Does HSA or FSA cover massage therapy?

Asked by: Loy Buckridge  |  Last update: December 9, 2025
Score: 5/5 (35 votes)

Pay with Your FSA or HSA: Once you have the prescription, you can pay for your massage therapy directly with your FSA or HSA debit card. If your provider doesn't accept these cards, you can pay out of pocket and submit a claim for reimbursement.

Can I use HSA FSA for massage?

HSAs and FSAs offer individuals the flexibility to allocate pre-tax dollars toward various healthcare needs, including massage therapy when prescribed for specific medical conditions.

Are massages considered a 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 at Massage Envy?

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

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.

Using FSA and HSA for Massage

26 related questions found

Can I use FSA for gym membership?

But that's not all a Letter of Medical Necessity can do for you. You can even pay for your gym membership with FSA/HSA funds, making it easier than ever to access top-of-the-line equipment like the models we have in our studios.

Are massagers HSA eligible?

Fortunately, tools like the MedMassager Foot Massager Classic and MedMassager Body Massager Classic are approved HSA/FSA products, so they may be eligible under your plan without the need for a letter of medical necessity (LMN).

Can I use FSA for chiropractor?

An FSA lets you pay for many different services. Alternative medicine such as chiropractic care is one such service that qualifies for FSA reimbursement. A chiropractic visit, exam, or treatment would then be covered by an FSA as long as the purpose is to treat a medical condition and not for general good health.

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 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.

How to get massage covered by health insurance?

How to get medical insurance to cover massage therapy
  1. Call to verify your insurance coverage for massage therapy. ...
  2. Get a prescription by clearly communicating to your doctor that you'd like massage therapy. ...
  3. Ask your doctor to prescribe massage for the most general diagnosis possible.

Can I use my HSA for a massage chair?

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

Can I use my HSA at a medical spa?

These accounts offer a tax-advantaged way to pay for qualified medical expenses, including certain spa treatments, enhancing your overall wellness while managing your healthcare budget effectively. Important Points to Remember: Pay for service: You can use your FSA or HSA card for payment at our spa without any issues.

Can I use my 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.

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.

Is an HSA or FSA better?

Bottom line: Both HSAs and FSAs provide financial benefits for managing health care expenses. HSAs offer more flexibility and long-term growth potential, making them a valuable tool for future financial planning. Learn about HSA options from Aetna.

Can 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.

Are electric toothbrushes covered by FSA?

Unfortunately, most products for oral health care are not currently eligible medical expenses for FSA and HSA spending.

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 massage therapy covered under FSA?

No matter whether you have an HSA or FSA, massage therapy is usually considered a legitimate medical expense by most insurance companies. Still, to be sure, check with your carrier or ask an HR representative at work because some plans do not cover massage, even with a doctor's prescription.

Can you use FSA for ultrasound?

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

Can you pay for acupuncture with FSA?

Acupuncture is considered an “eligible expense” for FSA, HSA, and HRA accounts. Some plans will require you to submit a Letter of Medical Necessity (LMN), which we are happy to help you with. Some plans also consider health products, supplements, herbs and bodywork services as eligible expenses.

How do I get a massage approved for HSA?

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 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 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.