Can I use HSA for holistic medicine?

Asked by: Dr. Brandt Batz  |  Last update: September 30, 2025
Score: 4.3/5 (32 votes)

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

Can you use HSA for homeopathic medicine?

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

Can HSA be used for wellness?

The IRS doesn't allow individuals with an HRA, HSA, or FSA to pay for general health and wellness expenses unless the service or item treats a specific medical condition noted by a doctor. Unlike other wellness benefits—like health stipends—HRAs, HSAs, and FSAs don't cover general wellness expenses.

Can I use HSA for herbs?

Herbs - The cost of herbs taken for general well-being are not reimbursable. However, the cost of herbs taken to alleviate a specific medical condition are reimbursable. Medical diagnosis is required.

Are natural supplements HSA eligible?

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.

Can You Use An HSA For Massage? - Holistic Balance And Bliss

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Can I use my HSA for 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.

Are probiotics HSA eligible?

While probiotics have been shown to have positive effects on gut health and may help with certain conditions, such as irritable bowel syndrome and diarrhea, their use is not currently considered an eligible expense for HSA funds.

Is holistic medicine HSA eligible?

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

Can you use HSA for apothecary?

If getting access to herbal medicine to support your long-term health is a priority, then you're going to love our new offering...you can now use your hard-earned HSA and FSA funds towards Apothékary herbal formulas.

Can I use HSA for detox?

Detoxification is eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA). It is not eligible for reimbursement with dependent care flexible spending accounts and limited-purpose flexible spending accounts (LPFSA).

Are Apple Watch HSA eligible?

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 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.

What can HSA not be used for?

Other items that aren't eligible include maternity clothes, funeral costs, child care for healthy babies, toiletries, over-the-counter medicine, swimming lessons and elective cosmetic procedures. You also usually can't use HSA money to pay for health insurance premiums unless you meet certain criteria.

Can I use HSA for wellness?

Although it may be a positive change in your health, vitamins aren't FSA or HSA eligible expenses, and neither are: Herbal supplements. Natural medicines. Nutritional supplements.

Can HSA pay for an air purifier?

By using an HSA or FSA through Truemed, you can obtainall you need is a letter of medical necessity (LMN) to purchase or get reimbursed for your Sans air purifier, potentially saving approximately 33% in the process.

Can HSA be used for essential oils?

However, if a medical professional provides of Letter of Medical Necessity (LMN) where the use of aromatherapy would be primarily for the treatment of a medical condition, then it may be eligible through a consumer-directed healthcare account.

Can I use my HSA for herbal medicine?

Herbal medication with a Letter of Medical Necessity (LMN) is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), a health reimbursement arrangement (HRA).

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.

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.

Can HSA be used 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 holistic medicine covered by health insurance?

In most cases, these treatments are only covered if they are prescribed by a licensed practitioner, such as a naturopathic doctor. Even then, coverage is often minimal, and many patients pay out of pocket for these services. Always review your health plan to understand what's included.

Can HSA pay for vitamins?

In general, vitamins are not considered an HSA eligible expense unless they are prescribed by a doctor for a specific medical condition.

Is the Apple Watch HSA eligible?

Unfortunately the answer to this question is usually no. This is because according to the IRS, fitness trackers are used to promote what the IRS terms “general health”. Expenses under this general health definition are not considered HSA eligible expenses.

Can you buy tampons with HSA?

Yes! Thanks to the CARES Act, tampons are now considered a “medical expense.” That means you can use pre-tax income to pay for them through your HSA. More questions about tampons? Learn the truth behind some of the most common tampon myths.

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.