Best HSA-Eligible Telehealth Services (2026)

Telehealth platforms cover everything from primary care to men's health, weight loss, and dermatology. Visit fees and prescribed medications are HSA-eligible without an LMN. This guide ranks the platforms that work best with HSA dollars.

Hims

Men's health telehealth: ED, hair loss, mental health, weight loss.

HSA-eligible

Best for: men seeking discreet ED, hair loss, or mental health Rx. Bundled subscriptions.

$20-$199/mo depending on category

Ro

Telehealth across men's health, weight loss (Zepbound/Wegovy), and primary care.

HSA-eligible

Best for: GLP-1 weight loss access and broader Rx categories. Ships meds directly.

$15-$249/mo depending on program

Sesame Care

Pay-per-visit telehealth and in-person bookings with cash prices.

HSA-eligible

Best for: occasional sick visits, lab orders, or specialist consults without a subscription.

$25-$79 per visit

Lemonaid Health

Flat-fee telehealth for common conditions and ongoing Rx refills.

HSA-eligible

Best for: simple refills (BC, ED, sinus infections) at predictable flat-fee pricing.

$25-$95 per consult

PlushCare

Membership telehealth with same-day appointments. Accepts insurance.

HSA-eligible

Best for: people with insurance who want easy same-day appointments and ongoing primary care.

$16.99/mo membership + $99/visit (cash) or copay

Strut Health

Telehealth for men's and women's health with custom-compounded Rx.

HSA-eligible

Best for: people who want compounded combinations (e.g., finasteride plus minoxidil topical).

$30-$150/mo depending on formulation

Common Questions

Are telehealth visit fees HSA-eligible?
Yes. Visit fees paid to licensed telehealth providers are HSA-eligible without an LMN, same as in-person doctor visits.
What about prescription medications shipped from telehealth?
Prescribed medications dispensed by a licensed pharmacy are HSA-eligible. OTC products bundled by the platform (vitamins, cosmetic supplements) usually are not.
Can I use HSA for GLP-1 weight loss meds through Ro or Hims?
Yes when prescribed for a qualifying condition (obesity, type 2 diabetes). Visit fees and Rx fills are HSA-eligible. See our HSA + GLP-1 guide for the full breakdown.
Do membership fees for PlushCare count?
Yes. Monthly membership fees that grant access to medical care qualify as HSA-eligible medical expenses.
How do I track telehealth in HSA Trackr?
Log each visit fee and Rx charge as a separate expense with category 'medical' or 'pharmacy'. Upload the platform's receipt or visit summary as backup.

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