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General HSA/FSA FAQs

What is EquiLife’s relationship with Flex?

Equi.Life has partnered with Flex, one of the leaders in the online processing of HSA/FSA payments, to allow you to use your Health Savings Account (HSA) or Flexible Spending Account (FSA) when purchasing on Equi.Life. This means you can now use your

How do I pay with my HSA or FSA card?

For One-Time Purchases:. Step 1: Checkout. Select “Flex | Pay with HSA/FSA" as a payment method. If this option is not visible, be sure you select "Check out as Guest"Step 2: Confirm Eligibility. If prompted, take a quick, private health survey. A li

What is a Letter of Medical Necessity?

Some products require documentation from a licensed healthcare provider stating that the item is necessary to treat or manage a specific medical condition. If the product requires a Letter of Medical Necessity (LOMN), EquiLife facilitates a chat-base

What if I don't have my HSA/FSA card available?

If you don’t have your HSA or FSA card handy, still select “Flex | Pay with HSA/FSA” as your payment method. Enter your credit card information and Flex will email you an itemized receipt to submit for reimbursement.

Why is my HSA/FSA card being declined?

HSA/FSA cards are debit cards, and the most common reason for declines is insufficient funds. Reach out to your HSA/FSA administrator to confirm your balance.

I submitted my Flex itemized receipt for reimbursement and my FSA requires more information?

Please forward us the request from your FSA, and we will work with the Flex team to issue you a new receipt.

Help! I didn't receive an email from Flex with my itemized receipt and/or letter of medical necessity. What should I do?

Please check your spam folder, as sometimes emails from [email protected] may be automatically filtered as spam by some email service providers. If you still can’t find it, please email [email protected] and let them know the email addres

I would like to use multiple HSA/FSA cards to pay for an item. Can I do that?

No, unfortunately, this isn’t a supported feature right now. If there are insufficient funds in a single HSA or FSA account, you can instead enter a credit card on the Flex checkout page. You will receive an itemized receipt and/or Letter of Medical

My purchase receipt from Equi.Life has a different number than what my FSA was charged. How can we resolve it?

Please notify EquiLife Customer Support at [email protected]. We’ll review the charges and get back to you with details of the likely refund shortly.

Is sales tax covered by HSA/FSA funds, or is it treated separately?

Sales tax for eligible items is also covered by HSA/FSA funds. If the customer has a split cart, the tax will be divided among the cards based on the items.

Can I use my HSA/FSA funds for a prior transaction?

Sorry, no. HSA/FSA funds may only be using for a current transaction.