Pay with HSA / FSA

Use Your HSA/FSA Card to Save Up to 30% on Birchbury

Barefoot shoes support natural foot health, which means your pre-tax HSA or FSA dollars can cover them. Through Truemed, you check eligibility at checkout in minutes.

*Savings come from using pre-tax dollars for a qualifying HSA/FSA purchase. Actual savings depend on your tax rate.

Crossed feet wearing vintage brown Birchbury barefoot dress shoes resting outdoorsSave up to30%
Verified through Truemed Use your HSA/FSA card at checkout Full-grain American leather

The Basics

What are HSA and FSA accounts?

A Health Savings Account (HSA) or Flexible Spending Account (FSA) lets you set aside pre-tax money for qualified health expenses. When a purchase supports a medical need, like footwear that promotes natural foot alignment, you can use those pre-tax funds and effectively save 20-30% versus paying with post-tax income.

Simple & Fast

How to Pay with HSA/FSA

Truemed handles eligibility right inside checkout, and most people finish in under five minutes.

Add shoes to your cart

Shop any eligible Birchbury style and head to checkout as usual.

Choose “Pay with HSA/FSA”

Select the Truemed option under payment methods. Use guest checkout, since accelerated options like Shop Pay can hide it.

Verify eligibility

Complete Truemed's brief health survey to confirm you qualify.

Pay & get your LMN

Pay with your HSA/FSA card, or use any card and get reimbursed with your Letter of Medical Necessity.

Eligible Styles

Shop HSA/FSA-Eligible Shoes

Every Birchbury style qualifies. Pay with pre-tax dollars and save.

Bramford barefoot sneaker
HSA/FSA Eligible

Bramford

The everyday barefoot leather sneaker.

From$60
Shop Bramford
Brenston barefoot dress shoe
HSA/FSA Eligible

Brenston

The barefoot dress shoe for work and beyond.

$180
Shop Brenston
Carnforth barefoot chukka boot
HSA/FSA Eligible

Carnforth

The water-resistant barefoot chukka boot.

$197
Shop Carnforth

Good to Know

Frequently Asked Questions

Yes. Barefoot footwear that supports natural foot alignment and health can qualify as an eligible expense. Truemed verifies your eligibility at checkout and issues a Letter of Medical Necessity (LMN) when you qualify.

Because you're spending pre-tax dollars, most customers save roughly 20-30% versus paying with post-tax income. Your exact savings depend on your personal tax rate.

An LMN is documentation from a licensed provider stating that a product supports a medical need, and Truemed generates yours automatically after you complete the eligibility survey, so you don't need to visit a doctor separately.

No problem. You can pay with any credit or debit card at checkout and then submit your LMN to your HSA/FSA administrator for reimbursement.

No. There's no added cost to you for using Truemed at checkout, so you pay the same price for your shoes and simply get to use pre-tax dollars.

Sooner is better with an FSA, since those funds often expire at year-end under use-it-or-lose-it rules, so eligible purchases before your plan deadline keep you from forfeiting money. HSA funds roll over, but there's no reason to wait.

If you pay with an HSA/FSA card, your Letter of Medical Necessity is emailed to you and no further action is needed. If you pay with a credit or debit card, you'll receive your LMN with reimbursement instructions, typically within 48 hours.

Truemed's savings come specifically from HSA/FSA funds, so an eligible account is required to save. If you don't have one, you can still shop Birchbury normally at the standard price.

HSA/FSA accounts are US-specific, so Truemed reimbursement is only available to US customers with an eligible account. International orders are welcome at standard pricing.

Nothing. Just add your shoes to the cart, choose “Pay with HSA/FSA” at checkout, and complete Truemed's brief survey right then. Most people finish in under five minutes.

All of them: Bramford, Brenston, and Carnforth are eligible. Look for the “HSA/FSA Eligible” badge on any product.

Put your health dollars toward healthier feet.

Shop barefoot shoes today and pay with your HSA or FSA at checkout, powered by Truemed.

Birchbury partners with Truemed to determine HSA/FSA eligibility. Truemed's services are available to qualified customers only, and eligibility is determined by a licensed provider through Truemed. HSA/FSA tax savings vary by individual. This page is for informational purposes and is not tax or medical advice. Learn more at truemed.com/disclosures.