Can I use my FSA card to pay for therapy?

Asked by: Carolyne Spencer  |  Last update: August 17, 2025
Score: 4.9/5 (48 votes)

You can use your FSA or HSA to pay for a wide range of mental health services and costs, including: Mental health counseling. Psychotherapy. Behavioral health modification.

Can I pay for therapy with my FSA?

Yes, the Internal Revenue Service's (IRS) guidelines state you can pay for therapy and other essential medical necessities using pre-tax dollars you've put into an FSA account. The FSA reimbursement approach offers significant tax savings, helping to reduce your overall taxable income.

What can I not use my FSA for?

You can spend FSA funds to pay deductibles and copayments, but not for insurance premiums. You can spend FSA funds on prescription medications, as well as over-the-counter medicines with a doctor's prescription.

Can I use FSA to pay for gym membership?

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 FSA pay for massage?

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).

Can I use FSA or HSA to pay for my chiropractic care?

17 related questions found

Is Planet fitness FSA eligible?

Can you use flexible spending account (FSA) funds to pay for a gym membership or exercise classes? Typically, no. The Internal Revenue Service (IRS) usually doesn't allow funds from an FSA to pay for membership dues at health clubs or gyms.

Can I use my FSA to pay for weight loss programs?

Some FSA plan administrators allow for the plans as long as they are backed up by a letter of medical necessity (LMN) from a physician or other medical practitioner outlining how the weight-loss program will be used to treat a specific medical condition.

Does HSA cover therapy sessions?

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.

Can FSA pay for speech therapy?

Even if someone has a hard time communicating due to hearing loss, speech therapy can offer help. A Flexible Spending Account can pay for the costs associated with speech therapy. Language training required for treatment of dyslexia and other learning or language disabilities might also be covered by an FSA.

Can I cash out my FSA?

You can't withdraw money from an ATM

One of those is that the money can only be spent on FSA-eligible expenses. The easiest way to be sure your purchases are eligible is to shop at a store that exclusively sell FSA-eligible items (hint: FSAstore.com).

Are tampons FSA-eligible?

Feminine hygiene products: Pads, liners, and tampons all qualify as FSA-eligible expenses. The end of the year is a good chance to stock up if you need to. Pain relievers: Over-the-counter pain medications such as Aleve, Tylenol, and generic versions of the drugs are available for purchase through FSA funds.

Are vitamins FSA eligible?

With this IRS definition in mind, while daily multivitamins are not FSA/HSA eligible, there are some types of vitamins that are eligible with consumer-directed healthcare accounts.

What can I pay for with my FSA?

Allowed expenses include insurance copayments and deductibles, qualified prescription drugs, insulin, and medical devices. You decide how much to put in an FSA, up to a limit set by your employer. You aren't taxed on this money.

Is deodorant FSA eligible?

For example, daily care products, like Vaseline, toothpaste, and deodorant, are not FSA-eligible expenses. Gym memberships and health insurance premiums aren't eligible either. It's possible that you may accidentally purchase a nonqualifying expense with your FSA funds.

Can I use FSA for mental health counseling?

You can use your flexible spending account (FSA) or health savings account (HSA) to offset the cost of mental healthcare by saving money on taxes. Most mental health services — like counseling, prescription-only medications, and treatment for substance use disorder — can be paid for with FSA and HSA tax-free funds.

Is an FSA worth it?

For example, an FSA may be a good idea if you anticipate regular medical expenses or want to lower your taxable income. However, if you rarely need medication or visit the doctor, qualify for and prefer an HSA, or worry about the use-it-or-lose-it rule, an FSA may not be the best option.

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.

Does my FSA cover gym membership?

Are gym memberships FSA eligible? As much as you may want to use your FSA funds to cover your monthly gym membership, weight loss program, or occasional spin classes, they are not considered eligible expenses.

What can FSA not be used for?

Please Note: The IRS does not allow Over-the-Counter (OTC) medicines or drugs to be purchased with Health Care FSA funds unless accompanied by a prescription and the prescription is filled by a pharmacist. If you have an OTC prescription, you can use your benefits card for these purchases.

Does FSA cover Botox?

Botox injections are typically not eligible for reimbursement with an FSA, as they are primarily used for cosmetic purposes.

Does FSA pay for massage?

If you have a Flex Spending Account (FSA), you may not be aware that Massage Therapy can qualify as a medical expense. If massage therapy services are prescribed by your physician then you can use your FSA account to pay for these services.

Does FSA cover peloton membership?

You can't directly pay for membership costs with your HSA/FSA card, but if you receive a Letter of Medical Necessity (LMN) from Truemed or an applicable licensed medical professional and are eligible for reimbursement, you may be able to apply your HSA/FSA funds to the cost of a Peloton Membership while the LMN is ...

Can I use FSA for glasses?

You can use your FSA funds for eye exams and prescription glasses. You can also use them for prescription contact lenses. And prescription sunglasses are FSA-eligible, too.