Can I use my HSA to pay for a chiropractor?

Asked by: Adelle Donnelly  |  Last update: July 24, 2025
Score: 4.1/5 (63 votes)

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 chiropractor visits covered by HSA?

Yes, chiropractic care is considered an eligible medical expense for HSA purposes, provided it's used to treat or manage a diagnosed medical condition. You can't use your HSA to pay for chiropractic care for general wellness purposes.

Can I use my HSA to pay for a 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 a chiropractor write a letter of medical necessity for HSA?

Some examples of healthcare providers that can write an LOMN are: Chiropractors. Nurses. Physicians.

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.

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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 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.

Do chiropractor visits count as medical expenses?

Deductible medical expenses may include but aren't limited to the following: Amounts paid of fees to doctors, dentists, surgeons, chiropractors, psychiatrists, psychologists, and nontraditional medical practitioners.

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 my HSA at the joint chiropractic?

You can use your HSA or FSA card at The Joint Chiropractic! 🎉 That means keeping your back and body feeling great without dipping into your wallet. Take advantage of your pre-tax savings to get adjustments and feel your best all month long. It's easy, flexible, and perfect for making health a priority!

Does HSA pay 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 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 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 my 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.

Can I use my HSA for my dog?

The short answer is yes, you can use your HSA for veterinary expenses. Under current IRS guidelines, eligible medical expenses include those that are primarily for the prevention or alleviation of a physical or mental defect or illness.

How to get health insurance to cover chiropractic?

Your primary care doctor may need to show that the chiropractic services are medically necessary to treat an injury or medical condition. In addition, the insurance company may require proof that the condition is improving with the treatment.

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.

Will HSA pay 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.

What is the downside of an HSA?

Drawbacks of HSAs include tax penalties for nonmedical expenses before age 65, and contributions made to the HSA within six months of applying for Social Security benefits may be subject to penalties. HSAs have fewer limitations and more tax advantages than flexible spending accounts (FSAs).

Why aren't chiropractors covered by insurance?

Visits are typically limited to a certain number per month or a specified time period. Plans might also provide a cap to the amount they will cover for chiropractic visits within a specified period. Many group health insurance plans will only cover chiropractic care if deemed medically necessary by your physician.

Are gym memberships tax deductible?

The IRS typically does not allow taxpayers to deduct gym memberships or other costs associated with general health and wellness. The main reason is that these expenses are considered personal, even if they contribute indirectly to improved work performance, stress reduction, or overall well-being.

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.

Can I use HSA for massage?

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

Are tampons HSA eligible?

With the passage of the CARES Act in March 2020, tampons and other menstrual care products are now fully FSA-/HSA-eligible. According to the text of the bill, menstrual care products include, “tampon, pad, liner, cup, sponge, or similar product used by individuals with respect to menstruation…”

Are vitamins HSA eligible?

Most vitamins and supplements are not eligible with an FSA or HSA because the IRS considers them for general good health.