How to request payment from the Beaumont HSA

We have transitioned to online forms to streamline the accounting of HSA expenses.  Please do not send forms to the front office or email receipts. 

Check Request Form

Fill out this form to request expense reimbursement or to have invoices paid for budgeted HSA expenditures. Please allow extra processing time for checks over $500. 


HSA Debit Card Request Form *For HSA Executive Team Members Only

Use this form to submit receipts for HSA debit card purchases.