Starting June 2025, TUSHY has partnered with Flex to offer HSA/FSA payment options with a letter of medical necessity. Complete a brief eligibility survey at checkout to get started. Please note that eligibility may vary depending on your specific HSA/FSA plan. We recommend confirming coverage with your HSA/FSA administrator before making a purchase. TUSHY is not responsible for denied claims, as approval is subject to your plan’s individual policies.
HSA/FSA eligible*
TUSHY has now partnered with FLEX
Pay with HSA/FSA
We've partnered with Flex to enable customers to check out with their Health Savings Account (HSA) or Flexible Spending Account (FSA) card.
HSA/FSA payments with Flex
Flex makes it easy to use your HSA/FSA at checkout, so you can pay for eligible items using your health benefits with no extra steps.
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Select "Pay another way" or checkout as a guest.
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Select the "Flex - Pay with HSA/FSA" option.
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Enter your HSA/FSA card details.
Use your FSA funds before it’s too late
Some FSA plans allow you to use your balance before they expire,here are some important dates:
Questions? We Got Answers
TUSHY has partnered with Flex to allow you to use your Health Savings Account (HSA) or Flexible Spending Account (FSA). This means you can now use your HSA or FSA debit card to buy TUSHY bidets with pre-tax dollars, resulting in net savings of 30%, depending on your tax bracket.
Yes! Reboot Fiber Gummies are HSA/FSA eligible, which means you may be able to use your health savings or flexible spending account funds to purchase them.
At checkout, simply select the Flex payment option to pay with your HSA or FSA card. If you don't see that as an option, select "Alternative Payment Methods" to see all the different ways to pay.
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.
The key here is to make sure you are logged out of ShopPay. One of the easiest ways to do this is to go through checkout in an incognito window.
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.
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), Flex facilitates a chat-based telehealth consultation that is reviewed by a licensed provider, and typically the Letter is provided within 2 hours.
In order to qualify to use your HSA or FSA card for TUSHY products, the IRS requires you to have a Letter of Medical Necessity. TUSHY has partnered with Flex to enable telehealth visits as part of our checkout. A licensed provider will review your consultation, and within 24 hours of your purchase, you can log in to the consumer portal at withflex.com/portal using the same email you used at checkout to download your Letter of Medical Necessity and itemized receipt.
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.

