OSIM massage chair is now HSA FSA Eligible

Get Your OSIM Massage Chair 
with HSA/FSA Funds

Invest in your health and wellness — and maximize your pre-tax benefits while doing it. 

 

Choose OSIM, your trusted brand and the 

Only Brand ndorsed by the American Chiropractic Association (ACA),  designed by Japanese Chiropractic Massage Expert. 

 

With our partnership with Sika Health,  you can now purchase OSIM massage chairs using your Health Savings Account (HSA) or Flexible Spending Account (FSA).

Get Your OSIM Massage Chair 
with HSA/FSA Funds

Invest in your health and wellness — and maximize your pre-tax benefits while doing it. Choose OSIM, your trusted brand and the Only Brand Endorsed by the American Chiropractic Association (ACA),  designed by Japanese Chiropractic Massage Expert. 

 

With our partnership with Sika Health,  you can now purchase OSIM massage chairs using your Health Savings Account (HSA) or Flexible Spending Account (FSA).

Why choose 
OSIM Massage Chairs?

With thoughtful innovations, proven benefits, 

and award-winning technologies, 

OSIM massage chairs are designed to relieve muscle tension, lower stress levels, 

and improve blood circulation!

46+ Years of Expertise with over 250 patented Massage & Wellness Tech

Lifestyle Programs Designed by Japanese Chiropractic Massage Experts 

The ONLY massage chair brand clinically certified and endorsed by American Chiropractic Association (ACA) 

Local USA operation with free delivery in US mainland and in-home services

Why choose OSIM Massage Chairs?

OSIM offers more than just a massage chair— with thoughtful innovations, proven benefits, and award-winning technologies, OSIM massage chairs are designed to relieve muscle tension, lower stress levels, and improve blood and lymph circulation — great for not only relaxation, but also muscle recovery, stress relief, better sleep and more!

46+ Years of Expertise with over 250 patented Massage technique Technologies & Wellness Tech

Lifestyle Programs Designed by Japanese Chiropractic Massage Experts 

The ONLY massage chair brand clinically certified and endorsed by American Chiropractic Association (ACA) 

Local USA operation with free delivery in US mainland and in-home maintenance services

Frequently asked questions

Have questions? We’re here to help!

What are HSA and FSA accounts?

Health savings accounts (HSA) and flexible spending accounts (FSA) are programs that allow you to set aside pre-tax dollars for eligible healthcare expenses. OSIM has partnered with Sika to allow you to use your HSA or FSA dollars on eligible products. If you’re unsure whether or not you have an HSA or FSA account, please check with your employer or insurance company.

What is a Letter of Medical Necessity (LMN)?

An LMN, or Letter of Medical Necessity, is like a doctor’s note. It’s issued by a healthcare provider to outline the medical reasons why a particular product or service is medically necessary for an individual's health, and qualifies your purchase to be HSA/FSA eligible. LMNs demonstrate that an expense is needed to diagnose, treat, or alleviate a medical symptom, rather than for general health or wellness purposes.

Why do I need a Letter of Medical Necessity to purchase a Massage Chair with HSA and FSA account?

If you want to use your HSA/FSA funds to purchase a massage chair, you’ll need a Letter of Medical Necessity (LMN), which is why we’ve partnered with Sika to help you with this process!

 

Certain products are eligible for purchase with HSA/FSA funds if they treat, cure, prevent, diagnose or alleviate a medical need. For instance, items such as adhesive bandages are always eligible, as they serve a solely medical purpose. However, there are “dual-eligible” products that can be used for general health and wellness or specific medical purposes if recommended by a healthcare provider based on your individual needs. While massage chairs can be used for general relaxation, the massage treatment can also alleviate certain pains and chronic conditions with the user's needs.

How do I get a Letter of Medical Necessity?

Choose Sika as your payment method to use your HSA/FSA at checkout for your massage chair  purchase. You’ll fill out a quick survey to tell Sika’s medical team about your qualifying symptom(s). Once you’re approved, Sika will email your receipt and next steps..

 

Here’s how:

  1. Fill out a quick survey to see if you prequalify for a Letter of Medical Necessity
  2. Complete the intake form to tell Sika’s medical team about your qualifying symptom(s), similar to how you would at a doctor’s office
  3. Our team of healthcare providers will evaluate your qualifying symptom(s) and determine your eligibility


Once you have your LMN in hand, you can return to the merchant’s site and shop as usual. During checkout, you’ll simply select the Sika payment method to utilize your HSA/FSA funds.

How long does it take to get approved for a Letter of Medical Necessity?

Our healthcare provider team strives to provide a response within 12 business hours after you submit your LMN intake forms.

How long is a Letter of Medical Necessity valid?

Letters of Medical Necessity are valid for 12 months from the date they are signed and provided. Please note, LMNs cannot be used retroactively for purchases made prior to the date they are signed.

Why wasn’t I approved for a Letter of Medical Necessity?

Sika’s independent healthcare provider may determine that you do not have symptoms demonstrating a medical necessity for a product or service. While you cannot use your HSA/FSA funds now, you can still use another payment method to complete your purchase. We do not recommend reapplying.

What are Common Conditions that may qualify for a Letter of Medical Necessity (LMN)?

Massage chairs may be eligible for HSA/FSA use if prescribed by a healthcare provider for:

  • Back or neck pain
  • Musculoskeletal pain, tension, or soreness
  • Arthritis
  • Diabetes-related circulation issues
  • High blood pressure management
  • Chronic headaches or migraines
  • Injury recovery support
  • Poor circulation
  • Fatigue

What information will I need to provide for a Letter of Medical Necessity (LMN)?

To see if you’re a candidate for a Letter of Medical Necessity, similar to other telehealth experiences, you’ll be asked to share your name, contact information, date of birth, and information about the symptoms you are experiencing and your medical history. We will also verify your phone number and ask you to upload a photo ID to verify your identity.


The information you provide in the LMN process will be kept confidential and shared only with our independent healthcare provider(s) to evaluate your eligibility for an LMN. For more information, see the full privacy policy.

How do I submit my Letter of Medical Necessity to my HSA/FSA provider?

If you paid with your HSA/FSA or to get reimbursed if you paid with your credit/debit card, you will need to submit your Letter of Medical Necessity and the order receipt to substantiate the purchase. To do this:

  1. Log into your HSA/FSA account on your benefit administrator’s website
  2. Find the Reimbursement or Claims section
  3. Upload your receipt and Letter of Medical Necessity

Your administrator will process and evaluate your claim. You can learn more about the process what is eligible at https://www.irs.gov/publications/p969.
If you are having trouble locating your itemized receipt or LMN, please contact Sika support at support@sikahealth.commailto:support@sikahealth.com

Can I check out with Sika if I’m purchasing an ineligible item along with an eligible item?

Yes! For mixed baskets, when you select the “Sika | Pay with HSA/FSA” payment method at checkout, your cart will automatically be split into eligible and ineligible subtotals. You can then add the appropriate payment method to each subtotal to complete the checkout process.

I don’t have enough funds on my HSA/FSA card to cover my entire purchase. Can I still checkout with Sika?

Yes! If you do not have enough funds on your HSA/FSA card, Sika will charge the available balance and allow you to provide a backup credit or debit card to handle the rest of the purchase.

Can HSA/FSA funds pay in instalments?

No — HSA and FSA debit cards only support one-time payments at the time of purchase. They cannot be set up for monthly instalment plans or recurring charges. To use your HSA or FSA funds, the eligible expense must be paid in a single payment transaction.

Last updated: August 2025
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