so the strict Dec. 31 cutoff doesn't apply to every FSA.
Our Story
HSA & FSA Explained: What Your PRE-TAX Dollars Actually Pay For & $34M Bet to Fix It | Justin Mares
Justin Mares - The US Health Crisis