Does Online Therapy Meet HSA Guidelines?

Health Savings Accounts (HSAs) are a tax-advantaged way for individuals to save and pay for medical expenses. One common question that arises is whether online therapy services are eligible expenses that meet HSA guidelines.

Online therapy, also known as teletherapy or telehealth, refers to mental health services provided remotely through video calls, phone calls, or messaging apps. As the popularity of online therapy grows, many individuals are seeking clarity on whether these services qualify for HSA reimbursement.

According to the IRS guidelines, online therapy can be considered an eligible expense under an HSA if it is for the treatment or prevention of a medical condition, including mental health conditions. However, there are some criteria to keep in mind:

  • Online therapy sessions must be conducted by a qualified healthcare provider, such as a licensed therapist or psychologist.
  • The therapy sessions must be related to the diagnosis, cure, mitigation, treatment, or prevention of a specific medical condition.
  • Expenses incurred for general well-being or personal growth purposes may not be eligible for HSA reimbursement.

It is important to note that HSA guidelines may vary, so individuals should consult with their HSA provider or tax advisor for specific guidance.


Health Savings Accounts (HSAs) not only provide a great way to save for medical expenses but can also facilitate access to necessary mental health services, including online therapy. This method of receiving therapy is gaining traction, prompting many to ask whether these virtual sessions qualify for HSA reimbursement.

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