Recreational activity fees are not medical care, even when a doctor says exercise would help.
IRS Pub. 502 (general-health exclusion)
Therapeutic programs (e.g., aquatic therapy administered for a condition) are different — that's medical treatment.
This one doesn't qualify, but a lot of similar items do.
Browse HSA-eligible items →Informational only — not tax, legal, or medical advice. Consult a qualified tax professional about your situation. Rules version 2026-08-15, last verified July 2026.