BobKamman
Level 15

A related question is whether massage therapy can be paid from an HSA.  I found this article but no IRS source for it (which is probably out there if anyone wants to look further):

Q: What about for stress reduction?

A: If stress is causing other diagnosed medical conditions, treatments may be paid for with an HSA with a letter of medical necessity from a doctor. Improvement of mental health or relief of stress is generally not covered. For example, the costs of a massage just to improve general health do not qualify. However, if the massage therapy is recommended by a physician to treat a specific injury or trauma, then it would qualify with a letter of medical necessity.

https://www.usatoday.com/story/money/personalfinance/2016/11/17/hsa-health-savings-account-tax-break...

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