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Use Your HSA or FSA for a Restorative Massage

Structured therapeutic care designed to support pain, mobility, and measurable progress.

Care at Paikuli Wellness Center is structured around identifying functional limitations, applying targeted treatment, and tracking measurable progress.

This approach allows sessions to align with common HSA/FSA requirements when medically necessary.

Eligibility is determined by your individual plan and may require a Letter of Medical Necessity (LMN) from a healthcare provider.

Documentation can be provided when needed to support submission requirements.

What Conditions Commonly Qualify?

Therapeutic massage is commonly considered when addressing:

• Chronic back or neck pain     
• Sciatica                                       
• Postural dysfunction                
• Muscle spasms                       
 

Approval is determined by your plan administrator.

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Clinical Documentation Support

Each session includes structured documentation of symptoms, functional limitations, and treatment response.

This supports continuity of care and may assist with reimbursement requirements when applicable.

​• TMJ dysfunction  
• Tension headaches  

• limited range of motion  
• Pregnancy musculoskeletal pain

How the Reimbursement Process Works

Schedule a restorative session

Provide documentation if required

Submit records to your provider

Receive determination from your plan

Common Questions

Does massage automatically qualify?

No. Eligibility depends on medical necessity and your individual plan.

Do you bill insurance directly?
No. We operate as a fee-for-service provider and supply documentation for reimbursement when needed.

Is a Letter of Medical Necessity required?
Some plans require it. We can guide you on what to request if needed.

Is reimbursement guaranteed?
No. Approval is determined by your HSA/FSA administrator.

Supporting documentation

If your plan requires additional documentation, we provide structured templates to support the submission process.

LMN

Provider-Completed

Letter of Medical Necessity

A simple template your healthcare provider can complete when required by your HSA/FSA plan.

Superbill

Superbill / Receipt

For Reimbursement

A structured receipt format including service details, provider information, and documentation for submission

Use of these templates does not guarantee reimbursement. Approval is determined by your individual plan.

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