Can I pay for massage with my HSA card?

Asked by: Tatyana Kirlin  |  Last update: November 10, 2025
Score: 4.3/5 (74 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.

Can you use HSA funds for a massage?

Generally, HSAs cover treatments that are considered medically necessary, and massages are no exception. If a doctor prescribes massage therapy to treat a specific medical condition–such as chronic pain, injury recovery or other ailments–then the cost of the massage may be a qualified medical expense.

Can I use my HSA at Massage Envy?

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

Does massage count as 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 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.

Can I Use My HSA or FSA For Massage?

19 related questions found

Are massagers HSA eligible?

Fortunately, tools like the MedMassager Foot Massager Classic and MedMassager Body Massager Classic are approved HSA/FSA products, so they may be eligible under your plan without the need for a letter of medical necessity (LMN).

Can I pay for a massage with my FSA card?

Massage Therapy may be eligible for reimbursement with a Letter of Medical Necessity (LMN) with flexible spending accounts (FSA), health savings accounts (HSA) and health reimbursement arrangements (HRA).

How to get massage covered by health insurance?

How to get medical insurance to cover massage therapy
  1. Call to verify your insurance coverage for massage therapy. ...
  2. Get a prescription by clearly communicating to your doctor that you'd like massage therapy. ...
  3. Ask your doctor to prescribe massage for the most general diagnosis possible.

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 massage chairs HSA eligible?

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

Can HSA pay 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.

How much does a massage cost?

On average, prices in the United States range from $50 to $150 per hour, with higher rates typical in urban areas and luxury spas. The cost is also affected by the therapist's experience, the type of massage, and any additional services provided.

How much do you tip for a 60 minute massage at massage Envy?

Yes, you should tip at least 20% based on the regular cost of the service, even if you're using a coupon or gift certificate, says Sokolosky. So if a massage normally costs $100, tip $20 even if you have a coupon that discounts the massage to $80 or a gift card that covers the full cost.

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 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.

How to get a letter of medical necessity for massage therapy?

How do I get a medical necessity letter for massage therapy? Talk to your primary care provider. In many HMOs and other health plans, this doctor is the one who must authorize the referral. Discuss medical necessity with the doctor.

How do I use my HSA for massage?

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.

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.

What happens to unused HSA funds?

Unlike many flexible spending accounts (FSAs) and health reimbursement arrangements (HRAs), unused HSA funds automatically carry over to the following year. Even if your employer provided the account and made contributions, the account belongs to you — so any remaining funds are carried over every year.

Can I use my HSA for massage Envy?

Does Massage Envy take insurance? No, Massage Envy does not accept insurance; however, they do accept HSA/FSA debit cards.

How to get a free massage?

Bartering for a Massage
  1. Swap massages with a spouse or partner. One of the best ways to get a free massage is to swap massages with a loved one. ...
  2. Exchange massages with a friend. ...
  3. Promote the benefits of a massage. ...
  4. Barter with a Licensed Massage Therapist. ...
  5. Check your health insurance coverage.

Is deep tissue massage covered by insurance?

While it depends on your specific insurance plan, many insurance companies will cover massage therapy if a doctor prescribes it for a medical condition. If you have a condition such as chronic pain or a muscle injury, your massage therapy sessions may be covered under your insurance plan.

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.

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.

Are theraguns HSA eligible?

Money in your health savings account (HSA) and flexible spending account (FSA) may be used to pay for percussion massage guns like a Theragun if they're used for medical purposes.