02/14/2026
Can you use your HSA or FSA for massage therapy? It depends on medical necessity. I break down the IRS rules, what documentation you need, and when massage qualifies as a medical expense vs. general wellness.
Short answer: sometimes. Massage therapy can be paid for with HSA or FSA funds when it is medically necessary, but not when it is purely for general wellness or relaxation. That distinction is what causes most of the confusion.I’m a Licensed Massage Therapist (LMT) and Certified Rolfer®, and this...