Is Therapy Covered as HSA?

When it comes to your health savings account (HSA), you may wonder if therapy services are covered. The good news is that therapy can be an eligible expense that you can pay for using your HSA funds.

Therapy services that may be covered include:

  • Mental health counseling
  • Marriage counseling
  • Substance abuse therapy

It's important to note that in order for therapy expenses to be considered eligible for reimbursement from your HSA, the services must be deemed medically necessary. This typically requires a healthcare provider to diagnose a condition that therapy can help alleviate or treat.

When considering using your HSA funds for therapy, it's advisable to:

  • Check with your insurance provider to understand what therapy services are covered under your plan
  • Consult with your healthcare provider to ensure the therapy is medically necessary
  • Keep detailed records of your therapy expenses for tax purposes

Remember, using your HSA for therapy can provide a tax-advantaged way to access important mental health services. By being aware of what therapy services are covered and maintaining proper documentation, you can make the most of your HSA benefits.


Absolutely! Therapy services qualify as a permissible expense for your health savings account (HSA), making it easier for you to prioritize your mental health without the burden of additional costs.

Here are some therapy services you might consider using your HSA for:

  • Cognitive-behavioral therapy (CBT)
  • Family therapy
  • Grief counseling

To ensure that your HSA covers these expenses, they must be medically necessary, typically confirmed through a written diagnosis from a healthcare professional.

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