Does Reiki Count for HSA? | Understanding the Eligibility of Reiki for Health Savings Accounts

Reiki, a form of alternative therapy that involves energy healing, is a practice gaining popularity for promoting relaxation and reducing stress. Many individuals are turning to Reiki to improve their well-being and overall health. However, when it comes to Health Savings Accounts (HSAs), the question arises: does Reiki count for HSA?

HSAs are tax-advantaged accounts that allow individuals to save money for medical expenses not covered by insurance. While traditional medical treatments and services such as doctor visits, prescriptions, and surgeries are commonly eligible for HSA funds, alternative therapies like Reiki may not always qualify.

Whether Reiki is considered an eligible expense under an HSA depends on various factors, including IRS guidelines and the specific policies of the HSA provider. Here are some key points to consider:

  • IRS Guidance: The IRS determines which medical expenses are eligible for HSA reimbursement. As of now, the IRS does not specifically mention Reiki as a qualifying expense.
  • HSA Provider Policies: HSA administrators may have their own list of eligible expenses, which could vary from one provider to another. It's essential to check with your HSA provider to understand their guidelines on alternative therapies like Reiki.
  • Letter of Medical Necessity: In some cases, individuals may be able to use Reiki as an HSA-eligible expense with a Letter of Medical Necessity from a healthcare provider. This document explains why the treatment is medically necessary for the individual's health.

While Reiki may not be a guaranteed eligible expense for HSA reimbursement, it's essential to explore all possible avenues to determine if it can be covered under your HSA. Consulting with your HSA provider and tax advisor can help clarify the eligibility of Reiki or other alternative therapies for your specific situation.


Reiki is an intriguing alternative therapy that many believe can facilitate healing through energy transfer. Due to its increasing recognition, many people wonder: Is Reiki an eligible expense under their Health Savings Accounts (HSAs)?

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