Is Talk Therapy MFT Eligible for HSA? Everything You Need to Know

If you've been considering using your HSA for mental health services, you may wonder if talk therapy, specifically MFT (Marriage and Family Therapy), is eligible for HSA spending. Let's delve into this topic and provide you with the information you need to make an informed decision.

According to the IRS, talk therapy, including MFT, is an eligible expense for your HSA if it is deemed medically necessary. This means that if a qualified healthcare provider prescribes MFT as part of your treatment plan for a diagnosed mental health condition, you can use your HSA funds to pay for it.

Here are some key points to keep in mind:

  • MFT services must be performed by a licensed therapist who meets the IRS criteria of a qualified healthcare provider.
  • You may need a written prescription or recommendation from your healthcare provider stating that MFT is medically necessary for your condition.
  • Keep detailed records of your MFT sessions and related expenses for tax purposes and potential HSA audits.
  • Ensure that the MFT sessions are specifically for the treatment of a diagnosed mental health condition to qualify as an eligible HSA expense.
  • Check with your HSA provider or refer to the IRS guidelines for the most up-to-date information on eligible expenses.

By understanding the eligibility criteria and requirements for using your HSA funds for talk therapy, including MFT, you can prioritize your mental health without worrying about financial barriers.


Have you ever thought about using your HSA for mental health services? If so, you might be curious whether talk therapy—specifically MFT (Marriage and Family Therapy)—qualifies for HSA spending. Let’s break it down so you can feel confident in your choices.

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