HSA/FSA Frequently Asked Questions

Engage is one of a handful of companies that have had their products approved for HSA/FSA eligibility. Through Engage's collaboration with Truemed, eligible customers can now use Health Savings Account (HSA) or Flexible Spending Account (FSA) funds on Engage products!

This means you may be eligible to buy your supplements with pre-tax dollars, resulting in 30% savings on average.

What are HSA and FSA accounts?

HSA (Health Savings Account) and FSA (Flexible Spending Account) are tax-advantaged accounts that may allow you to receive reimbursement for eligible healthcare expenses, including certain qualified health and wellness products. Eligibility and reimbursement requirements vary by individual plan.

What is Truemed?

Truemed simplifies the HSA/FSA reimbursement process through a brief survey reviewed by licensed healthcare providers. Eligible customers may receive a Letter of Medical Necessity (LMN) to submit to their HSA/FSA provider for reimbursement.

To complete and submit you survey, it will cost $50 if you receive a positive Letter of Medical Necessity (LMN).

After you receive your Letter of Medical Necessity (LMN), Engage will charge your account $50.

How it works?

1. Purchase Your Engage Products

Purchase all the products you would like to request HSA/FSA reimbursement for.

2. You Will Receive an Email With a Survey

You must complete the Truemed qualification survey on the same day as your purchase. You’ll receive a link to the survey after completing your purchase. The survey determines whether you qualify for a Letter of Medical Necessity (LMN).

3. Receive Your Letter

If approved, Truemed will issue your Letter of Medical Necessity for submission to your HSA/FSA provider.

4. Receive Your Reimbursement

You will need to talk to your plan administrators to get the reimbursement.

5. Pay for Engage Products with your HSA/FSA Debit Card

If you have an HSA/FSA credit card, simply call Engage Global to add it to your account, and Engage will charge your HSA/FSA card directly for your monthly subscriptions.

Letter Fee: A $50 fee is charged by Engage per Letter of Medical Necessity—not per product. You can include multiple eligible products on a single letter for one $50 fee. If you request and receive multiple letters, the $50 fee applies to each letter.

Important: To avoid additional letter fees, purchase all products you would like to request reimbursement for and complete the TrueMed survey on the same day.

If you don’t receive the email, please contact our Customer Service team at 801-655-4501, Monday–Friday, 8:00 AM–6:00 PM Mountain Time, to request the survey link.

How Do I Apply If I Have an Existing Subscription?

1. Process Your Subscription

You must complete and submit the survey on the same day your subscription is processed. After processing your subscription, look for the survey link in your order confirmation email and complete the survey that same day.

2. Complete the Survey the Same Day

You must complete the Truemed qualification survey on the same day as your subscription processes. You’ll receive a link to the survey after completing your purchase. The survey determines whether you qualify for a Letter of Medical Necessity (LMN).

3. Receive Your Letter

If approved, Truemed will issue your Letter of Medical Necessity for submission to your HSA/FSA provider.

4. Receive Your Reimbursement

If your HSA/FSA provider approves your request, you will receive reimbursement according to your plan’s requirements.

Important: To avoid additional letter fees, purchase all products you would like to request reimbursement for and complete the TrueMed survey on the same day.

If you don’t receive the email, please contact our Customer Service team at 801-655-4501, Monday–Friday, 8:00 AM–6:00 PM Mountain Time, to request the survey link.

What If I Change My Subscription Order?

If I Have an HSA/FSA Credit or Debit Card, Can I Use It to Pay for My Engage Products?

What Is a Letter of Medical Necessity, and How Does It Work?

Medical necessity is the standard the IRS uses to determine whether a product or service qualifies as a medical expense under Section 213(d). A purchase is medically necessary when it is appropriate for the diagnosis, treatment, mitigation, or prevention of a specific health condition affecting a specific person.

A Letter of Medical Necessity (LMN) is the document that establishes this. It is issued by an independent, licensed clinician and explains why a specific product is medically appropriate for your health situation. The LMN is what makes an otherwise general-purpose product eligible for HSA/FSA use.

Without an LMN, products like fitness equipment, supplements, or sleep technology are considered general wellness purchases and do not qualify under IRS rules, regardless of their health benefits.

A few important things to understand about medical necessity:

It is personal. Medical necessity is specific to you, your health history, and your diagnosed conditions. A product that qualifies for one customer may not qualify for another.
It is not a prescription. An LMN is not a prescription in the traditional sense. It is documentation of clinical judgment supporting the appropriateness of a purchase for your health needs.
It has a validity period. LMNs issued through Truemed are typically valid for 12 months from the date of issue.
Your HSA/FSA administrator has final authority. Truemed’s LMN supports your claim, but your plan administrator makes the final determination on reimbursement.

If you have questions about whether a specific purchase might qualify for you, you can start by completing the intake survey at a Truemed partner brand’s checkout.

How Long Does It Take to Receive My Letter of Medical Necessity?

How do I obtain an HSA or FSA?

What qualifies for HSA/FSA?

Eligible product categories?

Who qualifies?

How does Truemed determines eligibility?

Why an LMN is required?

LMN validity & expiration?

Can I us one LMN across multiple merchants?

The qualification survey is how Truemed’s licensed clinicians verify that your purchase is medically appropriate for your health needs. Most customers complete it in just a few minutes, but occasionally something goes wrong. This article covers the most common issues and how to resolve them.

Why different products may need separate qualifications?

What happens when the multi-product check is incomplete?

You may see an error, or receive a message, indicating that your survey was not fully completed. This usually means you attested to a qualifying health condition for one product in your order, but did not complete the eligibility check for the other.

For example, if your cart contained Product A and Product B, and these fall under different health categories:

You may have attested to a diagnosis that supports Product A. The survey for Product B was either skipped or not completed.

As a result, the full order cannot be qualified, and your HSA/FSA card cannot be used for the entire purchase.

How to resolve it

Identify which product’s eligibility check is incomplete. The survey flow or any follow-up communication you received should indicate which product needs attention.
Return to the survey and edit your answers.
Attest to a qualifying diagnosis for the remaining product. When prompted about health conditions, make sure you are responding to the questions for each product in your order, not just the first one.
Complete and submit the full survey. Once you have attested to a qualifying condition for each product category, the survey will complete and your order will be eligible for HSA/FSA payment.

If you genuinely do not have a health condition that aligns with one of the products in your order, that product may not be eligible for HSA/FSA payment. The qualification requires demonstrating a real medical reason, not general wellness intent. You can still complete the purchase; the ineligible product would simply need to be paid for separately with a non-HSA/FSA method.

Category	Examples
Fitness Equipment	Treadmills, stationary bikes, strength training equipment
Health Tech	Wearables, fitness trackers, continuous glucose monitors
Sleep	Mattresses, adjustable bases, sleep tracking devices
Supplements	Protein, vitamins, metabolic health supplements
Recovery	Saunas, cold plunge, red light therapy devices
Adaptive Footwear	Orthopedic and supportive footwear
Home Health	Air purifiers, ergonomic furniture and equipment
Gyms & Studios	Gym memberships, fitness class subscriptions

What are HSA and FSA accounts?

What is Truemed?

Frequently Asked Questions

How it works?

How Do I Apply If I Have an Existing Subscription?

What If I Change My Subscription Order?

If I Have an HSA/FSA Credit or Debit Card, Can I Use It to Pay for My Engage Products?

What Is a Letter of Medical Necessity, and How Does It Work?

How Long Does It Take to Receive My Letter of Medical Necessity?

How do I obtain an HSA or FSA?

Eligibility and Qualification Overview

What qualifies for HSA/FSA?

Eligible product categories?

Who qualifies?

How does Truemed determines eligibility?

Why an LMN is required?

LMN validity & expiration?

Can I us one LMN across multiple merchants?

Troubleshooting Your Qualification Survey

Why different products may need separate qualifications?

What happens when the multi-product check is incomplete?

Why Truemed asks about your health conditions?

Can restarting a survey help?

When to contact Truemed support?

What to have ready when you contact Truemed support?

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