Yes if you enable "cash out via paypal every month" in your panel.
DH cashes out your rewards instantly but you still need to wait for few days to receive the money in your account. I believe it also take few days to approve the transfer among banks.
When you purchase anything, there will be an option for you "purchase using rewards". I don't remember the exact word. But it is something like. So you can choose to use money or rewards to purchase.
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