HSA/FSA

Use your HSA/FSA to reimburse your Fortitude membership (if you qualify).

Through our partnership with Truemed, eligible members can use pre-tax HSA/FSA funds to reimburse gym membership payments—often translating to meaningful savings based on your tax rate.

How it works

1. Complete a private health assessment through Truemed.
2. If you’re eligible, you’ll pay a one-time $30 fee and receive a Letter of Medical Necessity (LMN)—typically within 24–48 hours (1–2 days).
3. Keep paying Fortitude like normal (your usual payment method), then submit for reimbursement using the LMN and your receipts.

Important: Truemed determines eligibility via a licensed provider review. Reimbursement timing and approval ultimately depend on your HSA/FSA administrator.

Paying with an HSA card vs. reimbursing yourself

• HSA card: After you receive your LMN, some members can successfully switch their payment method to an HSA card. If your HSA card is declined, you can still pay normally and reimburse manually. (Approval/declines are at your HSA administrator’s discretion.)
• FSA card: FSA cards are commonly rejected for this type of purchase, so most people use a regular payment method (ACH or Credit/Debit card) and submit for reimbursement.

What you’ll need

• Your Truemed Letter of Medical Necessity (LMN)
• Your Fortitude receipts (your payment history/receipts are typically what you’ll submit alongside the LMN)

Truemed provides guidance for submitting claims, and approved LMNs generally cover purchases for the next 12 months from issuance.

How to Access Your Fortitude Membership Invoices (for HSA/FSA Reimbursement)

To submit reimbursement, you’ll need copies of your membership invoices/receipts. You can easily find these in the PushPress app:

1. Open the PushPress app
2. From the Home screen, tap the gear icon in the top right
3. Select Payments
4. Tap Invoices at the bottom of the screen
5. Download or screenshot the invoices you need and submit them with your Letter of Medical Necessity (LMN)

Tip: Most members submit invoices covering the same period as their LMN. If your administrator allows batch submissions, you can upload multiple invoices at once.

If you have trouble locating invoices or need help exporting them, email us or ask a coach—we’re happy to help.