Can You Pay for Massages with an HSA? Understanding HSA Eligible Expenses

For many people, massages are a way to relax and unwind, but can you use your HSA (Health Savings Account) to pay for them? The short answer is, it depends. HSA funds can only be used for qualified medical expenses as outlined by the IRS. While massages can have health benefits, they may not always meet the criteria for an eligible expense.

Before using your HSA to pay for massages, it's important to consider the following:

  • Check with your HSA provider: Some HSA providers may have specific guidelines on what they consider as eligible expenses.
  • Prescription requirement: In some cases, a prescription from a healthcare provider may be necessary for a massage to be considered a qualified medical expense.
  • Medical necessity: The massage must be deemed medically necessary to treat a specific condition or alleviate symptoms to qualify as an eligible expense.

It's always a good idea to consult with your healthcare provider or HSA administrator before using your HSA funds for massages to ensure compliance with IRS regulations. Additionally, keeping detailed records and receipts of the massage expenses is crucial for documentation purposes.


While many love the soothing experience of a massage, using your HSA (Health Savings Account) for this purpose can be a bit tricky. The IRS outlines specific criteria for eligible medical expenses, which means not every massage you enjoy will qualify as an HSA expense.

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