Will HSA pay for massages?

Asked by: Prof. Kennith Swaniawski DVM  |  Last update: November 13, 2023
Score: 5/5 (29 votes)

Massage Therapy is eligible for reimbursement through most FSA's and HSA's. Some do require a Letter of Medical Necessity from your doctor, but this means you can potentially be reimbursed from your insurance for your massage from us! You just need a note from your primary care physician.

Can I use my HSA on a massage?

Massages with a doctor's note of necessity

In certain cases, the massage is deemed medically necessary, and can be classified as a qualified medical expense. In a case like this, accountholders can use their HSA to pay for the massage.

Does HSA or FSA cover massage therapy?

Massage therapy may be considered an HSA- or FSA-eligible expense if it's medically necessary. For example, your provider might write a LOMN for massage therapy if you have a chronic condition like fibromyalgia, which can worsen or start after menopause.

Can I use HSA for chiropractic and massage?

You can use your HSA to pay for chiropractic care or any other qualified medical expense, even if you have other insurance coverage. HSA funds can be used to cover copayments, deductibles, or any out-of-pocket expenses related to your chiropractic care that your insurance does not cover.

How to get a Letter of medical necessity 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. Figure out how that medical professional will diagnose a condition that can formally necessitate medical massage.

Does insurance cover massage?

42 related questions found

Who can write a letter of medical necessity for a massage?

Who writes a letter of medical necessity? Generally, your healthcare provider writes and signs the LOMN. This can help improve the odds of getting approval for a medical procedure or item. However, a LOMN does not guarantee that your expense will be approved.

What is the best way to prove medical necessity?

How is “medical necessity” determined? A doctor's attestation that a service is medically necessary is an important consideration. Your doctor or other provider may be asked to provide a “Letter of Medical Necessity” to your health plan as part of a “certification” or “utilization review” process.

Are deep tissue massages HSA eligible?

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.

What can I spend HSA money on?

You can use HSA funds to pay for deductibles, copayments, coinsurance, and other qualified medical expenses. Withdrawals to pay eligible medical expenses are tax-free. Unspent HSA funds roll over from year to year, allowing you to build tax-free savings to pay for medical care later.

Can I use my HSA for Botox?

Botox: HSA Eligibility

Botox injections are 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).

Is massage a qualified medical expense?

As long as the massage was recommended or prescribed by a medical professional, massage therapy can be a qualified medical expense that is tax deductible. This is important to know since many people overlook the cost of massage therapy when considering their health costs and miss out on the benefits it can provide.

Can you use HSA for tampons?

Tampons are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), and a health reimbursement arrangement (HRA).

Can I use HSA for vitamins?

With this IRS definition in mind, while daily multivitamins are not FSA/HSA eligible, there are some types of vitamins that are eligible with consumer-directed healthcare accounts and others that may be eligible with proper documentation from a physician.

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 you use HSA for Lasik?

You can use an HSA for LASIK and other laser vision correction procedures. Like the FSA, the IRS sets limits on what procedures can be covered by an HSA. Laser vision correction procedures including LASIK, SMILE, and PRK are eligible expenses.

Can I use HSA for physical therapy?

Physical Therapy (PT) is eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA).

What can I not spend HSA on?

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.

What if I never use the money in my HSA?

If you don't spend the money in your account, it will carryover year after year. Your HSA can be used now, next year or even when you're retired. Saving in your HSA can help you plan for health expenses you anticipate in the coming years, such as laser eye surgery, braces for your child, or paying Medicare premiums.

Can you buy toilet paper with HSA?

Toiletries are not eligible for reimbursement 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). What are toiletries?

Can I use HSA for facial?

You can use your HSA or FSA to put your best face forward. Because acne is considered a medical problem and not a cosmetic problem, you can purchase acne cleansers, gel and creams, even at-home light therapy kits with your benefits debit card. Use it, too, for visits to a dermatologist to assess or treat acne.

Can you use HSA for cosmetic surgery?

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.

Is chiropractor covered by FSA?

Chiropractic is a Qualified FSA Expense

Chiropractic is covered by a 'standard' FSA and not by a limited-purpose FSA (a limited purpose FSA can only be used for vision and dental expenses). A standard FSA covers all eligible medical expenses, including chiropractic treatments.

What are the four factors of medical necessity?

The determination of medical necessity is made on the basis of the individual case and takes into account: Type, frequency, extent, body site and duration of treatment with scientifically based guidelines of national medical or health care coverage organizations or governmental agencies.

Can I write my own medical necessity letter?

A patient can write the letter, but it needs to be made official by a doctor. Any arguments for any service ultimately have to come from a treating physician. That means the doctor needs to know you, have some history with you, and in the end either write or 'sign off on' the letter.

Why would a claim be denied for medical necessity?

Poor documentation and lack of specifics are often the reasons for denials. By merely having ongoing education for all physicians and clinical staff helps to understand the “medical necessity” implications of the documentation.