Can I use my HSA for lymphatic massage?

Asked by: Prof. Quinten Rutherford DVM  |  Last update: October 5, 2025
Score: 4.2/5 (20 votes)

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.

Can I use HSA for lymphatic drainage 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.

Is massage therapy covered under HSA?

Massage Therapy: HSA Eligibility

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).

Does health insurance cover lymphatic drainage massage?

Coverage largely depends on whether the massage is deemed medically necessary. For instance, if a doctor prescribes lymphatic drainage massage as part of treatment for a specific medical condition like lymphedema, your insurance might cover it.

Can I use my HSA for body sculpting?

Answer: HSA Congratulations on your weight loss! Typically cosmetic procedures are excluded from eligibility for HSA funds. As you have lost significant weight there may be an exception. Check with your provider to determine what is eligible for coverage.

Can I Use My HSA or FSA For Massage?

39 related questions found

What skin treatments are covered by HSA?

However, if you have a skin condition that requires treatment, such as acne, eczema, or psoriasis, the cost of prescription medications, dermatologist visits, and related products may be eligible for HSA reimbursement.

Can you use HSA for laser lipo?

Cosmetic Procedures: HSA Eligibility

Cosmetic procedures (e.g. facelift, Botox, hair transplants, liposuction, teeth whitening) are usually ineligible, unless the procedure is necessary to improve a deformity due to a congenital abnormality, personal injury or disfiguring disease.

Why are lymphatic massages so expensive?

Larger areas or those with more lymphatic congestion may require longer sessions, thus increasing the overall cost. For instance, a full-body massage is typically more expensive than a session focusing solely on the legs or arms. Number of Sessions: The total number of sessions needed can significantly impact the cost.

Who shouldn't do lymphatic drainage massage?

“It's also important to note that lymphatic drainage techniques are not recommended for people who have a heart condition, kidney problems or cellulitis.”

How often should I get a lymphatic massage?

General Wellness: Once every three months may be enough. After Surgery or Injury: 2-3 times a week until swelling reduces significantly. Active Lifestyle or Athletes: Once a week to aid in muscle recovery.

Can I use my HSA for a 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 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 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 HSA be used for dental?

Yes, you can use a health savings account (HSA) or flexible spending account (FSA) for dental 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 I use my HSA for cupping?

Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) – which allow employees to set aside pre-tax money for qualified medical expenses and supplies – can be used to pay for cupping and acupuncture sessions.

Why do I feel sick after lymphatic drainage massage?

Some folks are just more sensitive to the detox process and it may make you feel crummy. Now when I say this, the crumminess last less than 24 hours. You could experience flue-like symptoms like nausea, headaches, achiness, swollen lymph nodes and fever.

How do I unblock my lymphatic system naturally?

Regular physical exercise is a great way to get your lymphatic system pumping and detoxing your system of waste. Jumping, walking, stretching, yoga, Pilates, and other moderate exercises done on a daily basis will really improve the state of your lymph.

What is the disadvantage of lymphatic massage?

Few people have negative reactions to lymphatic massage. But some people develop side effects like fatigue, headaches or nausea. If this happens, let your healthcare provider know. They can tell you how to reduce your risk for these complications.

Will insurance pay for lymphatic massage?

However, some insurance plans may cover the cost of lymphatic massage if it is deemed medically necessary. If you're considering getting a lymphatic massage and are concerned about the cost, be sure to check with your insurance provider to see if any coverage is available.

What is the best drink for lymphatic drainage?

Your body needs water to produce lymphatic fluid and keep it flowing freely. Drinking plenty of water helps lymph move throughout your body to flush out toxins and waste. Aim to drink at least 2 liters of pure water every day.

Can you overdo lymphatic massage?

While lymphatic drainage massage has many benefits, it's not a case of 'the more, the better'. Overdoing lymphatic massage can lead to bruising and swelling, particularly if the massage is performed too aggressively or with too much pressure.

Can I use my HSA for massage?

Generally, HSAs cover treatments that are considered medically necessary, and massages are no exception.

Can you use HSA for body sculpting?

Cosmetic Procedures: FSA and HSA Eligibility

Generally, cosmetic procedures are ineligible unless the treatment or procedure is medically necessary. However, some cases are taken into consideration if the cosmetic treatment is meant to improve a personal injury, congenital abnormality or disfiguring disease.

What can I spend HSA money on?

A Health Savings Account (HSA) lets you set aside money on a pre-tax basis to pay for:
  • Coinsurance. Coinsurance. ...
  • Copayments. Copayment. ...
  • Deductibles. Deductible. ...
  • Qualified medical expenses (includes some dental, drug, and vision expenses) – Find an expenses list on IRS.gov.