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_lmmk_ t1_itwwero wrote

My HSA card is the exact same as a debit card. There’s no extra paperwork unless I buy something on Amazon, for instance, instead of at my pharmacy.

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LiveToSee22 OP t1_itwwusi wrote

Curious...why the extra paperwork for buying something at Amazon? Is it because there isn't the visibility into what was actually purchased there vs. the pharmacy providing that detail somehow?

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_lmmk_ t1_itwxg0w wrote

Yeah. So last year I tore my ACL and bought a cool therapy medical device. The device itself is something I can pay for with my HSA, but it was like $250 cheaper to get it on Amazon than through Kaiser. I tried using my HSA card but it wouldn’t go through on Amazon, so I paid out of pocket.

My extra paperwork was super easy - I just downloaded the Amazon receipt, uploaded it to my HSA website, and like 2 months later I was reimbursed out of the HSA for my out of pocket cost.

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ICUpikachu t1_itwxpkp wrote

You’re spot on. It depends on the merchants system if it tells the custodian if the item is qualified or not.

At least that’s how we explained it in the call center

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