Is therapy HSA eligible? Understanding therapy coverage in Health Savings Accounts

Therapy can be a vital part of taking care of your mental health and well-being. Many people wonder if therapy expenses are eligible for reimbursement through their Health Savings Account (HSA). Let's delve into the details to find out more.

Health Savings Accounts (HSAs) are a tax-advantaged way to save and pay for qualifying medical expenses, including therapy costs. However, not all therapy expenses may be deemed eligible for HSA reimbursement. Here are some important points to consider:

  • Therapy that is prescribed by a qualified medical professional, such as a psychiatrist or psychologist, is typically considered an eligible expense.
  • Covered types of therapy may include individual therapy, group therapy, couples therapy, and family therapy.
  • Therapy sessions aimed at treating mental health conditions like anxiety, depression, PTSD, or other diagnosable disorders are usually eligible.
  • Expenses for therapy sessions that are not primarily for general well-being but specifically prescribed to alleviate or treat a diagnosed medical condition may qualify.
  • It's essential to keep detailed records of therapy sessions, including receipts and notes from the prescribing medical professional.

While therapy that meets the criteria for medical necessity is generally eligible for HSA reimbursement, some forms of therapy, such as lifestyle coaching or personal development sessions without a diagnosed medical condition, may not qualify. It's advisable to check with your HSA administrator or refer to the IRS guidelines for a definitive list of eligible therapy expenses.


Understanding the eligibility of therapy expenses under your Health Savings Account (HSA) is crucial for maximizing your benefits. Therapy is essential for mental health and often qualifies for HSA reimbursement when prescribed by a licensed professional.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter