Can you use your HSA for physical therapy?

Asked by: Collin Carroll  |  Last update: August 4, 2025
Score: 4.7/5 (61 votes)

HSAs and FSAs can be used for most things related to your health. This ranges from certain items in the store to medications to services, such as physical therapy.

What therapy is covered by HSA?

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 I use my HSA account for a 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 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.

Is physical therapy a qualified medical expense?

A10: Yes, but only if the membership was purchased for the sole purpose of affecting a structure or function of the body (such as a prescribed plan for physical therapy to treat an injury) or the sole purpose of treating a specific disease diagnosed by a physician (such as obesity, hypertension, or heart disease).

How To Use Your HSA & FSA At SP | Sports Performance Physical Therapy

17 related questions found

Can HSA be used for physical therapy?

Yes, you can.

Since physical therapy services, like the ones provided at Natural Fit Therapy, fall under a medical expense that treats structures and functions of the body, you are able to use your HSA funds to pay for treatment from a physical therapist for yourself, your spouse, or your dependents.

How do I know if my PT is covered by insurance?

Review your policy documents to learn more about your insurance coverage. You can also contact your insurance provider directly. They can give you further details on your plan's coverage, limitations, and requirements to cover physical therapy services.

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.

Can I use my HSA for a 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.

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 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 you pay for Peloton with HSA?

The partnership will make it easier for qualified US-based Peloton customers to use pre-tax Health Savings Account (HSA)/Flexible Spending Account (FSA) dollars to purchase applicable Peloton products, saving customers up to 40% off their purchase.

How do I pay my therapist with my HSA card?

Using your HSA to pay for therapy and counseling is simple. You can pay for services directly from your HSA account. All you need to do is present your HSA debit card to your provider. Your HSA plan administrator will track your expenditures.

Can I use HSA to pay for IV therapy?

One of the most frequently asked questions regarding IV therapy is whether it is eligible for HSA coverage. The answer is yes, you can use your HSA funds to pay for IV therapy, given that the treatment is considered a qualified medical expense.

Do HSA funds expire?

Your HSA contributions don't expire. The money stays in the HSA until you use it.

Can I use HSA for massage?

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

What can HSA not pay for?

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 I use my HSA for physical therapy equipment?

YES, you can!

Keep in mind these benefits are time sensitive meaning you can lose your allotment if not taken advantage of by the end of the year. Health Reimbursement Accounts (HRAs), Health Savings Accounts (HSAs), and Flexible Spending Accounts (FSAs) can be great cost-savings tools.

Can HSA pay for gym membership?

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.

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…”

Is deodorant HSA eligible?

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

Who pays for physical therapy?

In most cases, health insurance does cover physical therapy, as it is considered a medically necessary treatment for various injuries, illnesses, or post-surgery rehabilitation. However, the extent of coverage can vary depending on your specific insurance plan and the country or region you are in.

How much does physical therapy cost per hour?

Cost Per Hour

The average cost can range between $50 to $100 per hour. The cost significantly varies depending on your time with the therapist.

What is the best insurance for physical therapy?

Aetna and Blue Cross Blue Shield are the best insurance companies for physical therapy. Nearly all Blue Cross Blue Shield plans reviewed cover physical therapy before the deductible.