We've had good luck with Amazon Fresh, but my husband already had a prime 
account.

He had to pester them before we got free delivery. They used to charge $15 for 
delivery and they had an ad that said it was free for prime members but you had 
to email them; I believe it varies per region.

Anyway, he emailed, no luck. He called, no luck. But finally after persisting 
his account was flagged so our deliveries are now free.

Amazon Fresh used to deliver in these huge green coolers which looked like 
giant lunchboxes -- cardboard inside and green vinyl outside. They contained 
dry ice -- watch out little fingers -- and your stuff in paper bags.

Now they skip the green lunchboxes and only dry ice for frozen items. They just 
plop enormously heavy and very fragile bags on your doorstep after ringing your 
bell. You haul it all inside, being careful the bags don't tear!

My husband who is sighted goes through the bags for me to remove the dry ice, 
and that protects my fingers so I can safely touch everything. But occasionally 
some of it is hidden so I've gotten burned before.

Substitutions for us were frequent at first, not very frequent now. The quality 
of the products is good, but many are organic and expensive so if you want to 
spend less you have to search more.  However, if you take the time and pay 
attention to price, you can avoid spending more than you did in the grocery 
store. 

It's also important to know that an item is often cheaper through Amazon pantry 
than it is through fresh. Tuna and dishwashing detergent for example are 
cheaper.
Amazon pantry requires you spend $35 approximately -- you have to fill a pantry 
box, but you can get most nonperishable items.  If you have a prime account 
it's a cheaper way overall.

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