Amazon Accepting FSA/HSA Debit Cards for Eligible Healthcare Purchases

May 30, 2019

Amazon has announced that their customers can now pay for eligible out-of-pocket medical expenses with a flexible spending account (FSA) or health savings account (HSA) debit card. Customers can use their FSA or HSA card to purchase a wide range of eligible over-the-counter items, eliminating the need to pay out-of-pocket or submit receipts for reimbursement.

A few of the hundreds of everyday health products eligible for FSA and HSA payment from Amazon include:

  • Blood glucose monitors
  • Blood pressure kits
  • First aid supplies
  • IV equipment
  • Cholesterol meters
  • Ultrasound devices

A full list of eligible products can be found here.

Since over-the-counter medications require a prescription to be FSA- or HSA-eligible, the new Amazon program doesn’t support such purchases. Users who do want to buy over-the-counter drugs on the platform can do so with a written prescription from their provider—just not using a FSA or HSA benefit card. Instead, they must file a hard-copy claim requesting reimbursement and provide their itemized statement and a copy of the written prescription from their provider. 

Prescription drug services aren’t currently integrated into the Amazon FSA/HSA program.

FSA and HSA plans allow users with health insurance to set aside a portion of their salaries before taxes to cover medical expenses that would otherwise be paid for out-of-pocket.

Amazon started rolling out the program to customers in March 2019.