Can You Use An HSA Or FSA For Acupuncture?
Usually, yes. IRS Publication 502 lists acupuncture as a medical expense. HSA money can pay for medical care as the tax code defines it, and an FSA pays for the expenses your plan names, so check your plan. Keep the receipt or superbill from the clinic.
Published November 1, 2026. Not medical advice.
What The IRS Says
IRS Publication 502 (2025) says: “You can include in medical expenses the amount you pay for acupuncture.”
IRS Publication 969 (2025) defines HSA qualified medical expenses as amounts paid for “medical care” as defined in Internal Revenue Code section 213(d). For FSAs, it says qualified medical expenses are those specified in the plan that would generally qualify for the medical and dental expenses deduction.
This is a summary of IRS publications, not tax advice. Ask your plan administrator if you are unsure.
Clinics That Say They Take HSA Or FSA Cards
- Middle Ground Community Acupuncture (Asheville): first visit $40 to $65 sliding scale, follow-up $25 to $50 sliding scale
- West Asheville Aesthetics & Wellness (Asheville): first visit $110, follow-up $80
- Daoist Traditions Acupuncture Clinic (Asheville): first visit $40, follow-up $40
- Equilibrium Health (Arden): first visit $120, follow-up $80
- Hendersonville Acupuncture & Wellness (Hendersonville): first visit $155, follow-up $105, community visit $48
- Wandering Roots Acupuncture (Brevard): first visit $125, follow-up $90
- Marshall Acupuncture & Herb Clinic (Marshall): first visit $200, follow-up $110
- Clover Acupuncture & Wellness (Tryon): per visit $135
- Saluda Acupuncture (Saluda): per visit $120
Many clinics do not say either way on their site. If yours does not, ask when you call.
Superbills
16 clinics we list say they give a superbill, an itemized receipt you can send to your insurer or keep for your HSA or FSA records.
Common Questions
Can I use my HSA for acupuncture?
IRS Publication 502 lists acupuncture as a medical expense, and HSA funds can pay for medical care as defined in the tax code. Keep your receipt.
Can I use my FSA for acupuncture?
Usually, if your plan covers it. IRS Publication 969 says FSA qualified medical expenses are those specified in the plan. Check with your plan administrator.
Which clinics take HSA or FSA cards?
9 clinics we list say they take HSA or FSA cards on their own site.
Sources
- IRS Publication 502 (2025), Medical and Dental Expenses read November 1, 2026
- IRS Publication 969 (2025), Health Savings Accounts and Other Tax-Favored Health Plans read November 1, 2026
- IRS Topic No. 502, Medical and Dental Expenses read November 1, 2026