Do Massages Qualify for HSA? Exploring IRS Publication 969 and 502

If you are wondering whether massages qualify for HSA under IRS Publication 969 and 502, you are not alone. Health Savings Accounts (HSAs) offer individuals a way to save for qualified medical expenses with pre-tax dollars. Understanding what can and cannot be paid for with HSA funds is important to make the most of this benefit.

When it comes to massages, the eligibility for HSA reimbursement depends on the purpose of the massage. Generally, massages are considered a qualified medical expense if they are prescribed by a healthcare provider to treat a specific medical condition.

IRS Publication 969 and 502 provide guidelines on what qualifies as a medical expense eligible for HSA reimbursement. According to the IRS:

  • Medical care expenses must be primarily to alleviate or prevent a physical or mental defect or illness.
  • Expenses for medical care that are merely beneficial to general health do not qualify.

Here are some key points to consider when determining if massages qualify for HSA under IRS guidelines:

  • Prescription Requirement: A massage must be prescribed by a healthcare provider to treat a specific medical condition to be eligible for HSA reimbursement.
  • Medical Necessity: The massage must be deemed medically necessary for the treatment of a diagnosed condition or for rehabilitation.
  • Receipt and Documentation: Make sure to keep detailed receipts and documentation from the healthcare provider prescribing the massage for HSA records.
  • Alternative Therapies: Some alternative therapies, including massages, acupuncture, and chiropractic care, may qualify for HSA reimbursement if prescribed by a healthcare provider.
  • IRS Publications: Refer to IRS Publication 969 and 502 for official guidelines on qualified medical expenses and HSA eligibility.

Remember, the key factor in determining if a massage qualifies for HSA reimbursement is whether it is prescribed by a healthcare provider to treat a specific medical condition. If you have any doubts or questions, consult with your healthcare provider or financial advisor to ensure compliance with IRS regulations.


If you're curious about whether massages can be covered by your HSA, the good news is that there are specific criteria outlined by the IRS that can help you find out. While HSAs allow you to save pre-tax money for medical expenses, it’s crucial to understand the fine print regarding what's covered.

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