What Is Massage Envy
Massage Envy is a nationwide franchise network you can use two ways: book a massage on its own, or make it a monthly appointment with a membership. The current menu comes down to two main options. Relaxation Massage is what the brand calls time to unwind, while Relief Massage, it says, targets everyday pain and tension in specific areas.
A membership gets you one 60-minute session a month (50 minutes of it hands-on), plus member rates on extra appointments. Skip a month and the session rolls over, as long as your membership stays active. Prices vary by franchised location: the Glen Ellyn, Illinois location lists a regular non-member rate of $140 for a 60-minute massage.
If those massages help you manage a health condition, a Letter of Medical Necessity documents them as medical care your HSA or FSA can pay for. That works whether you pay visit by visit or through your monthly membership.
Why Massage Envy Qualifies for HSA/FSA
Massage therapy at Massage Envy qualifies once a licensed provider documents how it helps you manage your specific condition. IRS Publication 502 includes the “diagnosis, cure, mitigation, treatment, or prevention of disease” in its definition of medical expenses.
Our massage therapy HSA/FSA guide covers massage anywhere, not only at Massage Envy. Some common reasons a provider writes a letter for massage therapy:
- Chronic low back pain. Massage works on muscles and other soft tissues around the painful area. NCCIH reports short-term pain improvements in studies of massage for low-back pain.
- Chronic neck pain. A therapist can gently press and knead the neck and shoulder muscles. Mayo Clinic says massage may lessen muscle tightness and pain, especially with long-term neck tension.
- Fibromyalgia. Fibromyalgia pain is widespread, so muscle relaxation and easier movement both matter. Mayo Clinic says massage can relax muscles and improve joint range of motion.
- Knee osteoarthritis. A randomized trial of 222 adults found that eight weeks of weekly 60-minute massage improved knee pain, stiffness and function compared with light touch and usual care.
Don't see your condition here? When your provider connects massage therapy to another health condition you have, your sessions count as well.
How to Get Massage Envy Covered With a Letter of Medical Necessity
There are two ways to get a Letter of Medical Necessity for your Massage Envy sessions:
- Through Crates, typically in under 24 hours. Allow about 2 to 3 minutes to fill out the short online health assessment. A licensed provider reviews it, and if you qualify, your letter is issued for massage therapy. The letter stays valid for 12 months, then renews each year.
- Through your own doctor, a few days to a few weeks. Book a visit and ask for a letter for massage therapy. Your doctor documents how it helps prevent, manage, or reverse your condition. The letter should carry a signature and date. You could owe a copay for the visit.
One letter covers your ongoing sessions, so there's no new letter every month.
How to Buy Massage Envy Sessions With HSA/FSA Funds
Book your Massage Envy sessions as usual, pay with your own card, then get your HSA/FSA funds back.
- Get your Letter of Medical Necessity first. Get it through Crates or your own doctor before your next massage or membership payment.
- Pay for your massages. Use a personal card for a single appointment or the monthly dues, and keep the itemized receipt showing the service and amount paid.
- Get your funds back. Let Crates one-click reimbursement file your claim, or upload the letter and receipt yourself. For massages paid for with HSA funds, save the letter alongside your receipts in your tax records.
Already a member? No need to cancel and rejoin: get a letter now and use your documented massage therapy from here on. For massages you've already had, your account dates and letter determine what you can file, so get the letter before your next visit or payment. For a comparison of the two accounts, read our HSA vs. FSA guide.
Massage Envy Membership Options and Pricing
Relaxation and Relief massages both qualify with an LMN, as long as they're the massage therapy your provider recommends. Session length and how you pay don't change that.
The regular session rates below are from Massage Envy Glen Ellyn, checked October 18, 2026. They're one location's prices, not nationwide membership rates or intro offers.
| Massage purchase | Regular price at Glen Ellyn | HSA/FSA eligibility |
|---|---|---|
| 60-minute Relaxation or Relief Massage, non-member | $140 | Yes, with an LMN |
| 90-minute Relaxation or Relief Massage, non-member | $210 | Yes, with an LMN |
| Additional 60-minute massage for a member | $70 | Yes, with an LMN |
| Massage therapy funded by monthly membership dues | Membership price varies by location | Yes, with an LMN |
At a combined tax rate near 30%, you keep $42 in taxes on that $140 massage, so it works out to $98. The location still charges $140. Your actual savings depend on your tax rates and how you fund the account.
