Noom GLP-1 program box beside a phone displaying the Noom Med app, a vial and an injection pen.

Is Noom HSA/FSA Eligible? Yes, Here's How!

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Quick Answer:

Yes, Noom Weight and Noom Med are HSA/FSA eligible with a Letter of Medical Necessity (LMN) from a licensed healthcare provider. They qualify when used to prevent, manage, or reverse conditions like obesity, hypertension, or prediabetes.

Crates Health makes this easy. Get your personalized, compliant LMN and handle your reimbursement in one click.

What Is Noom

Noom puts food logging and short lessons on your phone. Its core program, Noom Weight, focuses on eating habits, activity and the everyday decisions behind weight management. You record meals, follow lessons and track your progress in the app.

The medication-free subscription costs about $70 for one month, $169 for four months or $209 for a year, according to Noom's regular price list. Noom Med adds access to clinicians and prescription weight-loss medicines when clinically appropriate. Some Med plans include medication; the branded-medication plan charges for it separately.

For your HSA or FSA, what matters is what you're paying for. A Noom plan used to manage a health condition has a medical purpose, and your letter documents it. A prescription your pharmacy bills on its own is already medical care and needs no letter.

Why Noom Qualifies for HSA/FSA

Noom Weight and Noom Med plans qualify with a Letter of Medical Necessity documenting their medical purpose. IRS Publication 502 includes expenses for “diagnosis, cure, mitigation, treatment, or prevention of disease”. Its Weight-Loss Program entry counts program fees when weight loss is “a treatment for a specific disease diagnosed by a physician (such as obesity, hypertension, or heart disease)”.

Losing weight to look better or feel healthier in general doesn't count, but the same Noom plan used to manage a health condition qualifies with an LMN. Some common conditions a provider can document include:

Other conditions count when your provider connects the weight-loss program to your medical care.

Medication your pharmacy bills needs no letter. Publication 502 counts prescription medicines on their own, so branded medication filled at your pharmacy is eligible without an LMN. Noom Med's all-inclusive plans put the program, clinical care and medication in one subscription, and that subscription qualifies with an LMN, just like Noom Weight.

How to Get Noom Covered With a Letter of Medical Necessity

For your Noom plan, you have two ways to get your letter:

  • Through Crates, typically in under 24 hours. Complete a 2 to 3 minute online health assessment. A licensed provider reviews it and, if you qualify, issues your letter for the Noom membership. It stays valid for 12 months and renews each year.
  • Through your own doctor, a few days to a few weeks. Book a visit and explain that you want to use HSA/FSA funds for Noom. Ask them to document how a weight-loss program helps prevent, manage, or reverse your condition and to sign and date the letter. You may owe a copay.

How to Buy Noom With HSA/FSA Funds

Choose your Noom subscription, pay personally, then get the eligible program fees back from your HSA or FSA:

  1. Get your Letter of Medical Necessity first. Use Crates or your own doctor, as described above.
  2. Buy your Noom membership. Pay with your personal card wherever you purchase the subscription. Keep the itemized receipt showing the program and amount paid.
  3. Get your money back. Crates one-click reimbursement files the claim for you, or upload the letter and receipt yourself. For an HSA, keep both with your tax records.

Publication 969 explains that eligible HSA expenses occur after the account is established, while FSA expenses fall within the coverage period. Our HSA vs. FSA guide explains the account differences.

Noom Membership Options and Pricing

Every plan below qualifies the same way, with an LMN, whether it is the app alone or a Noom Med plan that bundles clinical care and medication. The one cost that needs no letter is branded medication your pharmacy bills separately on the Telehealth for Branded Meds plan. Prices are Noom's regular U.S. prices from its Weight plan list and Noom Med pricing page, read October 22, 2026, before introductory offers and taxes.

Noom optionWhat you getRegular priceHSA/FSA eligibility
Noom WeightApp-based weight-loss program$70/month; $169/4 months; $209/yearYes, with an LMN
Microdose GLP-1 Rx ProgramProgram, clinical care and medication$179/month, billed quarterlyYes, with an LMN
GLP-1 Rx ProgramProgram, clinical care and medication$249/month, billed quarterlyYes, with an LMN
GLP-1 Rx Plus ProgramProgram, clinical care and medication$299/month, billed quarterlyYes, with an LMN
Weight Loss Pill (Metformin)Program, clinical care and medication$99/month, billed quarterlyYes, with an LMN
Telehealth for Branded MedsProgram and clinical care; medication separate$129/month, billed quarterlyYes, with an LMN

Paying eligible expenses with pre-tax funds can save up to 30%, depending on your tax rates and how you fund the account. Curious what else your account can cover? Our FSA eligible items list runs through it, weight-loss programs included.

Frequently Asked Questions

Can I use my FSA for Noom?

Yes. A Noom Weight subscription used to manage a health condition is an eligible FSA expense with an LMN. Membership length does not change that rule. Get the letter before joining, then pay personally and upload your receipt and letter to receive reimbursement.

Can I pay for Noom with my HSA card?

No. Noom says it does not take HSA/FSA cards at checkout, so pay with your personal card and keep the receipt Noom emails you, along with your LMN. Crates can take the filing off your hands in one click: we send the claim, and the eligible amount comes back to you.

Is Noom Med HSA eligible?

Yes. Noom Med plans are HSA/FSA eligible with an LMN, because each subscription bundles the program with clinical care, and most include the medication. On the Telehealth for Branded Meds plan, the medication your pharmacy bills needs no letter; its pharmacy receipt is enough. Get your letter, then claim the Noom subscription with its receipt.

How much do 4 months of Noom cost?

Noom lists its four-month Weight plan at $169 before taxes or discounts. That works out to $42.25 per month. With an LMN for medical weight management, those program fees are eligible for HSA/FSA reimbursement. Get your letter first and keep the subscription receipt.

Can I get reimbursed for Noom I already bought?

Yes, when your HSA was already open, or your FSA coverage had started, on the day you paid, and your letter covers that time (Publication 969 sets those dates). Keep the Noom receipt, and get your letter before your next renewal so every future charge is documented.

Do I need a new letter for every month of Noom?

No. A letter for your Noom membership covers eligible program fees during its stated term, so each recurring charge does not need a new letter. Crates letters last 12 months and renew annually. You can keep an existing membership, get your letter and use it for eligible fees going forward.

Anchor Ebanks

Written by

Anchor Ebanks

Anchor Ebanks is an HSA/FSA optimization expert featured in Yahoo Finance, The American Journal of Healthcare Strategy, Admissions Gateway, and Poets & Quants. He attended Harvard Business School and was an AI research fellow at the Berkman Klein Center for Internet & Society focused on healthcare access. Prior to wellness benefits, he spent nearly a decade at Google, YouTube, and Deloitte. Connect on LinkedIn, Twitter, or at anchor@crateshealth.com.

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