Using Your FSA or HSA to Pay for Massage Therapy



You may be wondering about massage coverage under your insurance plan—specifically, paying for your massage with a Health Savings Account (HSA) or Flexible Spending Account (FSA). It’s extremely common, as massage therapy has countless health benefits. Massages can improve circulation, decrease pain and inflammation, reduce stress, and provide numerous benefits to your heart.

Let’s dive into healthcare to explain how you can pay for massage therapy through your health insurance plan with pre-tax dollars.

HSA and FSA: What Are They?

Before we discuss the process of getting a massage with your insurance plan, let’s do a quick overview of HSAs and FSAs. These special healthcare arrangements allow you to set aside money for medical costs, such as deductibles, monthly prescriptions, copayments, and coinsurance. You don’t pay taxes on this money.



Start with this fact sheet from the IRS for a detailed list of what costs are considered “medical expenses,” start with this fact sheet from the IRS. In some cases, your employer will contribute money to your HSA or FSA each year. These plans have a lot of fine print you’ll need to consider, so talk to your HR department if you have questions.

These healthcare plans usually come with a debit card that includes your (and your employer’s) contributions. You won’t have to worry about being reimbursed in most cases, as your funds will already be on the flex debit card. You can spend this on any of the above medical costs.


Why Would You Want an HSA or FSA?

There are a wide variety of benefits to these health accounts. First, HSAs and FSAs help you automate your savings for medical expenses. People rarely expect a medical emergency to happen, so these plans allow you to prepare without thinking about it.

And then there are the tax benefits. For both HSA and FSA, any contributions you make are pre-tax, so you save a lot of money in the long run.

HSAs also roll over, meaning you can make any savings for the year and apply them to the following year. FSAs, on the other hand, do not rollover. The set amount you put aside will go away if it’s not spent before December 31.


There are a few differences between FSA and HSA overall, but as it pertains to paying for a massage, they work the same.


Can I use an HSA or FSA for Massage?

In many cases, a message will be covered by your insurance plan, whether you use an HSA or FSA. Follow these steps to make sure you’re qualified.

1. Start with HR

Before you do anything else, reach out to your HR department or your medical insurance carrier and ask if massage therapy is considered a covered treatment. In some situations, an insurance policy won’t cover massages, even if you get a prescription from a doctor. That said, at Thai Serenity Spa, we’ve found that most customers who have an FSA or HSA had no trouble covering their massages.


2. Doctor visit

Once you’ve gotten the go-ahead from your insurance carrier, schedule an appointment with your primary care physician. Pro-tip for this step of the process: Don’t start by just saying you want a massage. You’ll need first to explain the symptoms.


Many mental and physical conditions could many psychological and physical conditions could qualify for a massage. Stress-related symptoms, circulation issues caused by diabetes or hypertension, sciatica, arthritis, tinnitus, fibromyalgia, anxiety, depression, and chronic back pain are all examples that could qualify for massage therapy.

Preparation is key to this discussion. Don’t be afraid to bring case studies of people who’ve alleviated similar symptoms through the power of massage therapy. You could also suggest specific massage therapy options, which can help you illustrate the legitimacy of this type of care.


3. Get a prescription

Once you and your doctor have talked it over, you’ll need them to prescribe a massage. In your insurance’s eyes, this proves that you need an HSA or FSA massage.

Your prescription will need to include the following:

  • It would be best to have massage therapy, such as a medical condition or injury.

  • The number of sessions you’ll require each month. Do you need a massage every month? Or once every 1-2 weeks? For regular massages, you should consider getting a massage package to lower the cost of each session.


  • The duration of the treatment. How long are you going to need this treatment? Should they be 60-minute, 75-minute, or 90-minute massages? Your doctor will be able to guide you in the right direction on this one. You can also change the length, time of day, and cadence as needed.

Getting a prescription is easier than it sounds, so there’s no need to stress. Healthcare providers often write prescriptions for massage or acupuncture without requiring an in-person doctor visit. Your medication can practically be as your massage.

4. Use Your FSA or HSA for Massage

Once you have your prescription, you’ll need to book an appointment with a massage therapy provider; luckily, this can be done on the fly with the Thai Serenity Spa mobile app or planned up to 30 days in advance. You’ll need to have your HSA or FSA debit card attached to your account to pay for your massage. Put these dollars to work for you!

Since the funds on your FSA plan expire at the end of the year, make sure you get the most of your benefits before time runs out. If you’re interested in getting an FSA massage, schedule a time to meet with a primary physician before the year is up. This way, you’ll be able to get the biggest bang from your insurance bucks.

How much will FSA save me?

So how much can you save on a massage by using an FSA? Using an FSA for massage therapy can save you 30-40% a year on out-of-pocket expenses. And if you want to save big, signing up for a massage package could increase your savings.

Things to keep in mind

When requesting a massage therapy prescription from a doctor, make sure you’re coming at it with the right intentions. Your health insurance aims to cover medical expenses, and massage therapy can be a great way to benefit your health. Be honest when speaking with your doctor regarding your symptoms and why you think massage would be a beneficial therapy.


And for the sake of your financial health, make sure you only use your HSA or FSA for massage therapy expenses if you have a prescription from your doctor. It’s also vital that you keep track of your records for tax time. Thai Serenity Spa makes this easy by itemizing every receipt – you’ll have a copy sent to your inbox after every massage. We’ve got your back!

Getting the most from your insurance

When it comes down to it, your insurance is there to keep you healthy. A massage can be a good remedy for many injuries and conditions. Take these steps to pay for medical massage with your FSA or HSA plan.

You can also verify your insurance coverage by completing this form, and our team will get back to you within 24-48 hours with the result of your insurance coverage.

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