All eligible expenses
Fitness services

Is Gym Membership FSA/HSA eligible?

📋Eligible with a Letter of Medical Necessity

Health club and gym memberships are reimbursable with a Letter of Medical Necessity for qualifying conditions.

Typical cost:$30–$200/month

The full picture

A standard gym or health club membership is one of the most common FSA/HSA-eligible expenses when paired with a Letter of Medical Necessity from your physician. The IRS treats general gym memberships as personal expenses by default, but Section 213 of the tax code (clarified in Publication 502) allows reimbursement when membership is documented as medically necessary for a specific diagnosed condition.

Most major chains (Planet Fitness, LA Fitness, Equinox, Lifetime, YMCA, etc.) provide receipts that meet administrator requirements when they include the member name, dues period, and amount. If your gym only provides generic 'MEMBERSHIP DUES' receipts, request itemized documentation.

Typical annual cost: $360–$2,400 depending on facility tier.

Conditions that qualify this expense

If you've been diagnosed with any of these, your physician may consider documenting gym membership as medically necessary:

Ready to get reimbursed?

You'll need a Letter of Medical Necessity from your doctor. We make that easy — 5-minute intake, packet delivered in under 1 hour, your own physician signs.

Start your packet

Final approval is up to your administrator. Eligibility on this page is based on IRS Publication 502 and common administrator practice. Reimbursement is not guaranteed — your specific FSA/HSA administrator decides whether to approve any individual claim. DoctorNoted prepares documentation; the approval decision is theirs.