Updated August 2026 · Apollo pricing verified August 2026. HSA and FSA rules and prices both change; confirm with your plan administrator before buying

Are Vagus Nerve Devices HSA or FSA Eligible?

A printed billing statement on a desk beside reading glasses and a stethoscope

Apollo Neuro is. It takes HSA and FSA cards at checkout through a company called TrueMed, and if you miss that option you can still file for reimbursement afterward from the order confirmation page.

Before the math, the thing this site exists to say: slow breathing costs nothing, has better evidence behind it than any of the hardware on this site, and no tax break competes with free. If you have not tried the free methods for a few weeks, do that first. This page is for people who have, and who want the device anyway.

The Math on Apollo

Apollo runs $448. Our reader code VAGUSNERVETONE takes $99 off, which brings it to $349. Pre-tax money is worth roughly 25 to 35 percent depending on your bracket, so at 30 percent that is about $105 back.

Effective cost, code plus tax break: around $244.

That is a meaningful discount on the priciest wearable we cover, and it is honest to say it changes the calculation. It does not change what the device does. Apollo delivers gentle vibration to the skin. It is not true vagus nerve stimulation, we say so in the device guide, and paying for it with pre-tax dollars does not make it something else.

Watch for this: Apollo also sells a subscription membership. Subscriptions and one-time purchases behave differently at TrueMed checkout, and a recurring charge is exactly the kind of thing people forget they agreed to. Price the renewal into the decision, not just the hardware, the same warning we give in the device guide.

The Other Devices

We have not verified a TrueMed path for Truvaga, Pulsetto, or Neuvana. That does not mean none exists, it means we have not confirmed one and will not tell you it does. If you are buying one of those, ask the seller directly before you count on pre-tax money.

Nothing bought through Amazon has a TrueMed option, because Amazon checkout has no path for it.

How TrueMed Works

HSA and FSA money is meant for expenses that treat, mitigate, or prevent a diagnosed medical condition. A wellness wearable is not automatically that. TrueMed works with licensed practitioners who review a short health survey at checkout and, where appropriate, issue a Letter of Medical Necessity. That letter is what makes the expense qualified, and you hold it for three years.

  1. Add the device to your cart, one-time purchase, no subscription
  2. Skip Shop Pay, Apple Pay, and Google Pay, they bypass the TrueMed option
  3. Choose TrueMed at checkout
  4. Enter your HSA or FSA card and take the survey
  5. If approved, you are done, and the paperwork follows in a day or two

A Letter Is Not Evidence

This is the part worth reading twice on a site about a nerve that attracts more marketing than data.

A Letter of Medical Necessity is a tax document. A practitioner signing one so that you can spend pre-tax dollars on a vibrating wristband is not a clinical endorsement of vibrating wristbands. The research on these devices is thin, we rate them on that basis, and a form does not thicken it.

Getting medical-sounding paperwork for a purchase makes the purchase feel medical. Notice that happening and discount it.

Who This Excludes

HSAs generally require a high-deductible health plan. FSAs come through an employer and expire at the end of the plan year. Self-employed with no HSA from previous work, you are out. United States only. Your plan administrator has the final say regardless of any letter.

Bottom Line

If you have already decided on Apollo, stack the code and the pre-tax dollars and pay $244 instead of $448. That is a real saving and it takes two extra minutes.

If you are reading this because a tax break made a $448 device sound affordable, close the tab and go do six breaths a minute for ten minutes. It is free, the evidence is better, and you can start now. Thirty percent off something you did not need is not a saving.

We are not tax advisors and this is not tax advice. Confirm eligibility with your plan administrator.

The device we have verified offers TrueMed checkout: Apollo Neuro, with code VAGUSNERVETONE for $99 off.