Are deep tissue massages HSA eligible?

Asked by: Ms. Mellie Labadie  |  Last update: September 16, 2025
Score: 4.8/5 (23 votes)

Your HSA can pay for massage therapy, though you'll likely need a letter of medical necessity (LMN) from your doctor. An LMN states what condition the treatment is for, how many sessions you need, and any other relevant details. An HSA may also be used on alternative or holistic treatments, such as: Massage therapy.

Does HSA cover deep tissue massage?

Not all HSA providers cover massage therapy, so check with your provider before using HSA funds for this purpose. You can use HSA funds for a wide range of massage therapy services, including Swedish, deep tissue, and sports massages, among others. However, hot stone massages are usually not covered.

Can I use my HSA at Massage Envy?

Fun fact: you can use your HSA/FSA card to get massages at Massage Envy.

Can I use my HSA for elements massage?

Yes, we do!

We also accept HSA and FSA cards. Massage is an important part of your overall wellness plan, and we are happy to help you meet your health goals as easily and smoothly as possible.

Are deep tissue massages covered by FSA?

Yes, therapeutic medical massages can be considered qualified FSA massages when accompanied by a doctor's note. To qualify, it typically requires a Letter of Medical Necessity (LMN) to be considered FSA-eligible.

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38 related questions found

Are gym memberships FSA eligible?

The Internal Revenue Service (IRS) usually doesn't allow funds from an FSA to pay for membership dues at health clubs or gyms. However, the IRS allows FSA funds to be used for paying separate fees charged at health clinics or physical therapy centers for specific activities prescribed by doctors for an individual.

Is an HSA or FSA better?

Bottom line: Both HSAs and FSAs provide financial benefits for managing health care expenses. HSAs offer more flexibility and long-term growth potential, making them a valuable tool for future financial planning. Learn about HSA options from Aetna.

Can I use my HSA for lymphatic massage?

Can HSA be used for lymphatic drainage massage? Lymphatic drainage massage, which helps circulate lymphatic fluid and reduce swelling, may be eligible for HSA or FSA reimbursement with a Letter of Medical Necessity.

Can I use my HSA at a medical spa?

These accounts offer a tax-advantaged way to pay for qualified medical expenses, including certain spa treatments, enhancing your overall wellness while managing your healthcare budget effectively. Important Points to Remember: Pay for service: You can use your FSA or HSA card for payment at our spa without any issues.

Are muscle massagers HSA eligible?

If your healthcare professional recommends a Theragun to relieve muscle tension from your injury, it may qualify as a medical expense as long as you follow all the rules required to receive reimbursement from your HSA or FSA provider.

Can I use HSA for gym membership?

Gym memberships. While some companies and private insurers may offer discounts on gym memberships, you generally can't use your FSA or HSA account to pay for gym or health club memberships. An exception to that rule would be if your doctor deems fitness medically necessary for your recovery or treatment.

Can HSA pay for chiropractic?

HSAs can be used for large and small qualified medical expenses. You can use your HSA for ongoing medical services and treatments, like chiropractic care, acupuncture, or physical exams. Medical copays, deductibles, and coinsurance can also be covered under an HSA.

Can I use my HSA for Botox?

Can you use HSA funds to pay for Botox? If you're using Botox for cosmetic purposes like reducing wrinkles or fine lines, it's not considered an HSA-eligible expense. However, Botox may be HSA eligible if it's used to treat a medical condition like chronic migraines, severe muscle spasms, or overactive bladder.

Can I use HSA for glasses?

Yes! You can definitely use funds from your flexible spending account (FSA) or health savings account (HSA) to purchase prescription glasses. (FSAs and HSAs can be used for many other vision- and eye health-related expenses, too, but we'll discuss that more in a bit.)

Can I pay for acupuncture with HSA?

The short answer is yes, in most cases, you can use your HSA to pay for acupuncture treatments. However, it's essential to note that there are some criteria you must meet to qualify for HSA reimbursement.

Can I use my HSA for a facial?

First and foremost, not all facial treatments will be eligible for HSA funds. It is crucial to ensure that the treatment meets the IRS guidelines for qualified medical expenses. Additionally, using HSA funds for facials may deplete your account balance, leaving fewer funds for other medical expenses.

Can you pay for deep tissue massage with HSA?

Pay with Your FSA or HSA: Once you have the prescription, you can pay for your massage therapy directly with your FSA or HSA debit card. If your provider doesn't accept these cards, you can pay out of pocket and submit a claim for reimbursement.

Can I use HSA for Invisalign?

Many patients are surprised to learn that you can use your Flexible Spending Account (FSA) or Health Spending Account (HSA) to pay for orthodontic treatment, including braces and Invisalign, for children and adults, which makes this the “most wonderful time of the year” to get started on your dream smile.

Can I use my HSA for a medical pedicure?

For pedicure services that qualify as medical or wellness treatments (such as medical pedicures), clients can often use HSA or FSA funds to cover the cost, reducing their out-of-pocket expenses.

Can I use my HSA for body sculpting?

Cosmetic Procedures: FSA and HSA Eligibility

Generally, cosmetic procedures are ineligible unless the treatment or procedure is medically necessary. However, some cases are taken into consideration if the cosmetic treatment is meant to improve a personal injury, congenital abnormality or disfiguring disease.

Are massages considered a medical expense?

For instance, if your doctor prescribes massages to help recover from an injury or manage a chronic condition, you may be able to include these costs in your medical expense deductions. Keep in mind that the IRS requires that these expenses exceed 7.5% of your adjusted gross income before you can claim them.

Can I use HSA for dental?

Your HSA also covers expenses for standard dental cleanings and dental check-ups. One thing to keep in mind is that some of these procedures may have a co-payment, so it's important that you check with your dental insurance provider to find out exactly what you'll have to pay out of pocket.

What are the disadvantages of HSA?

Weak earnings and investment limits: Interest rates on HSA accounts may be low and some trustees charge a monthly fee if your balance drops below a certain threshold. Minimum balance requirements may apply before you can invest; investment options may be limited, and investments are not insured.

What is the IRS HSA limit for 2024?

For 2024, the annual contribution limits on deductions for HSAs for individuals with self-only coverage is $4,150 (increase of $300) and $8,300 for family coverage (increase of $550). There is an additional contribution amount of $1,000 for taxpayers who are age 55 or older.

Can you use FSA for dental?

You can use funds in your FSA to pay for certain medical and dental expenses for you, your spouse if you're married, and your dependents. You can spend FSA funds to pay deductibles and copayments, but not for insurance premiums.