You can use your health savings account for diagnosis, treatment and prevention of medical problems. Thus you can use your tax-free HSA dollars to actually improve your health.
Here are the services I feel can make you healthier.
Guideline: If you want to embark on a personal wellness program, ask you physician to recommend health professionals or programs that can improve your health. If your physician recommends a program, it will probably be an HSA-allowable expense. When in doubt, always check IRS document 502 to verify http://www.irs.gov/pub/irs-pdf/p502.pdf
A dietitian can help you develop programs in a variety of areas. Weight control: work with a dietitian to develop a dietary plan and get coaching along the way as you lose weight. Lowering cholesterol: develop a cholesterol-lowering diet. If a dietary program can control cholesterol, you will save tens of thousands of dollars required to take a medication for a lifetime.
If you have difficulty sticking with exercise, consider seeing an exercise physiologist to help you develop a personal exercise prescription for you. You cannot use your HSA dollars for a fitness center membership, but you can pay for professional services in developing an exercise program. Lack of exercise is a risk factor for heart disease, stroke and diabetes, and developing a good exercise program will help prevent serious medical problems in the future.
A psychologist can help you develop a stress management program that will relieve stress and improve quality of life.
In the case of weight loss programs, publication 502—the document that outlines services in detail—suggests that you need a doctor’s referral to a weight loss program.
You can use your HSA dollars to pay for a smoking cessation program; as one of the most serious health risk factors, a smoking cessation program is highly beneficial.