How the HSA/FSA Works - US Based Clients

Modified on Tue, 11 Nov at 4:11 PM

You can use your HSA or FSA to pay for eligible services booked through Blys — provided they qualify as a medical or wellness expense under IRS guidelines.

Eligible services may include:

  • Massage therapy prescribed by a healthcare provider for treatment of a medical condition (e.g., pain management, injury recovery, stress relief)

  • Other wellness services that meet your plan’s coverage rules


Important:
Not all HSA/FSA administrators cover the same services. Always confirm with your HSA/FSA provider before booking to ensure eligibility.


How to Pay Using Your HSA/FSA Card

Add your HSA or FSA card as a payment method in your Blys account.

  1. Book your session as you normally would.
  2. Once the booking has been accepted by the provider you will receive a email notification and the will have to Complete payment using your HSA/FSA card. 

  3. Upon click on complete you will be redirected to a checkout page, where you will have to fill in the survey, based on the survey the system determine if you are eligible for HSA/FSA payment.
  4. Once you are eligible you will receive add addition prompt where you can add your HSA/FSA payment details
  5. Once clicked Pay Now - your booking has finally been confirmed
  6. Keep your receipt or invoice — you may need to submit it to your plan administrator for verification.


Getting a Receipt or Invoice

You can download your tax-compliant invoice from your Blys account:

  1. Go to Your Bookings

  2. Select the relevant appointment

  3. Click Download Invoice

Each invoice includes the provider’s name, service type, date, and payment amount — everything your HSA/FSA administrator typically needs.



What’s Not Covered

Examples of services that usually don’t qualify:

  • Relaxation or general wellness massages without a doctor’s note

  • Beauty or cosmetic services (e.g., facials, non-therapeutic treatments)

If your service is for general wellness and not medically necessary, your HSA/FSA provider may decline reimbursement.

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