HSA FSA Eligibility

Meadow has partnered with Flex to allow qualified customers to use their Health Savings Account (HSA) or Flexible Spending Account (FSA).
This means you may be able to use your HSA or FSA debit card to buy meadow products.

HSA/FSA payment questions

You can now use your HSA or FSA to purchase select Meadow bras and essentials. Simply use your HSA/FSA card at checkout and let Meadow take care of the rest.

To use your HSA or FSA debit card, add products to your cart as usual. At checkout, select “Flex | Pay with HSA/FSA” as your payment option, enter your HSA or FSA debit card, and complete your checkout as usual. If you don’t see “Flex | Pay with HSA/FSA,” you may be in Shop Pay. Select “checkout as guest” to view more payment options.

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

The key here is to make sure you are logged out of Shop Pay. One of the easiest ways to do this is to go through checkout in an incognito/private browsing window or choose “checkout as guest.”

HSA/FSA cards are debit cards, and the most common reason for declines is insufficient funds. Please 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 or any additional documentation they can provide. You can email us at mahwash@meadowforall.com.

First, please check your spam folder, as sometimes emails from mahwash@meadowforall.com may be automatically filtered as spam.
If you still can’t find it, you can either email Flex directly at b or reach out to us at mahwash@meadowforall.com with the email address associated with your order, and we’ll help follow up.

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 Necessity from Flex, which you can submit for reimbursement.

Thanks for reaching out, and apologies for the discrepancy. We’ll review the charges and get back to you with details of the likely refund or adjustment as soon as possible. Please email mahwash@meadowforall.com with your order details.

Sales tax for eligible items is also covered by HSA/FSA funds. If you have a split cart (some HSA/FSA-eligible items and some ineligible items), the tax will be divided among the cards based on the items.

The IRS oversees HSA and FSA eligibility and dictates that a customer must have a medical condition or disease that they are seeking to treat or manage with Meadow. Customers must have documentation that confirms their eligibility, also called a Letter of Medical Necessity. Not to worry, Meadow has partnered with Flex to make this a quick and easy process for customers.

Letter of Medical Necessity Questions

Some products require documentation from a licensed healthcare provider stating that the item is necessary to treat or manage a specific medical condition. If a Meadow product requires a Letter of Medical Necessity (LOMN), Flex facilitates a chat-based consultation that generates the Letter in real time.

In order to qualify to use your HSA or FSA card for certain Meadow products, the IRS requires you to have a Letter of Medical Necessity. Meadow has partnered with Flex to enable asynchronous telehealth visits as part of checkout. Within 24 hours of your purchase, Flex will email you an itemized receipt and, if required, your Letter of Medical Necessity.

You should keep it on file for at least three years in the event of an IRS audit of your HSA or FSA account. Occasionally, FSAs may ask for the Letter to confirm the eligibility of your purchase.

Please email mahwash@meadowforall.com and they will reach out to their telehealth team to reprocess and send your corrected Letter of Medical Necessity. If you need help, you can also CC mahwash@meadowforall.com.

The date on my Letter of Medical Necessity is one day different from my receipt.

This may be a time zone issue. Thanks for letting us know! We’ll reach out to our partners at Flex to see if they can reissue the Letter with an updated date if needed.

My FSA says I need a product name, NPI number, or other info added to my Letter for approval.

Generally, Flex is not able to accommodate one-off requests, but we will reach out to our partners at Flex and see if they can update your Letter. Please email us at [your Meadow support email] with the request from your FSA.

Please check your spam folder, as sometimes emails from mahwash@meadowforall.com may be automatically filtered as spam.
If you still can’t find them, please email mahwash@meadowforall.com or contact us at mahwash@meadowforall.com and let us know the email address associated with your order.

HSA/FSA Reimbursement Questions

We strongly recommend checking with your HSA/FSA provider to see if a purchase is eligible before completing the purchase.

However, if you believe your claim has been wrongly denied, please send any response from your HSA/FSA provider to mahwash@meadowforall.com so we can share it with Flex and receive guidance on the next best steps.

Please note that employer-sponsored FSAs can determine what products are eligible beyond the IRS’s guidelines, so it’s extremely important to check prior to purchase.

The ability to apply for FSA reimbursement in a future calendar year depends on the policy of your specific FSA provider. Most FSA administrators require that the purchase be made during the time of coverage. For example, if the FSA coverage is for 2025, all purchases typically need to be made and/or submitted for reimbursement within that coverage period.

However, some administrators may have more flexible rules regarding the timing of when the expense occurred. We recommend reviewing your plan policy to confirm the details.

Note: Health Savings Accounts (HSAs) are different and generally allow for reimbursement at any time, even in future years.

Unfortunately, for purchases made without using Flex in the checkout (and therefore without receiving an itemized Flex receipt), it may be difficult to apply for reimbursement.

For HSAs, consumers can often use an itemized receipt for reimbursement anytime after they have made the purchase, even if it is many years later.

For FSAs, most accounts require that the purchase was made in the calendar year during which the consumer had the FSA, as FSAs typically do not roll over. Some FSAs offer a buffer window, allowing additional time to submit receipts for expenses incurred during the previous calendar year.