Last updated: January 2026
Quick Answer: Yes, workout equipment is HSA/FSA eligible with a Letter of Medical Necessity (LMN). This includes Peloton bikes, Tonal home gyms, BowFlex equipment, NordicTrack treadmills, Hydrow rowers, and more. Once you have your LMN, you can use pre-tax HSA/FSA funds and save 25-40% depending on your tax bracket.
If you have a health condition that exercise can help prevent, manage, or reverse, Crates makes getting your LMN simple. Complete a quick health assessment, get your documentation from a licensed provider, and start saving on your home gym.
Looking for a specific brand? Jump to: Peloton | Tonal | BowFlex | NordicTrack | Hydrow | Concept2
Is Workout Equipment HSA/FSA Eligible?
Yes, workout equipment is HSA/FSA eligible but there’s an important requirement you need to know about.
The IRS classifies home fitness equipment as a “dual-purpose” item under Publication 502. This means it can be used for both general wellness and medical treatment. Because of this dual-purpose classification, you need a Letter of Medical Necessity (LMN) to use your HSA or FSA funds.
Think of it this way: a treadmill can help someone train for a marathon (general wellness) or help someone with cardiovascular disease improve their heart health (medical treatment). The LMN is what connects your specific equipment purchase to your specific health condition.
What conditions qualify? The list is broader than most people realize:
- Cardiovascular conditions (heart disease, high blood pressure, high cholesterol)
- Metabolic conditions (Type 2 diabetes, prediabetes, obesity)
- Musculoskeletal conditions (back pain, arthritis, osteoporosis)
- Mental health conditions (anxiety, depression, stress-related disorders)
- Respiratory conditions (asthma, COPD)
- Preventive care for those at risk of developing these conditions
The key insight: if your doctor would recommend exercise as part of your treatment or prevention plan, your workout equipment likely qualifies for HSA/FSA coverage.
What Types of Workout Equipment Qualify?
Nearly any home fitness equipment can qualify with proper documentation. Here’s a breakdown by category:
| Category | Examples | Price Range | Best For |
|---|---|---|---|
| Cardio | Treadmills, bikes, rowers, ellipticals | $300 – $4,500 | Heart health, weight management, endurance |
| Strength | Home gyms, free weights, resistance bands, cable machines | $50 – $6,000 | Muscle maintenance, bone density, metabolism |
| Smart Fitness | Connected bikes, AI-powered trainers, interactive mirrors | $1,000 – $4,000 | Guided workouts, tracking, accountability |
Cardio Equipment (Treadmills, Bikes, Rowers)
Cardiovascular equipment is the most commonly purchased category for HSA/FSA reimbursement. This makes sense – the American Heart Association recommends 150 minutes of moderate aerobic activity per week for heart health, and cardio equipment makes that achievable at home.
What qualifies:
- Treadmills (manual and motorized)
- Stationary bikes (upright, recumbent, spin)
- Rowing machines
- Elliptical trainers
- Stair climbers
- Air bikes
The equipment doesn’t need to be “smart” or connected to qualify. A basic manual treadmill is just as eligible as a Peloton Tread – the determining factor is your LMN, not the equipment’s features.
Strength Equipment (Home Gyms, Free Weights)
Strength training equipment qualifies because resistance exercise is clinically proven to help with numerous health conditions. Research shows strength training improves insulin sensitivity, increases bone density, reduces blood pressure, and supports weight management.
What qualifies:
- Home gym systems (Tonal, Bowflex, cable machines)
- Free weights (dumbbells, barbells, kettlebells)
- Weight benches
- Resistance bands and tubes
- Pull-up bars and dip stations
- Power racks and squat stands
Smart Fitness Equipment
Connected fitness equipment has exploded in popularity, and all of it is HSA/FSA eligible with an LMN. These devices often provide the tracking and guided programming that helps users stay consistent – which can be valuable for documenting your health improvement over time.
What qualifies:
- Peloton Bike and Tread
- Tonal smart home gym
- Hydrow rower
- NordicTrack iFIT equipment
- Mirror/Lululemon Studio
- Tempo smart home gym
Top HSA/FSA Eligible Workout Equipment Brands
Here are the most popular workout equipment brands and their HSA/FSA eligibility status. Each of these is eligible with a Letter of Medical Necessity.
Is Peloton HSA/FSA Eligible?
Yes, Peloton is HSA/FSA eligible with a Letter of Medical Necessity. This includes the Peloton Bike, Bike+, Tread, Tread+, and Row.
Price range: $1,445 – $3,495
Peloton’s connected fitness equipment qualifies because it provides cardiovascular exercise that can help prevent, manage, or reverse conditions like heart disease, hypertension, Type 2 diabetes, and obesity. The tracking features also provide documentation of your exercise consistency.
For a complete breakdown of Peloton HSA/FSA eligibility, pricing, and how to purchase, see our Peloton HSA/FSA Guide.
Is Tonal HSA/FSA Eligible?
Yes, Tonal is HSA/FSA eligible with a Letter of Medical Necessity.
Price: $2,995 (plus installation)
Tonal’s AI-powered home gym uses electromagnetic resistance to provide up to 200 pounds of resistance in a wall-mounted unit. It qualifies for HSA/FSA coverage because strength training is clinically proven to help with conditions including Type 2 diabetes, osteoporosis, sarcopenia (age-related muscle loss), and metabolic syndrome.
Tonal is particularly valuable for HSA/FSA users because it tracks every workout, set, and rep – creating a detailed record of your exercise program that supports your medical necessity documentation.
For complete details on using HSA/FSA for Tonal, see our Tonal HSA/FSA Guide.
Is BowFlex HSA/FSA Eligible?
Yes, BowFlex equipment is HSA/FSA eligible with a Letter of Medical Necessity.
Price range: $149 – $2,999
BowFlex offers a wide range of home fitness equipment, all of which qualifies for HSA/FSA coverage:
- BowFlex SelectTech Dumbbells ($149 – $549): Adjustable dumbbells that replace multiple weight sets
- BowFlex Max Trainer ($999 – $1,999): Hybrid elliptical/stepper for low-impact cardio
- BowFlex Treadmills ($999 – $2,999): Motorized treadmills with incline/decline
- BowFlex Home Gyms ($999 – $2,999): Power Rod and cable-based resistance systems
- BowFlex VeloCore Bike ($1,699 – $1,999): Indoor cycling with leaning technology
BowFlex products are available at major retailers (Amazon, Dick’s Sporting Goods) and directly from BowFlex.com. You can purchase with your personal card and get reimbursed through Crates, or some retailers accept HSA/FSA cards directly at checkout.
Is NordicTrack HSA/FSA Eligible?
Yes, NordicTrack equipment is HSA/FSA eligible with a Letter of Medical Necessity.
Price range: $599 – $2,999
NordicTrack is one of the most HSA/FSA-friendly brands because they accept HSA/FSA cards directly at checkout on NordicTrack.com. They’ve partnered with Truemed to offer this streamlined purchasing experience.
Popular NordicTrack equipment:
- Commercial Treadmills ($1,499 – $2,999): Feature incline/decline and iFIT integration
- Commercial Bikes ($1,499 – $1,999): Studio cycling with rotating screen
- RW Rowers ($999 – $1,999): Full-body cardio with iFIT rowing workouts
- FreeStride Trainers ($1,999 – $2,299): Elliptical with adjustable stride length
- Fusion CST ($1,499): Cable-based strength training system
Is Hydrow HSA/FSA Eligible?
Yes, Hydrow is HSA/FSA eligible with a Letter of Medical Necessity.
Price: $2,495 (Hydrow) or $1,895 (Hydrow Wave)
Hydrow’s rowing machines provide a full-body, low-impact workout that’s particularly valuable for people with joint issues who need cardiovascular exercise without the impact stress of running or jumping. Rowing engages 86% of your muscles and is excellent for both cardio and strength conditioning.
Hydrow qualifies for HSA/FSA coverage for conditions including cardiovascular disease, obesity, arthritis, back pain (when low-impact exercise is recommended), and metabolic conditions.
For complete details, see our Hydrow HSA/FSA Guide.
Is Concept2 HSA/FSA Eligible?
Yes, Concept2 equipment is HSA/FSA eligible with a Letter of Medical Necessity.
Price range: $990 – $1,300
Concept2 is the gold standard for rowing machines, used in CrossFit gyms, Olympic training centers, and home gyms worldwide. Their equipment qualifies for HSA/FSA coverage:
- Model D Rower ($990): The most popular rowing machine in the world
- Model E Rower ($1,300): Higher seat for easier on/off
- BikeErg ($1,050): Air resistance stationary bike
- SkiErg ($1,050): Upper body and core cardio trainer
Concept2 equipment is known for durability – many units last 15-20 years with minimal maintenance. The PM5 performance monitor tracks every workout, providing documentation of your exercise program.
Where to buy: Concept2 sells directly through Concept2.com and through authorized retailers like Rogue Fitness. You’ll purchase with your personal card and submit for HSA/FSA reimbursement through Crates.
How Much Can You Save?
Using HSA/FSA funds for workout equipment means paying with pre-tax dollars. Your actual savings depend on your tax bracket.
| Equipment Cost | 22% Bracket | 24% Bracket | 32% Bracket | 35% Bracket |
|---|---|---|---|---|
| $500 | $110 | $120 | $160 | $175 |
| $1,000 | $220 | $240 | $320 | $350 |
| $2,000 | $440 | $480 | $640 | $700 |
| $3,000 | $660 | $720 | $960 | $1,050 |
| $4,000 | $880 | $960 | $1,280 | $1,400 |
Example: If you’re in the 32% tax bracket and purchase a $2,995 Tonal, you save approximately $958 in taxes. That’s like getting a permanent discount on your home gym.
How to Get Your LMN for Workout Equipment
A Letter of Medical Necessity (LMN) is documentation from a licensed healthcare provider stating that your workout equipment purchase is medically necessary for your specific health condition. Here’s how to get one.
What Your LMN Should Include
Your LMN should specify:
- Your health condition – The specific condition(s) that exercise will help prevent, manage, or reverse
- The recommended treatment – That exercise/physical activity is part of your treatment plan
- The equipment needed – The specific type of equipment (or the specific product) recommended
- The medical rationale – How the equipment will help your condition
- Duration – How long the recommendation is valid (typically 12 months)
Important: Your LMN must be dated before your purchase. You cannot get an LMN after buying equipment and retroactively claim reimbursement.
Option 1: Through Your Doctor
You can request an LMN from your primary care physician or specialist.
Process:
- Schedule an appointment (expect $50-150 copay depending on your insurance)
- Discuss your health condition and how exercise fits your treatment plan
- Request an LMN specifying workout equipment
- Receive documentation (may take 1-3 weeks)
Pros: Uses your existing healthcare relationship Cons: Requires appointment, potential copay, doctors may be unfamiliar with LMN requirements
Option 2: Through Crates (Recommended)
Crates connects you with licensed healthcare providers who specialize in HSA/FSA eligibility documentation.
Process:
- Complete a quick health assessment online (about 5 minutes)
- A licensed provider reviews your information (typically within 24-48 hours)
- If eligible, your LMN is issued and stored in your Crates account
- Purchase your equipment anywhere using your personal card
- Use Crates one-click reimbursement to get your HSA/FSA funds
Pros: Fast, convenient, providers understand LMN requirements, includes reimbursement support Cons: Not using your existing doctor
Your LMN is valid for 12 months and Crates automatically handles renewal reminders. This means ongoing equipment purchases (like additional weights or a second piece of cardio equipment) are covered without getting a new LMN each time.
Frequently Asked Questions
Do I need a prescription for workout equipment?
No, you don’t need a prescription. Workout equipment is available over-the-counter without a prescription. However, to use HSA/FSA funds, you need a Letter of Medical Necessity (LMN) from a licensed healthcare provider. The LMN documents that the equipment is medically necessary for your specific health condition.
Can I buy used workout equipment with HSA/FSA funds?
Yes, used equipment purchases can be HSA/FSA eligible with an LMN. The eligibility depends on the medical purpose, not whether the equipment is new or used. Keep your receipt showing the purchase price, and submit that amount for reimbursement. Buying used can be a smart way to get quality equipment while maximizing your HSA/FSA savings.
How long is my LMN valid?
Most LMNs are valid for 12 months from the date of issue. This means you can make multiple qualifying purchases throughout the year without getting a new LMN each time. Crates automatically tracks your LMN expiration and sends renewal reminders so you don’t lose coverage.
What health conditions qualify for workout equipment?
Many conditions qualify, including cardiovascular disease, hypertension, high cholesterol, Type 2 diabetes, prediabetes, obesity, osteoporosis, arthritis, chronic back pain, anxiety, depression, and COPD. Importantly, you may also qualify for prevention if you have risk factors for these conditions. A licensed provider can determine your eligibility.
Can I use HSA/FSA for equipment subscriptions like Peloton or iFIT?
Yes, fitness subscriptions like Peloton All-Access, iFIT, and Tonal membership are HSA/FSA eligible with an LMN. Your Letter of Medical Necessity covers both the equipment and the subscription services that enable you to use it for your health condition. You can submit subscription payments for reimbursement through Crates.
Can I use HSA/FSA for a fitness tracker or smartwatch?
Yes, fitness trackers and smartwatches like Apple Watch, Oura Ring, Whoop, and Garmin devices are HSA/FSA eligible with an LMN. These devices help monitor health metrics relevant to your condition. For complete details, see our Fitness Trackers HSA/FSA Guide.
What if my HSA/FSA claim gets denied?
If your claim is denied, first check that your LMN was dated before your purchase and clearly specifies the equipment type. Common denial reasons include missing documentation, LMN dated after purchase, or vague medical necessity language. Crates users can contact support for help with denied claims – we often help resolve issues by providing additional documentation.
Can I split payment between HSA/FSA and a credit card?
Yes, you can split payment. For example, if your HSA balance is $2,000 but you’re buying a $3,000 Tonal, you can pay $2,000 from your HSA and $1,000 from your credit card. Alternatively, you can pay the full amount on your personal card and submit for partial HSA/FSA reimbursement up to your available balance.
Start Saving on Your Home Gym
Workout equipment is one of the highest-value HSA/FSA purchases you can make. A single piece of quality equipment can provide years of health benefits while saving you hundreds or even thousands of dollars in taxes.
Here’s your next step:
- Check your eligibility with a quick 3-minute assessment
- Get your LMN from a licensed provider (typically within 48 hours)
- Purchase your equipment from any retailer
- Submit for HSA/FSA reimbursement through Crates
Questions about whether your specific equipment qualifies? Contact Crates support – we’re happy to help.
