HSA/FSA accounts can cover qualified medical expenses - for items like adjustable beds, and/or massage chairs, a Letter of Medical Necessity (LMN) from a provider is typically required.
✅ HSA/FSA General Rule
- Eligible with Doctor’s Prescription or Letter of Medical Necessity (LMN):
- Must state the product is medically necessary to treat a specific diagnosed condition.
- Prescription/LMN must be dated before or on the date of purchase.
- Documentation must include:
- Patient’s full name
- Diagnosed condition
- Equipment prescribed (e.g., “adjustable base,” “massage chair,” “zero gravity recliner”)
- Physician’s signature & date
?️ Massage Chairs
- Eligible with LMN for conditions such as:
- Chronic back or neck pain
- Arthritis
- Neuropathy or circulation disorders
- Without prescription = not eligible.
- TIP: Customers often pay with personal funds, then submit receipt + LMN to their HSA/FSA administrator for reimbursement.
?️ Adjustable Smart Beds
- Eligible with LMN for conditions such as:
- Sleep apnea or GERD/acid reflux (head elevation improves breathing & digestion)
- Poor circulation or edema (leg elevation)
- Chronic back pain
- The adjustable base can qualify.
- Mattresses, linens, pillows, and accessories are usually taxable and not HSA-eligible unless separately prescribed.
? Zero Gravity Recliners
- Eligible with LMN for conditions such as:
- Circulatory issues, swelling, edema
- Spinal decompression / back pain relief
- Without medical documentation = not eligible.
? Important Notes
- Keep Documentation: Customers must retain the LMN and receipt for their records and/or submit to their HSA/FSA plan administrator.
- IRS Publication 502 is the governing guideline for qualified medical expenses.
- Plan Administrators Have Final Say: Customers should confirm coverage directly with their HSA/FSA administrator.
- Not automatically eligible – these items are considered “general wellness” by default.