HSA and FSA at checkout

Save 30% by using your HSA or FSA card

Your card is a payment option at checkout, next to credit card and the wallets. That money was set aside before income tax, so you keep the tax you would have paid on it.

Illustrative math, not tax advice and not a discount. Your savings depend on your own tax rates and your plan.

See what is eligible How it works
A smiling couple standing together in a kitchen.

What happens at checkout

Three steps, all of them inside the checkout you already use.

  1. Pick HSA/FSA in the payment list

    It sits with credit card and the wallets, not off in a separate flow.

  2. Answer a few health questions

    A licensed provider reviews your answers, not our products.

  3. Pay on one card, or two

    Use your HSA or FSA card, or split the order across two cards. Your letter of medical necessity arrives by email after you check out.

How does paying with HSA or FSA save me 30%?

These accounts exist to allow you to pay with pre-tax dollars for items that treat, ease, or prevent a condition diagnosed by a provider. This is the IRS rule, and it applies to the item, not the store.

One hundred dollars of pay, followed two ways. Spending from your bank account: one hundred dollars you earn, then thirty dollars taken out in taxes, leaving seventy dollars to spend. Spending from your HSA or FSA: one hundred dollars you earn, no taxes taken out, leaving one hundred dollars to spend.

Shop HSA eligible items

American Diagnostic Otoscope Ophthalmoscope Diagnostic Set 2.5V, Standard - Each HSA eligible American Diagnostic Otoscope Ophthalmoscope Diagnostic Set 2.5V, Standard - Each $ 288.38 Braun Basic IV Administration Set With Roller and Slide Clamp, 14mL Priming Volume, 79" L - Case of 50 HSA eligible Braun Basic IV Administration Set With Roller and Slide Clamp, 14mL Priming Volume, 79" L - Case of 50 $ 211.87 Dexcom G7 CGM System HSA eligible Dexcom G7 CGM System $ 166.85 A&D Medical One-step Plus Memory BP Monitor with Small Cuff HSA eligible A&D Medical One-step Plus Memory BP Monitor with Small Cuff $ 106.09 BSN Jobst ActiveWear Knee High Extra Firm Compression Socks Large, Cool Black, Closed Toe, Unisex, Latex-free - 1 Pair HSA eligible BSN Jobst ActiveWear Knee High Extra Firm Compression Socks Large, Cool Black, Closed Toe, Unisex, Latex-free - 1 Pair $ 105.76 Advocate Mini Pen Needle - 31G 5mm 3/16"- BX 100 - Case of 5 HSA eligible Advocate Mini Pen Needle - 31G 5mm 3/16"- BX 100 - Case of 5 $ 69.47 TRUEplus A1CNow Self Check Test System - 2 Count Test Kit HSA eligible TRUEplus A1CNow Self Check Test System - 2 Count Test Kit $ 46.34 Accu-Chek Guide Test Strips - 50ct HSA eligible Accu-Chek Guide Test Strips - 50ct $ 33.94 10-12cc Syringe Only, Luer Slip With Cap - Box Of 100 HSA eligible 10-12cc Syringe Only, Luer Slip With Cap - Box Of 100 $ 28.96 3M Cavilon No Sting Barrier Film Wipes Alcohol-Free, Sterile - Box of 30 Wipes HSA eligible 3M Cavilon No Sting Barrier Film Wipes Alcohol-Free, Sterile - Box of 30 Wipes $ 25.70 Accu-Chek Guide Me Blood Glucose Meter HSA eligible Accu-Chek Guide Me Blood Glucose Meter $ 22.64 Accu-Chek FastClix Lancets 30G - 102 ct. HSA eligible Accu-Chek FastClix Lancets 30G - 102 ct. $ 20.15 Advocate Heating Pad - King Size HSA eligible Advocate Heating Pad - King Size $ 18.03 Advocate Insulin Syringes - 30G 1/2cc 5/16"- BX 100 HSA eligible Advocate Insulin Syringes - 30G 1/2cc 5/16"- BX 100 $ 17.49 15 µL Capillary Tubes (25 Collectors) for Home Use HSA eligible 15 µL Capillary Tubes (25 Collectors) for Home Use $ 12.50 15 µL Blood Collectors for Single Analyte Tests (25 Collectors) HSA eligible 15 µL Blood Collectors for Single Analyte Tests (25 Collectors) $ 10.61 Advocate Pre-Moistened Washcloths 8" x 12" One pkg of 50 each HSA eligible Advocate Pre-Moistened Washcloths 8" x 12" One pkg of 50 each $ 7.20 Nurse Assist Inc USP Sterile Normal Sterile Saline For Irrigation with Screw Top Container 250mL - Each HSA eligible Nurse Assist Inc USP Sterile Normal Sterile Saline For Irrigation with Screw Top Container 250mL - Each $ 6.77 Salter Oxygen Tubing Connector, Swivel HSA eligible Salter Oxygen Tubing Connector, Swivel $ 6.63

This is a selection across our diabetes-care categories. More of the catalog qualifies than fits on one page.

Browse everything

Questions before you buy? Contact us.

The process is smooth and easy

No new account

No new account to open and no balance to top up. Bring the card your employer gave you.

Your order is not held up

The questions do not hold up your order, so you pay and check out as normal.

A medical provider reviews the order

A licensed provider reviews your answers to confirm the purchase meets IRS requirements. Your answers are handled confidentially.

Credit cards are still an option

Payment with a credit card is still an option, if you decide not to proceed with HSA/FSA.

Common questions

What are FSA and HSA accounts?

Both let you set aside money from your paycheck before taxes for eligible health expenses. An HSA is a health savings account and generally stays with you year after year. An FSA is a flexible spending account and usually has a yearly deadline. Not sure if you have one? Check with your employer or your benefits provider.

Can I use my HSA/FSA at Total Diabetes Supply?

Yes. Pick HSA/FSA in the payment list at checkout, answer a few quick health questions, and pay with your HSA or FSA card the same way you would use any other card. If your order needs a letter of medical necessity, it comes to you by email after you check out.

Can I use my regular credit card instead?

Yes. Every regular payment option is still there. You can also split an order: put part of it on your HSA or FSA card and the rest on a regular credit or debit card.

What is a letter of medical necessity?

Under IRS rules, some things you buy count as a medical expense only when they treat a specific health condition, not when they are for general health. A letter of medical necessity is a licensed provider's written opinion that a product may treat a condition you have.

Here is how it works. You answer a few health questions at checkout. A licensed provider reviews your answers, not our products. The questions do not hold up your order, so you pay and check out as normal. Your letter arrives by email after you check out. Keep it, because your plan may ask to see it. Not everyone qualifies, and your plan makes the final decision on any claim.

Your answers stay private. They go to the licensed provider who reviews them, not to Total Diabetes Supply, and your letter is emailed only to you.

Are there any fees?

You pay the price on the product page. There is no extra charge at checkout for paying with your HSA or FSA card.

When should I use my FSA/HSA dollars?

Any time of year. HSA money generally stays with you year after year. FSA money usually has a deadline, and many plans run use it or lose it at the end of the year, so check your plan's dates before December.

How long until I get my letter of medical necessity?

It arrives by email after you check out. If you do not see it, check your spam folder first, then reach out through our contact page and we will help.

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

You need one of those accounts to use pre-tax money. Many employers offer them during open enrollment, so it is worth asking. You can still check out normally with any card.

I don't live in the US. Can I still use this?

HSA and FSA are United States programs, so the pre-tax option only applies to US accounts. Everything on the site can still be bought the normal way.

Some of what we sell may qualify as a medical expense under IRS rules. Some items need a letter of medical necessity, which is a written opinion from a licensed provider that a product may treat a specific condition you have. That review is done by a licensed provider through an independent partner, not by Total Diabetes Supply. Not everyone qualifies. No product on this site has been reviewed or approved for you in advance.

A letter is not a guarantee that your plan will pay. Your plan administrator, the company that runs your HSA or FSA, makes that decision, and plans differ.

Total Diabetes Supply is not a tax advisor, a medical provider, or a benefits administrator, and nothing on this page is tax, legal, or medical advice. For questions about your account or a claim, contact your plan administrator. For tax questions, talk to a tax professional.

There is a yearly cap on how much you can put into one of these accounts. The IRS publishes the current numbers in Publication 969.

See what is eligible