Can Marriage Counseling Go Through Your HSA?

Marriage counseling can be a valuable resource for couples struggling with relationship issues. However, many people wonder if this type of service can be covered by their Health Savings Account (HSA). The good news is that in some cases, yes, you can use your HSA to pay for marriage counseling sessions.

Marriage counseling is considered a qualified medical expense by the IRS if the primary reason for the sessions is to alleviate or prevent a mental health issue. This means that if you and your spouse are seeking counseling to address issues such as communication breakdown, conflict resolution, or emotional distress, you may be able to use your HSA funds to cover the costs.

It's important to note that not all marriage counseling services may be eligible for HSA reimbursement, so it's essential to check with your HSA provider or consult the IRS guidelines to ensure that the specific counseling you're considering qualifies.

Using your HSA to pay for marriage counseling can offer financial relief for couples in need of therapeutic support. By utilizing these funds, you can prioritize your relationship health without adding extra strain to your budget.


Many couples seek marriage counseling as a life improvement tool; what if you could use your HSA to help fund those sessions? The IRS does recognize certain counseling related to mental health as qualified medical expenses, so this option may be available for you.

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