Can I use my HSA card for massage Therapy?

Asked by: Rusty Howe  |  Last update: December 27, 2025
Score: 4.7/5 (31 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 pay for a massage with an HSA card?

Technically, you could pay for anything using your HSA debit card, because it's a debit card. But a massage is only a legitimate charge on your HSA if you have a medical reason for needing an occasional massage, such as you have documented back problems that would be mitigated with a regular massage.

Can I use my HSA at Massage Envy?

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

Are massagers HSA eligible?

Key takeaways: A massage gun is a device that may ease muscle tension. 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.

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

Can I use my HSA for lymphatic massage?

Can HSA be used for lymphatic drainage massage? Lymphatic drainage massage, which helps circulate lymphatic fluid and reduce swelling, may be eligible for HSA or FSA reimbursement with a Letter of Medical Necessity.

Is massage deductible 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 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.

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.

Can HSA pay for chiropractic?

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 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.)

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 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.

Does insurance cover massage therapy?

Medically Necessary Treatment: If a doctor prescribes massage therapy as part of a rehabilitation or pain management program for conditions like musculoskeletal injuries, chronic pain, or post-surgery recovery, it may be covered.

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.

How to get a letter of Medical Necessity for HSA?

How to get a letter of medical necessity
  1. Consult with your healthcare provider and share your condition, diagnosis and any relevant medical history.
  2. Ask your healthcare provider to issue a letter of medical necessity for the treatment or service you're seeking.

Can a doctor write a prescription for a massage?

Currently, federal and state legislation permits the medical prescription of massage, usually only from physicians or highly skilled professionals.

How to get massage covered by FSA?

Can I buy a massage with my FSA card? No, getting a massage is not an FSA approved expense. However, if your doctor writes you a letter of medical necessity, your FSA administrator may reimburse the expense for specific therapeutic massages.

Does HSA cover 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 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 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.

Is massage therapy considered health care?

Definition. Clinical massage therapy is the manipulation of the soft tissues of the human body for therapeutic purposes. Based in ancient traditions, massage therapy is a professional health care discipline in the United States.

Do you tip for a medical massage covered by insurance?

Given the immense benefits of massage therapy, it is crucial to acknowledge and appreciate the skill and effort that therapists put into their work. One way to do this is by tipping appropriately, even when you have insurance coverage.

Are tampons tax-deductible?

Specifically, the cost of menstrual care products is now reimbursable. These products are defined as tampons, pads, liners, cups, sponges or other similar products. In addition, over-the-counter products and medications are now reimbursable without a prescription. The new rules apply to amounts paid after Dec.