Can you use fsa for gym membership?


Flexible Spending Accounts (FSAs) are tax-advantaged accounts designed to help individuals cover eligible medical expenses. Many people wonder if a gym membership qualifies as an eligible expense under an FSA. This comprehensive guide will provide you with detailed information on the use of FSAs for gym memberships, including eligibility criteria and important considerations.

Understanding Flexible Spending Accounts (FSAs)

FSAs are employer-sponsored accounts that allow employees to set aside a portion of their pre-tax income to cover qualified medical expenses. These expenses can include a wide range of healthcare-related costs, from doctor’s visits to prescription medications.

Eligibility of Gym Memberships under FSAs

As of my last knowledge update in September 2021, gym memberships are generally not considered eligible expenses under FSAs. The Internal Revenue Service (IRS) provides specific guidelines regarding eligible medical expenses, and recreational expenses, including gym memberships, are typically excluded.

Exceptions and Special Cases

While standard gym memberships are not typically covered, there are certain situations where gym-related expenses may be considered eligible. These exceptions might include:

  1. Medical Necessity: If a healthcare provider prescribes a specific exercise regimen or program for a specific medical condition, the associated expenses may be considered eligible.
  2. Weight Loss Programs: In some cases, weight loss programs that are medically necessary to treat a specific condition may be eligible, but this does not usually extend to standard gym memberships.
  3. Physical Therapy: Certain gym-based physical therapy programs that are prescribed by a healthcare provider for rehabilitation purposes may be eligible.
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Important Considerations

  1. Documentation: If you believe your gym-related expense may qualify, it’s essential to maintain thorough documentation, including a prescription or letter of medical necessity from your healthcare provider.
  2. FSA Plan Specifics: Some employer-sponsored FSA plans may have unique provisions regarding eligible expenses. It’s advisable to review your specific plan documents or consult with your benefits administrator.
  3. Keep Receipts: Even if your gym membership is considered eligible due to a medical necessity, you should keep all receipts and documentation for tax purposes.

Future Changes

Please note that tax regulations and guidelines may change over time. It’s recommended to consult the latest IRS guidelines or speak with a tax professional for the most up-to-date information.


While standard gym memberships are typically not eligible expenses under FSAs, there are exceptions for medically necessary programs prescribed by healthcare providers. It’s important to understand the specific rules and guidelines of your FSA plan and consult with a tax professional for personalized advice. Always keep thorough documentation of any expenses you intend to claim.

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