Massage therapy is usually considered a legitimate medical expense by most insurance companies. Still, to be sure, check with your carrier or ask an HR representative at work because some plans do not cover massage, even with a doctor’s prescription. However, this is not common and most people encounter no difficulty paying for their massage with their HSA or FSA. After your insurance company confirms that it does endorse massage therapy as medical treatment, call your primary care physician to ask about adding massage to your wellness or treatment plan. Many doctors are willing to provide the prescription through a simple call and do not require you to make an appointment.