Are Foot Massagers FSA/HSA Eligible?

No, foot massagers are not usually eligible for Flexible Spending Account (FSA) or Health Savings Account (HSA) funds. However, they may be approved expenses when accompanied by a Letter of Medical Necessity (LMN).

Why Are Foot Massagers Not FSA/HSA Eligible?

Foot massagers are generally not eligible for reimbursement through a Flexible Spending Account (FSA) or Health Savings Account (HSA) because they are categorized as general wellness or luxury items rather than medical devices. According to IRS guidelines, FSA and HSA funds can only be used for products or services that are necessary to diagnose, treat, or manage a specific medical condition.


While foot massagers may provide relaxation and temporary relief from discomfort, they are typically marketed for personal use rather than as a medically necessary device. This makes them ineligible for FSA or HSA reimbursement unless they are explicitly recommended by a healthcare provider for the treatment of a diagnosed condition, such as chronic pain, poor circulation, or neuropathy.


In such cases, an exception can be made if a Letter of Medical Necessity (LMN) is provided, detailing why the foot massager is essential for the patient’s treatment or health management.

Why Are Foot Massagers Not FSA/HSA Eligible?

If your healthcare provider determines that a foot massager is medically necessary for the treatment or management of a specific condition, you can use the following steps to purchase one with your FSA or HSA funds:

  1. Obtain a Letter of Medical Necessity (LMN):

    • Consult your doctor about your condition and request an LMN. The letter should include:

      • Your diagnosis and medical condition.

      • The reason a foot massager is necessary for your treatment.

      • The expected duration of its use.

  2. Verify Eligibility with Your FSA/HSA Provider:

    • Submit the LMN to your FSA or HSA administrator to confirm the foot massager qualifies for reimbursement.

  3. Purchase the Foot Massager:

    • Use your FSA or HSA card to buy the massager from a retailer that accepts these payment methods.

    • If the retailer does not accept FSA/HSA cards, pay out-of-pocket and save your receipt.

  4. Submit a Reimbursement Request:

    • If you paid out-of-pocket, provide your receipt and a copy of the LMN to your FSA or HSA administrator. The receipt must include:

      • Name of the retailer or provider.

      • Date of purchase or service rendered (must fall within the FSA plan year).

      • Description of the product purchased.

      • Total cost of the product.

  5. Keep Documentation:

    • Retain a copy of the LMN and receipts in case additional verification is needed.

By ensuring the purchase is tied to a medical necessity and following the required documentation process, you can effectively use FSA or HSA funds to reimburse the cost of a foot massager if approved by your provider. 

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