Can HSA be used for acupuncture?

Asked by: Dr. Ryder Haag III  |  Last update: January 3, 2026
Score: 4.9/5 (52 votes)

Acupuncture is an eligible expense with a flexible spending account (FSA), health savings account (HSA) or health reimbursement arrangement (HRA). Acupuncture is not eligible for reimbursement with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

Can you use HSA to pay for acupuncture?

Acupuncture is a Covered Expense with HSA and FSA Plans

Acupuncture is considered an “eligible expense” for FSA, HSA, and HRA accounts. Some plans will require you to submit a Letter of Medical Necessity (LMN), which we are happy to help you with.

Is acupressure HSA eligible?

Acupressure is eligible with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). In some cases, acupressure may require a Letter of Medical Necessity (LMN) from a medical professional for a benefits administrator to substantiate the expense.

Can I use my HSA account for massage therapy?

Generally, HSAs cover treatments that are considered medically necessary, and massages are no exception.

What therapy is covered by HSA?

Can I use my HSA for therapy? Yes. You can use an HSA to cover some mental health expenses, including therapy to treat a diagnosed mental condition. However, therapy that isn't specifically designed for medical or mental health needs — like marriage or family counseling — often won't qualify for HSA coverage.

How Can Acupuncture Help You?

44 related questions found

Can you use HSA for chiropractor?

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 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 I use HSA for vitamins?

In general, vitamins are not considered an HSA eligible expense unless they are prescribed by a doctor for a specific medical condition. For example, if your doctor prescribes prenatal vitamins during pregnancy or recommends vitamin D supplements to treat a deficiency, those could be eligible expenses under your HSA.

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.)

Does HSA pay 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 to pay for yoga?

Fitness fees do not immediately qualify as eligible HSA/FSA expenses, but they do qualify if a provider recommends exercise to prevent or treat a medical condition. To qualify those expenses for reimbursement with an HSA/FSA administrator, you need a Letter of Medical Necessity from a provider.

Can I pay for acupuncture with my FSA?

You can likely use your HSA or FSA to pay for acupuncture treatments. However, you'll want to confirm with your HSA or FSA provider that acupuncture treatments for menopause symptoms are considered a qualified medical expense.

Are fitness watches HSA eligible?

To purchase a fitness tracker with a consumer-directed healthcare account like an FSA, HSA or HRA, a Letter of Medical Necessity (LMN) is required to show that the device will be used to treat a legitimate medical condition such as obesity.

Does acupuncture count as a medical expense?

Some of the lesser-known deductible medical expenses include: acupuncture, addiction treatment, braille publications, chiropractic services for medical care, contact lenses, diet food, exercise programs, and health, dental and vision insurance premiums.

How much does acupuncture cost?

The Costs & Price of Acupuncture

The initial consultation fee is typically separate and can range from $100 - $300. Subsequent sessions cost, on average, between $50 - $90 per session, depending on where you live and the expertise of your practitioner. Price is usually heavily dependent upon your location.

Can you 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.

Can I use my HSA for massages?

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.

Are tampons HSA-eligible?

With the passage of the CARES Act in March 2020, tampons and other menstrual care products are now fully FSA-/HSA-eligible. According to the text of the bill, menstrual care products include, “tampon, pad, liner, cup, sponge, or similar product used by individuals with respect to menstruation…”

Is deodorant HSA-eligible?

Deodorant reimbursement is not eligible with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

Are gym memberships HSA eligible?

Gym memberships are generally not considered qualified medical expenses under IRS guidelines. While physical fitness is important, gym memberships are typically viewed as personal or recreational expenses rather than a medical necessity. So using HSA funds for them could result in taxes and penalties.

Is sunscreen HSA eligible?

Sunscreen for adults and for kids is eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA) under certain conditions. Only sunscreens with SPF 15+ and "broad spectrum" protection are eligible.

Are diapers HSA eligible?

As previously mentioned, diapers are not considered qualified medical expenses under the current IRS guidelines. Therefore, attempting to use HSA funds for diapers may result in penalties or tax liabilities.

Can I use HSA to buy Apple Watch?

Why other fitness trackers don't qualify. Even though Fitbits and Apple Watches measure important health data, they currently do not qualify for HSA reimbursement, as they are considered for general health use and not intended to treat or manage a specific medical condition.

Can HSA pay for therapy?

The good news is mental health therapy, including virtual appointments, is an HSA eligible expense.

Can you use HSA at Planet fitness?

In most cases, gym memberships are not considered eligible medical expenses by the IRS. This means you typically cannot use your HSA funds to pay for a gym membership directly. You might need to explore getting an LMN from your doctor.