HSA Trackr

LifeMD vs Hims HSA Comparison (2026)

Telehealth platform (NASDAQ: LFMD) covering primary care, weight management with GLP-1, and men's and women's health.

Telehealth for ED, hair loss, mental health, primary care, and weight loss with compounded GLP-1 options.

HSA Eligibility at a Glance

LifeMD

HSA-eligible (Rx required)

LifeMD prescription medications qualify under the IRS prescription-medicines rule (Pub 502) when prescribed for a diagnosed condition. Weight-loss GLP-1 specifically requires a diagnosis of obesity (BMI 30+, or 27+ with comorbidity) or type 2 diabetes. Keep the prescription, pharmacy receipt, and clinician chart note documenting the diagnosis.

Hims

HSA-eligible (Rx required)

Hims prescription medications qualify under the same IRS prescription-medicines rule. Weight-loss GLP-1 needs the obesity or comorbidity diagnosis on file. Identical paperwork: prescription, pharmacy receipt, clinician chart note. See /guides/hims-weight-loss-hsa for the full IRS analysis.

Pricing

LifeMD

Weight management plans approximately $199-$249/mo. Primary-care membership plus per-visit fees vary.

Hims

Compounded GLP-1 plans $199-$349/mo depending on dose. Other Hims subscriptions $10-$40+/mo.

Which Should You Pick?

When to choose LifeMD

  • You want primary care plus weight management on one platform
  • You prefer a publicly-traded provider with a membership-plus-prescription model
  • You want clinician-led care for general health alongside GLP-1

When to choose Hims

  • You want a recognized direct-to-consumer brand with broad Rx categories
  • You're managing multiple specialty needs (ED, hair, mental health) on one platform
  • You prefer subscription pricing per category rather than a bundled membership

Visit Each Vendor

Visit LifeMDVisit Hims

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Common Questions

Are LifeMD and Hims both HSA-eligible?▼
Yes when prescribed for a diagnosed condition. Both prescribe medications through licensed clinicians, and the IRS Publication 502 prescription-medicines rule covers the resulting Rx. For weight-loss GLP-1 specifically, both require an obesity diagnosis (BMI 30+, or 27+ with comorbidity) or type 2 diabetes for HSA eligibility. Keep the prescription, pharmacy receipt, and clinician chart note documenting the diagnosis for either vendor.
What's the price difference between LifeMD and Hims for weight loss?▼
Both run in a similar range. LifeMD weight management plans are approximately $199-$249 per month. Hims compounded GLP-1 plans run $199-$349 per month depending on dose. The HSA tax shield applies equally to both - at the 22% federal bracket, $200/mo saves about $528 per year in taxes.
Does LifeMD's membership model change HSA eligibility?▼
No. The membership fee itself is generally not HSA-eligible on its own (it's an administrative access fee, not a medical service), but the prescription medications, clinician visits, and lab work obtained through the membership are HSA-eligible when treating a diagnosed condition. Save itemized receipts that break out the membership from the medical services.
Do LifeMD or Hims accept HSA/FSA cards at checkout?▼
Card acceptance varies by program and merchant category code. If the card fails at checkout, pay with a regular card and reimburse from your HSA using the itemized receipt - this captures the same tax benefit either way. Hims has the longer track record of HSA/FSA card acceptance based on broader telehealth volume.
Which one is better for ongoing primary care?▼
LifeMD is the more primary-care-oriented platform with a membership model designed for general clinical relationships. Hims is more direct-to-consumer specialty (ED, hair, weight loss, mental health) and isn't structured around a primary-care relationship. If you want general medical care plus weight management, LifeMD fits that pattern better.
What documentation do I need for HSA reimbursement?▼
Three documents for both vendors: the prescription from the clinician, the pharmacy or platform receipt showing the medication or service paid for, and a clinician chart note documenting the diagnosis being treated. Save copies in your HSA receipt file. Both platforms provide clinical documentation through their patient portals.
How do I track LifeMD or Hims charges in HSA Trackr?▼
Set up a recurring monthly expense for whichever platform you use. Attach the monthly invoice and prescription label. Both LifeMD and Hims charge predictable monthly amounts which makes the recurring-expense pattern in HSA Trackr a clean fit.

Read More

Hsa Glp1 Weight LossHims Weight Loss Hsa

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