How Flex Works
4 Easy Steps to use your HSA/FSA Pre-Tax Dollars at OOFOS
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Checkout as Guest
If logged in to Shop Pay, check out as a guest.
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Pay with Flex
Select the Flex | Pay with HSA/FSA option.
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Confirm Eligibility
Include the specific condition you’re seeking relief for.
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Pay with HSA/FSA
Use your HSA or FSA card information to complete checkout.
Frequently Asked Questions
What is Flex and what is their relationship with OOFOS?
OOFOS has partnered with Flex to make it easier to invest in your health. Customers with HSA or FSA accounts may be able to use their pre-tax dollars on eligible products, with no extra steps or paperwork. Just select Flex at checkout.
What is an HSA/FSA Account?
Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) are tax-advantaged savings accounts that help you to pay for healthcare expenses.
Which OOFOS footwear is eligible for HSA & FSA payment with Flex?
All OOFOS products are HSA/FSA eligible, except for Gift Cards.
Why can't I see Flex as a payment method?
One of the easiest ways to do this is select 'Checkout as a guest' at the bottom of the Shop Pay checkout screen or go through checkout in incognito mode.
What if I don’t have my HSA/FSA card?
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 log in to the consumer portal at withflex.com/portal using the same email you used at checkout to download an itemized receipt to submit for reimbursement.
How much will I save using my HSA/ FSA funds?
Since these funds are pre-tax, you could save up to 30-40% depending on your tax bracket!
Do I need a prescription to purchase OOFOS products with HSA/FSA dollars?
No, but our products require documentation from a licensed healthcare provider stating that the item is necessary to treat or manage a specific medical condition. This documentation is called a Letter of Medical Necessity (LOMN). If a product requires a LOMN, we will facilitate a chat-based consultation that generates the letter in real time during checkout.
I would like to use multiple HSA/FSA cards to pay for an item. Can I do that?
No, unfortunately, this isn't a supported feature right now. If there are insufficient funds in a single HSA or FSA account, you can instead enter a credit card on the Flex checkout page. You will receive an itemized receipt and/or Letter of Medical Necessity from Flex, which you can submit for reimbursement.
What is a Letter of Medical Necessity?
A Letter of Medical Necessity is a formal document from a licensed healthcare provider stating that a specific product or service is required to treat, manage, or prevent a medical condition. This documentation is often required by HSA/FSA administrators to approve the use of pre-tax funds for certain health and wellness items.
Through our partner, Flex, you can obtain a LOMN directly during the checkout process:
- The Process: You will complete a brief, chat-based consultation with a medical professional during the checkout process.
- The Cost: There is a $4 fee for the consultation and issuance of the letter.
- Validity: Once issued, the letter is valid for one full year of eligible shopping.
Do I need to do anything with my Letter of Medical Necessity?
To access your Letter, log in to the consumer portal at withflex.com/portal using the same email you used at checkout to retrieve your letter. You should keep it on file for at least three years in the event of an IRS audit of your HSA or FSA account. Occasionally, FSAs may ask for the Letter to confirm the eligibility of your purchase.
My HSA/ FSA claim was denied. What should I do?
We strongly recommend checking with your HSA/FSA provider to see if a purchase is eligible prior to completing the purchase. However, if you believe your claim has been wrongly denied, please send over any response from your HSA/FSA provider to us so we can share it with Flex and receive guidance on the next best steps to take. Please note that employer-sponsored FSAs can determine what products are eligible beyond the IRS’s guidelines, so it’s extremely important to check prior to purchase.
Does my employer's specific plan affect my FSA eligibility?
Yes. While the IRS sets general guidelines for FSA-eligible items, individual employers have the right to further restrict what their specific plan covers. We recommend checking with your employer’s HR department or your plan administrator to confirm:
- If they allow for all IRS-eligible health and wellness categories.
- If there are specific merchant restrictions on where you can spend your funds.
- If they require a Letter of Medical Necessity (LOMN) for specific footwear even if they are generally listed as "eligible."
If I do not have enough funds in my HSA/FSA account to cover my purchase in full, can I still use Flex at checkout?
Yes, you may use the remaining funds on your purchase of eligible items, and a credit or debit card to cover the remainder.
When will I receive my itemized receipt?
Flex will email you an itemized receipt within two hours of your purchase.
I submitted my Flex itemized receipt for reimbursement and my FSA requires more information.
Please forward the request from your FSA to support@withflex.com, who can assist with additional information or a new receipt.



