Is a Treadmill Considered a Medical Expense for HSA?

If you're wondering whether a treadmill can be considered a medical expense for your Health Savings Account (HSA), the answer is not a simple yes or no. Let's dive into the details to understand when a treadmill purchase might qualify as a medical expense under HSA guidelines.

Under the IRS rules, a medical expense is defined as the costs of diagnosis, cure, mitigation, treatment, or prevention of disease. Here are some key points to consider:

  • A treadmill can be considered a medical expense if it is prescribed by a healthcare provider for a specific medical condition such as obesity, diabetes, or cardiovascular disease.
  • If the treadmill is part of a comprehensive treatment plan recommended by a healthcare professional, it may qualify as a medical expense.
  • However, if you purchase a treadmill for general fitness or weight loss purposes without a medical necessity or prescription, it would not qualify as a medical expense for your HSA.

It's important to keep detailed records and documentation to substantiate the medical necessity of the treadmill if you plan to use HSA funds for the purchase. Consult with your healthcare provider and tax advisor to ensure compliance with IRS regulations.


When it comes to Health Savings Accounts (HSAs), not all fitness equipment qualifies as a medical expense. A treadmill might only qualify if a healthcare provider specifically prescribes it for a diagnosed condition, such as obesity or heart disease.

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