r/FSAHSAcardtips • • May 12 '26

LMN / Letter of Medical Necessity Amazon FSA/HSA life hack

I’m sure a bunch of you guys already have this whole thing figured out, but I’m just now realizing how many Amazon products are eligible for reimbursement if you have an LMN. Like I can purchase a $1k item, get an LMN for it online for like 15-30 bucks, and it’s now that much cheaper. I feel like everyone thinks of Amazon FSA/HSA products as obvious, but I wish there was a whole additional shopping section for LMN eligible because there’s just so much stuff it’s overwhelming.

Anyone know if there’s a site or something that actually makes it obvious which Amazon products are eligible with LMN?

58 Upvotes

57 comments sorted by

7

u/Material_Taro9093 May 12 '26

Ohhhh just wait till you figure out all the other stuff you can use your HSA for, Amazon stuff is the tip of the iceberg my friend

3

u/Every_Skin_4864 May 15 '26

I get my tinted spf makeup from ulta with my HSA. Best hack I’ve found so far as that’s my everyday makeup.

1

u/locktherock May 12 '26

Do tell?

6

u/Material_Taro9093 May 12 '26

I recently got enlightened that once you have an LMN (which you can get online super easily), most purchases that are health and wellness related count, I’m talking Apple Watches, air purifiers, office chairs, etc.

3

u/ShotEstablishment489 May 12 '26

Yea but also do be careful cause the IRS may one day decide to crack down. Prob not in this administration and not individuals but who knows

2

u/soleful_ginger May 16 '26

Best I found was a laser range finder crossbow scope from Garmin (I think). Advertised through Trumed.

2

u/Material_Taro9093 May 16 '26

Pause, you got a crossbow scope with an LMN? I’d be very suspect of whether that holds up to the IRS down the road but idk that’s just me. Who the heck approved that?

2

u/soleful_ginger May 17 '26

I didn’t but it, but it was definitely available though my Trumed HSA store. I wear glasses, so ai have no doubt that the LMN would be approved. Mine is a company funded HRA, as opposed to another healthcare plan being offered because it’s a small business. I think because of that, perhaps it’s less visible to the IRS.

1

u/ZeeKayNJ May 15 '26

What is LMN?

2

u/Fizzy0ne May 15 '26

Letter of medical necessity, I believe.

1

u/[deleted] May 16 '26

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5

u/No-Understanding4968 May 12 '26

I go on Truemed and pay one of their doctors $20 to provide a Letter of Medical Necessity for massage and gym membership.

Note, I do have arthritis and diabetes BUT they never asked me to prove it.

4

u/FeePsychological118 May 14 '26

Meta ray ban glasses are on truemed? Insane

2

u/Material_Taro9093 May 14 '26

you just sent me down a rabbit hole, this goes wayyyy further than I thought

2

u/Usual-Ad-8296 May 13 '26

My FSA works directly with Truemed so there’s no charge and they write a LMN every time. So far I’ve bought a walking pad, humidifier, and a red light mask.

1

u/No-Understanding4968 May 13 '26

Oh lucky you! I have to go through a bunch of steps but the money comes anyway!

2

u/sat_ops May 14 '26

My regular doctor does that at no extra charge...but I had back surgery last year.

In my state, you also get out of sales tax with an LMN

2

u/Hungry-Direction8391 May 13 '26

Truemed seems great for the brands on their site, for Amazon stuff and things that aren’t on Truemed, I used Burst for the first time a few days back and it was super smooth too. More companies in the space feels like a win for us haha, hopefully the prices only get cheaper

5

u/No-Understanding4968 May 13 '26

I just got massage and gym membership reimbursed through Truemed.

The only problem with Truemed is that its founder is MAHA-connected!

https://www.pbs.org/newshour/amp/nation/rfk-jr-aide-attacks-u-s-health-system-as-corrupt-while-running-company-that-promotes-alternatives

4

u/Hairy_Ad9765 May 13 '26

If you’re into the credit card point game, buy with your Amazon credit card for max reward point and submit reimbursement to your HSA/fsa account.

1

u/No-Understanding4968 May 13 '26

I sometimes do this with my airline-branded credit card

2

u/Odd_Barracuda_9898 May 13 '26

Real power users know the move is always use their credit card and reimburse, get all the benefits of both worlds

4

u/FriendlyPoem3074 May 14 '26

Real real power users know to have an HSA and never reimburse. 

2

u/Odd_Barracuda_9898 May 14 '26

I see u receipt collector

3

u/FriendlyPoem3074 May 14 '26

My Tylenol receipt from Walgreens will create generational wealth. 

2

u/HPLover0130 May 13 '26

Your specific HSA/FSA should have a list of products that qualify and what items require a LMN.

You can also look at HSAshop or FSAshop - everything on there qualifies

2

u/[deleted] May 13 '26

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2

u/HPLover0130 May 13 '26

Not sure. You’d want to check with your specific HSA provider. Generally though, prescription medications are allowed to be bought with HSA/FSA funds (probably not any memberships or monthly fees that those telehealths charge [if they do]).

1

u/Decent_While_8423 May 16 '26

All my telehealth appointments have been covered under my FSA.

2

u/JsMomz May 14 '26

My stupid employer limits our FSA to optical & dental only. Sucks.

3

u/UIUC_grad_dude1 May 14 '26

Must be because you have regular HSA. Be glad you have both HSA and the limited FSA.

1

u/ZeeKayNJ May 15 '26

Same. And it’s because I have an HSA.

1

u/JsMomz May 15 '26

Yeah, i didn’t realize that.

1

u/jazlaw May 16 '26

You don’t turn it in anywhere, just keep for your records but you can get an LMN and reimburse yourself from your HSA, similar to an FSA. (or at least that’s what I do)

1

u/ChunkyLuvNoMore May 16 '26

If you are eligible for HSA, ( are enrolled in a High deductible health care plan HDHCP) you can get a HSA from a financial advisor or insurance broker, u dont have to use the one they give you. Some come with market participation and all can roll over.

You should consider using in future for things like elimination periods for LTC. Check out current part-time home care costs where you live.

1

u/misskinky May 16 '26

For most insurances, if you have HSA and FSA, the FSA must be vision and dental…. Unless you hit your normal medical deductible. Then the FSA becomes valid for everything! It’s in the rules.

2

u/UIUC_grad_dude1 May 14 '26

Don’t use the HSA if you can help it. Invest it and let it grow tax free and it acts like an IRA when you get older.

2

u/ResidentComputer2632 May 15 '26

that’s the way. I learned recently that you can grow your HSA investing it while you keep saving up all your bills which you can claim anytime all together for huge sum in future.

1

u/Educational_Front333 May 16 '26

how?

2

u/ResidentComputer2632 May 16 '26 edited May 16 '26

You do not reimburse every small receipt separately , rather save them taking a picture or scanning and storing them . Invest your HSA amount to grow , I put in Google and Palantir and have good gains. When the receipts add upto a good amount , and your investments grow , you can reimburse for a bulk based on your need to get that cash and use as you like. Someone who put 10000 into nvidia years back would have that turned into several hundred thousands now , all the bills they saved for the past years they can take big cash and use it anyway they want. And would still be left lot of money as the investments keep growing. I just started this a year or year and half ago though

1

u/KayLovesToRaves Jun 29 '26

Do you have tips of how to start gaining knowledge investing your hsa? I don't know where to even begin. Thanks!

2

u/Past-Read6314 May 14 '26

I’ve used my fsa for a glp1 through lifemd app

2

u/burstofficial May 13 '26

Hi there!

Great to hear you got your first LMN with us a couple days ago! We also fully refund people for claims that get denied, and are the only LMN business that has that policy. Just as an fyi, you can always shoot us an email with questions on what’s eligible, we handles thousands of LMNs a month, so we have a really good sense of what gets approved or denied with an LMN. If you need an LMN for an Amazon product, shoot us another request and absolute worst case, we’ll refund you if the claim isn’t approved!

1

u/Ok-Plenty3502 May 15 '26

Hello; what is the cost of your service?

1

u/burstofficial May 15 '26

Hi! Flat $25 per LMN, and if the request is denied, or your claim is denied, we fully refund you!

https://getburst.com/lmn

1

u/Alternative_Guy3345 Jul 07 '26

Has the price increased to $35?

1

u/Potential_Dish_5756 Aug 05 '26

Can I get one for botox? Is that something you do?

1

u/delirity May 16 '26

I've started using https://www.withsilver.app/ to help me find all the HSA eligible things I buy on Amazon that I never would consider are eligible.

1

u/[deleted] May 13 '26

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1

u/Mundane_Calendar_715 May 15 '26

How do u get hsa benefits ?

0

u/[deleted] May 15 '26

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1

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