Is Massage Allowed in HSA Health Account?

When it comes to utilizing your HSA (Health Savings Account) for various medical expenses, there are guidelines regarding what is allowed and what is not. One common question that arises is whether massage therapy is an eligible expense under HSA.

Typically, the general rule of thumb is that for a medical expense to be eligible for HSA reimbursement, it must be considered medically necessary. This means that the massage therapy should be prescribed by a healthcare provider to treat a specific medical condition.

However, there are certain scenarios where massage therapy can be deemed eligible for HSA reimbursement:

  • If the massage is recommended by a healthcare provider to address a specific medical condition such as back pain, muscle tension, or injury rehabilitation.
  • If the massage is performed in a clinical setting by a licensed massage therapist.

It's important to keep in mind that relaxation or spa massages are generally not considered eligible expenses under HSA, as they are not prescribed to treat a specific medical condition.

Before seeking massage therapy and using your HSA for reimbursement, it is advisable to consult with your healthcare provider to ensure that it is medically necessary and meets the HSA eligibility criteria.


Many people question whether they can use their HSA (Health Savings Account) for massage therapy. The answer largely depends on whether the massage is deemed medically necessary. To qualify, a healthcare provider must prescribe the massage for treatment of a specific condition.

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