Hims HSA Reimbursement Calculator

See exactly how much an HSA shaves off your Hims subscription. Pick a service, dial in your monthly cost and tax bracket, and the calculator shows annual savings, multi-year totals, and your effective discount.

By Will MatherReviewed 2 min interactive
Interactive

How the math works

HSA dollars are pre-tax. When you pay a $100 medical bill from your HSA, you avoid federal income tax, state income tax (in most states), and if your HSA contribution came from payroll, FICA tax too. The combined marginal rate IS the effective discount on your Hims subscription.

For a Hims customer at the 22% federal bracket in a 5% state paying $250/month for compounded GLP-1, the math is $250 × 12 = $3,000/yr in Hims spend, and $3,000 × (22% + 5% + 7.65%) = $1,040/yr in tax savings - an effective 34.65% discount on the sticker price.

The chart stacks the savings by source (federal, state, FICA) so you can see which piece is doing the most work. State-tax-free states like Texas and Florida lose the orange band - federal and FICA still apply. If you contribute to your HSA directly from a bank account rather than through payroll, FICA disappears too - you already paid it on that income before contributing.

Frequently asked questions

Which Hims services qualify for HSA reimbursement?
Prescription services qualify: ED medications, mental health (therapy + Rx), compounded GLP-1 weight loss, primary care visits, and prescription skincare for diagnosed conditions. Cosmetic-only purchases and hair loss medications without a Letter of Medical Necessity are excluded.
How does the calculator handle FICA savings?
The payroll-deduction toggle controls FICA. If your HSA contributions come from your paycheck through an employer plan, FICA (7.65%) is saved on top of federal and state. If you contribute directly to your HSA from a bank account, you have already paid FICA on that income, so the calculator excludes it.
Does this work for both branded and compounded medications?
Yes. The IRS prescription-medicines rule does not distinguish between branded and compounded preparations - both qualify as long as the prescription is valid and the medication is dispensed by a licensed pharmacy. Set the monthly cost to match what you actually pay through Hims.
Why does the effective discount percentage equal my tax rate?
Because that is exactly what it is. HSA dollars are pre-tax, so paying $100 from your HSA is mathematically equivalent to getting a discount equal to your combined federal + state + FICA marginal rate applied to incremental HSA spend. The calculator shows this percentage as the effective discount.
Should I use my HSA card directly at Hims, or pay with a regular card and reimburse later?
Both work. The IRS does not require you to pay with the HSA debit card itself. Hims accepts HSA and FSA cards at checkout. If you prefer your usual rewards card, save the itemized receipt and reimburse yourself from your HSA later. The tax savings are identical.
Does this calculator factor in investment growth?
No. Hims is a recurring expense, not a long-term contribution, so the right math is annual tax savings stacked over the years you stay on the service. For long-term HSA growth math (e.g., what happens if you delay reimbursement and let the contribution compound), see the Shoebox Strategy Calculator.

Service-specific guides

The calculator shows the math. The guides explain the rules.

Ready to start?

Telehealth for ED, hair loss, mental health, primary care, and weight loss. Accepts HSA/FSA cards at checkout.

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The calculator shows the savings. HSA Trackr stores every receipt for tax-time reimbursement. Set up the recurring charge once.

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