Can I Write Off Massages for HSA?

If you're wondering whether you can write off massages for your HSA (Health Savings Account), you might be interested to know that the answer is not a simple yes or no. Let's delve into the details to understand what is and isn't allowed when it comes to using your HSA funds for massages.

First and foremost, it's important to note that HSA funds can only be used for qualified medical expenses. While massages can be beneficial for relaxation and stress relief, they are typically not considered a medically necessary treatment and therefore may not qualify for HSA reimbursement.

However, there are some exceptions and nuances to consider:

  • If a massage is prescribed by a healthcare provider as part of a treatment plan for a specific medical condition, it may qualify as a eligible expense.
  • If you have a Flexible Spending Account (FSA) in addition to your HSA, massages may be eligible for reimbursement under your FSA if the plan allows for it.
  • Some employers offer wellness programs that include coverage for certain alternative therapies, such as massages. In such cases, you may be able to use your HSA funds for massages if they are part of the employer-sponsored wellness program.

It's important to keep detailed records and documentation to support the medical necessity of the massage if you plan to use your HSA funds for it. Consult with your healthcare provider and tax advisor to ensure compliance with IRS regulations and guidelines.


When it comes to using your HSA for massages, the rules can be a bit convoluted. While they are often viewed as luxury treatments, under specific conditions, massages can transition from relaxation to a necessary medical expense.

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