Question 1

What is Gale and what is their relationship with Replenish Nutrition?

Accepted Answer

Replenish Nutrition has partnered with   Gale   to allow you to use your Health Savings Account (HSA) or Flexible Spending Account (FSA). This means you can now use your HSA or FSA debit card to buy physician-formulated supplements with pre-tax dollars, resulting in a percentage of savings depending on your tax bracket.

Question 2

How do I pay with my HSA/FSA card?

Accepted Answer

Add products to your cart as usual and make sure they are set as a one-time purchase, not a subscription. At checkout, select “Gale | Pay with HSA/FSA” as your payment option, enter your HSA or FSA debit card, and complete checkout as usual. If you don't see the Gale option, you may be in Shop Pay and should select “checkout as guest” to view more payment methods.

Question 3

What if I don't have my HSA/FSA card available?

Accepted Answer

Still choose “Gale | Pay with HSA/FSA” as your payment method. Enter your regular credit card information and Gale will email you an itemized receipt that you can submit for reimbursement.

Question 4

Why can't I see Gale as a payment method?

Accepted Answer

If you were prompted to enter a verification code when logging in or at checkout, you're likely using Shop Pay. Shop Pay is Shopify's express checkout option that lets you use your saved profile information across Shopify-powered stores. It speeds up checkout by skipping most of the standard steps. Want to use your HSA/FSA with Gale? On the Shop Pay screen, scroll to the bottom. Select “Check out as guest.” This redirects you to the standard checkout, where Gale appears as a payment option.

Question 5

Why is my HSA/FSA card being declined?

Accepted Answer

HSA/FSA cards are debit cards, and the most common reason for declines is insufficient funds. Reach out to your HSA/FSA administrator to confirm your available balance.

Question 6

I submitted my Gale itemized receipt for reimbursement, and my FSA requires more information.

Accepted Answer

Please forward the request from your FSA to   orders@replenishnutrition.com , and Replenish Nutrition will work with the Gale team to issue you a new receipt.

Question 7

I didn't receive an email from Gale with my itemized receipt and/or Letter of Medical Necessity. What should I do?

Accepted Answer

Please check your spam folder, as emails from Gale can sometimes be filtered. If you still can't find it, visit   withgale.com/contact   and let them know the email address associated with your order.

Question 8

I would like to use multiple HSA/FSA cards to pay for an item. Can I do that?

Accepted Answer

No, this isn't supported at this time. If one HSA or FSA account doesn't have enough funds, you can enter a regular credit card on the Gale checkout page and then submit the receipt and Letter of Medical Necessity for reimbursement.

Question 9

Are sales tax expenses covered by HSA/FSA funds, or are they treated separately?

Accepted Answer

Sales tax for eligible items is also covered by HSA/FSA funds. If a customer has a split cart, the tax will be divided among the cards based on the eligible items.

Question 10

What is a Letter of Medical Necessity?

Accepted Answer

A Letter of Medical Necessity is essentially a note from a doctor stating that you are purchasing an item to treat or manage a medical condition.

Question 11

Why do I need to provide Replenish Nutrition with health information?

Accepted Answer

To qualify to use your HSA or FSA card for Replenish Nutrition supplements, the IRS requires a Letter of Medical Necessity. Replenish Nutrition has partnered with Gale to enable an asynchronous telehealth review as part of checkout. Within 24 hours of your purchase, Gale will email you the itemized receipt and supporting documentation.

Question 12

Do I need to do anything with my Letter of Medical Necessity?

Accepted Answer

Keep it on file for at least three years in the event of an IRS audit of your HSA or FSA account. Occasionally, FSA administrators may also ask to see the letter to confirm purchase eligibility.

Question 13

I mistakenly entered the wrong name and/or date of birth and need to get an updated letter. Whom can I reach out to?

Accepted Answer

Please email   withgale.com/contact , and Gale will reach out to their telehealth team to reprocess and send your corrected Letter of Medical Necessity.

Question 14

The date of my LOMN is one day different from my receipt's date.

Accepted Answer

This may be a time zone issue. Contact   orders@replenishnutrition.com   so Replenish Nutrition can reach out to Gale and see whether the letter can be reissued with the corrected date.

Question 15

My FSA says I need a product name, NPI number, or other details added to my letter for approval.

Accepted Answer

Generally, one-off custom requests cannot be guaranteed, but Replenish Nutrition will reach out to Gale to see whether your request can be accommodated.

Question 16

I did not receive an itemized receipt and/or Letter of Medical Necessity from Gale. What should I do?

Accepted Answer

Please check your spam folder first. If the email still isn't there, visit   withgale.com/contact   and let them know which email address you used for the order.

Question 17

My HSA/FSA claim was denied. What should I do?

Accepted Answer

Check with your HSA/FSA provider before purchase whenever possible to confirm eligibility. If you believe your claim was wrongly denied, send any response from your provider to Replenish Nutrition so it can be shared with Gale for guidance on next steps. Employer-sponsored FSAs can set stricter rules than the IRS, so eligibility can vary by plan.

Question 18

Can a customer purchase a product now and apply to FSA reimbursement in the next calendar year?

Accepted Answer

That depends on the policy of the specific FSA provider. Most FSA administrators require that the purchase be made during the period of coverage, so purchases for a 2025 plan generally need to be made and submitted within that same coverage window.

Question 19

Can old customers who did not use Gale at checkout use their order confirmation email to apply for HSA/FSA reimbursement?

Accepted Answer

Unfortunately, for purchases made without using Gale in checkout to receive an itemized receipt, it may be difficult to apply for reimbursement. For Health Savings Accounts (HSAs), customers can use an itemized receipt for reimbursement anytime after a purchase, even many years later. For Flexible Spending Accounts (FSAs), most plans require that the purchase was made during the same calendar year as the active FSA coverage, although some providers offer a short grace period for receipt submission.

Pay with HSA/FSA

Follow the HSA/FSA checkout flow step by step

1. Build your cart

2. Select Gale at checkout

3. Complete the health questionnaire

4. Review your approval status

Documentation and reimbursement details

Answers for payment, letters, and reimbursement

General HSA/FSA FAQ

Letter of Medical Necessity FAQ

HSA/FSA Reimbursement Questions