Can Massage Be Paid for With HSA?

When it comes to health savings accounts (HSAs), many people wonder about what qualifies as a eligible expense. One common question that arises is whether massage therapy can be paid for using HSA funds. The short answer is yes, in certain circumstances.

Massage therapy can be considered an eligible expense under an HSA if it is prescribed by a physician to treat a specific medical condition. In this case, the massage must be directly related to a diagnosed medical issue and not for general relaxation or well-being. It's important to keep detailed records, including the physician's prescription, receipts, and a description of how the massage relates to the medical condition, to substantiate the expense.

It's also worth noting that not all types of massage may qualify for HSA reimbursement. Generally, massages that are primarily for relaxation or stress relief may not be considered eligible expenses. However, therapeutic massages aimed at treating a specific medical condition, such as back pain or injury recovery, are more likely to meet the criteria.

Before using your HSA funds for massage therapy, be sure to check with your HSA provider to confirm their specific guidelines and requirements for reimbursement. Additionally, consulting with your physician to obtain a prescription for the therapy can help ensure that your expense meets the necessary criteria.


Massage therapy can indeed be a covered expense under your health savings account (HSA), but there are specific conditions that must be met. Only massages that are prescribed for a diagnosed medical condition are considered eligible, distinguishing them from those aimed primarily at relaxation.

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