HSA / FSA Health Savings Accounts & Massage Therapy

Can I use my HSA or FSA Account for Massage Therapy?
Massage therapy can be a qualified medical expense, as long as a physician recommends it with a written prescription. The IRS ruling states that medical care expenses must be primarily to alleviate or prevent a physical or mental ailment. Examples of illnesses that qualify include carpal tunnel syndrome, stress, back pain, arthritis, diabetes, hypertension, fibromyalgia, chronic fatigue, anxiety, depression and pain management.

First Steps

If you suffer from one of the above conditions (and who isn't stressed?), all you need to do is  schedule an appointment with your medical practitioner. Let him or her know that you have an FSA or HSA account and you'd like to use some of your funds towards Massage Therapy for treatment or prevention of your condition.
Your physician will need to provide the following information on the prescription:
1. Medical necessity: why you need massage therapy (example: to relieve back pain)
2. Frequency: number of sessions per month (example: minimum of two sessions per month)
3. Duration: length of treatment (example: 12 months)

Once you've obtained the prescription, file it away in case you are ever asked to back up the expense. It's not necessary to bring use your prescription, but you should bring your FlexCard (if you have one) to pay for your next visit. If you don't have a FlexCard, simply pay for our massages and turn in your receipts for reimbursement.

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