Can I put massage on my HSA?

Asked by: Prof. Favian Howe  |  Last update: August 2, 2025
Score: 4.2/5 (47 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.

Will HSA pay for a massage?

HSAs provide a tax-advantaged way to pay for medical expenses, but understanding which services qualify is key to using your account effectively. Massages may be covered if they are prescribed by a doctor to treat a medical condition, but massages for relaxation or general wellness do not qualify.

Can I use my HSA at Massage Envy?

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

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 my HSA to pay for my gym membership?

Generally, the IRS doesn't allow pretax dollars in HSAs or FSAs for gym memberships. This is because they see them as expenses for general well-being rather than medical necessity. However, with a Letter of Medical Necessity (LMN), your HSA or FSA could be used to fund those expenses.

Can I Use My HSA or FSA For Massage?

15 related questions found

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 I 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.

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).

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.

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.

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 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 HSA for therapy?

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.

What is a letter of medical necessity for HSA massage?

If a doctor recommends massage therapy as a medically necessary service that would benefit your condition, then it could be eligible for HSA or FSA coverage. Depending on your insurance plan, you may be required to obtain a Letter of Medical Necessity (LMN) to validate the clinical need for the service.

Can I use 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.

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?

Types of Massage Covered by Insurance

Some types of massage therapy, like deep tissue or sports massage, may be covered by insurance. This depends on the policy and medical needs. However, some types of massage, like Abhyanga Oil and Aromatherapy, usually aren't covered by insurance.

Can I use my HSA to buy a mattress?

According to the HSA Store, "A mattress expense is only eligible when its components and construction costs exceed those of a standard mattress for general health." To use your funds for a new mattress, you'll need to provide a letter of medical necessity (LMN) from a medical professional stating you have a medical ...

Is med massager HSA eligible?

Yes, all MedMassager products are eligible. You can use your FSA or HSA card at checkout by selecting the Flex payment option.

Can I use HSA for body wash?

Medicated body or face wash is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), a health reimbursement arrangement (HRA).

Can I use my 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 my HSA for skincare?

This means that any skin care costs that count towards your deductible, such as prescription medications or dermatologist visits, can be paid for using HSA funds.

What Cannot be used for HSA?

Generally, you can't use your HSA to pay for expenses that don't meaningfully promote the proper function of the body or prevent or treat illness or disease. Nutritional supplements and weight loss programs not prescribed by a physician are examples of expenses that would not be covered by your HSA.