Average annual HSA contribution per household.
HSA | FSA ELIGIBILITY
& REIMBURSEMENT
FOR ECOMMERCE
Help customers use their HSA/FSA benefits with Medpaid — go live in under 30 minutes
Boost revenue by helping customers use their HSA/FSA benefits. Get your products eligible through a Letter of Medical Necessity. Customer approvals in under 30 seconds—plus analytics that prove incremental revenue.
- API-first integration that can go live in under 30 minutes.
- Most compliant HSA/FSA software with telemedicine and LMN workflows.
- We match or beat any competitor’s pricing.
Ready to unlock pre-tax HSA/FSA spend? Talk to our team →
Everything included
All the benefits — in one place.
Highest-Converting Reimbursement Flow
Fastest HSA/FSA reimbursement flow on the market = more conversions.
Boost AOV & LTV
Pre-tax dollars drive higher, more confident spend.
Live Doctor Approvals
Licensed providers issue LMNs in-flow.
Industry Best Compliance
Audit-ready processes and documentation.
Marketing Support
Copy, creative, and launch playbooks.
Live Performance Dashboard
Real-time views of orders & approvals.
Customer Portal
Secure access to LMNs & history.
Eligibility Review
Products screened against IRS criteria.
HSA/FSA Reimbursement
Post-purchase reimbursement with instant LMN.
Unlock Revenue with HSA | FSA Reimbursement
Case study after case study proves HSA | FSA reimbursement with Medpaid increases customer spending, reduces friction, and powers a new market segment.
Higher order values with pre-tax dollars.
U.S. HSA/FSA eligible spend potential.
Americans with HSA/FSA accounts.
Tap into a $147B+ HSA/FSA market that’s still underused
Millions of HSA and FSA account holders have pre-tax dollars earmarked for health and wellness. Medpaid helps ecommerce brands capture that spend with compliant HSA/FSA payments and telemedicine support.
- Massive addressable base. Over 60M Americans are eligible to use HSA/FSA funds—yet most merchants don't support HSA/FSA reimbursement online.
- Low current usage = upside. Only a fraction of account holders spend HSA/FSA dollars on consumer wellness today, leaving room for brands who move first.
- Perfect for high-intent wellness ecommerce. Supplements, wearables, recovery tools, and more can be eligible when used to treat specific conditions.
- Medpaid connects the dots. Eligibility rules, LMNs, telemedicine, and HSA/FSA reimbursement sit in one platform built for ecommerce.
Why ecommerce and brands choose Medpaid for HSA/FSA reimbursement
Medpaid combines a seamless HSA/FSA reimbursement experience, a fast integration path, and deep compliance so your revenue, legal, and engineering teams can all say yes.
Flexible HSA/FSA options
Medpaid is the only HSA/FSA eligibility solution that plugs directly into many ecommerce stores. Highest-converting HSA/FSA reimbursement flow in the industry.
Go live in under 30 minutes
Our HSA/FSA APIs are built for ecommerce teams. Typical merchants can stand up a working integration in under 30 minutes with clear docs, dev support, and low ongoing maintenance.
Most compliant HSA/FSA software in the space
Product eligibility review, telemedicine assessments, LMNs, audit logs, and privacy controls are built in— so you can support dual-purpose wellness products without guessing at compliance.
Price match on any HSA/FSA provider
Already using another HSA/FSA solution or getting quotes? We match or beat competitor pricing and back it with a live performance dashboard that shows incremental HSA/FSA revenue.
Metrics dashboard your revenue team will love
Track HSA/FSA order volume, AOV lift, and more in a single dashboard— ideal for growth, finance, and leadership reporting.
Flexible options with reimbursement
Use Medpaid for post-purchase reimbursement, QR-based flows, and eligibility badging—all on one platform
Curious how Medpaid compares to your current or proposed HSA/FSA solution?
Book a demo and compare providers →Show customers how much farther their HSA/FSA dollars go
HSA and FSA funds are pre-tax dollars reserved for qualified medical and wellness expenses. Medpaid makes it simple for ecommerce brands to support HSA/FSA reimbursement online and show shoppers their savings at a glance.
Spending from a regular bank account
From your paycheck
+$100
Lost to taxes*
-$30
Left to spend after tax
$70
Spending HSA/FSA funds with Medpaid
Contributed pre-tax to HSA/FSA
+$100
Taxes
No taxes deducted
Available for eligible expenses
Full $100
Case Study
Nebroo Boosted AOV by 55% & increased gross revenue by 13% in 14 days with HSA/FSA
“Medpaid didn’t just give our customers more ways to pay—it increased conversion and drove a real lift in order value.” —Nebroo Team
Get started with a demo today.
Meet with our specialists to see how Medpaid can increase AOV, reduce friction, and unlock new pre-tax spend.




Compliance center: HSA/FSA, telemedicine, and LMNs for ecommerce
Give your legal, compliance, and payments teams confidence that HSA/FSA payments are being handled correctly—with telemedicine workflows, Letters of Medical Necessity (LMNs), and audit-ready documentation built into Medpaid.
Informational only. Not legal, tax, or medical advice. Merchants should consult their own counsel and plan administrators when making compliance decisions.
How does Medpaid use telemedicine and LMNs for HSA/FSA eligibility? ▾
For products that may be eligible when medically necessary, Medpaid offers a structured health assessment that collects product-specific, clinically relevant information. Licensed providers review each assessment and can issue a Letter of Medical Necessity (LMN) when appropriate. This documentation supports plan substantiation that the expense is primarily for medical care rather than general wellness.
What can merchants safely say on product pages about HSA/FSA eligibility? ▾
Best practice is language such as “May be eligible with HSA/FSA when medically necessary; LMN may be required.” Avoid “guaranteed eligible”, “IRS-approved”, or explicit disease-treatment claims unless you have the regulatory posture and substantiation to back those claims.
How is customer privacy handled for assessments and LMNs? ▾
Telehealth interactions use secure communication methods, with controlled access to LMNs and assessment data. Medpaid collects the minimum necessary information to support clinical review and eligibility documentation, keeping clinical details within Medpaid systems and out of your storefront analytics tools.
Who is responsible if customers misrepresent information in a health assessment? ▾
Customers must attest that their information is accurate and complete. Providers make clinical decisions based on that information, and reimbursement outcomes are ultimately decided by plan administrators or custodians. Merchants should avoid tax advice and direct customers to their HSA/FSA administrator for questions about reimbursement.












