12/21/2025
Many people are surprised to learn that massage can be paid for with HSA or FSA funds. That surprise tells me something important about how we’ve been conditioned to think about our bodies.
Massage is often labeled a “luxury” even when people are coming in for pain, limited movement, stress-related symptoms, headaches, jaw tension, or nervous system overload.
You feel the benefits, but somewhere along the way we were taught that real health care has to look clinical, uncomfortable, or reactive.
Here’s what’s helpful to know:
• HSA/FSA funds are for health-related care, not just prescriptions and procedures
• Massage may qualify when it’s used to support pain management, injury recovery, stress regulation, or functional improvement
• Some plans require a Letter of Medical Necessity from your provider, and some do not
• If a letter is needed, it usually states why massage supports your health, not that you’re “sick enough” to deserve care
Massage supports circulation, nervous system regulation, tissue health, mobility, and recovery. Those are not luxuries. Those are foundational to how your body functions.
If you’ve ever said:
“I didn’t realize I could use my HSA for this”
or
“I feel better, but I feel weird calling this health care”
You’re not wrong. You’re just unlearning an old story.
Your body doesn’t only deserve care when it’s broken.
Preventive, supportive, skilled touch is health care.
If you have questions about using HSA/FSA funds, what documentation might be needed, or how to submit receipts, I’m always happy to talk it through with you.
Your wellness is not an indulgence. It’s an investment - make 2026 your year to prioritize your health.