All eligible expenses
Alternative therapies

Is Massage Therapy FSA/HSA eligible?

📋Eligible with a Letter of Medical Necessity

Massage therapy is FSA/HSA-eligible with an LMN for chronic pain conditions, fibromyalgia, and cancer recovery.

Typical cost:$80–$200 per session

The full picture

Massage therapy is reimbursable with a Letter of Medical Necessity that documents it as therapeutic for a specific condition. Strongest approval for chronic pain conditions (back pain, fibromyalgia), cancer recovery, and post-injury rehabilitation. The LMN should specify 'therapeutic massage' rather than 'relaxation' or 'spa' massage.

Conditions that qualify this expense

If you've been diagnosed with any of these, your physician may consider documenting massage therapy 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.