Can I Pay for Marriage Counseling with HSA?

Marriage counseling can be a beneficial resource for couples facing challenges in their relationship. However, when it comes to using your Health Savings Account (HSA) to cover the costs of marriage counseling, the answer is not a simple yes or no. Here’s what you need to know:

While the IRS does allow for the use of HSA funds to pay for certain medical expenses, including therapy, there are specific criteria that must be met in order for marriage counseling to be considered an eligible expense:

  • Marriage counseling must be deemed necessary by a medical professional to treat a diagnosed mental health condition.
  • The counseling sessions must be directly related to the treatment of the diagnosed condition.

If these criteria are met, you can use your HSA funds to pay for marriage counseling. It is important to keep detailed records of the medical necessity of the counseling and make sure that the therapist providing the services is a qualified medical professional.


When couples face difficulties, marriage counseling often comes to the rescue. If you're considering using your Health Savings Account (HSA) for these services, understanding the guidelines can help.

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