Nex Playground console, a small cube with a camera lens on its yellow and turquoise top and a white base, on a white background.

Is Nex Playground HSA/FSA Eligible? Yes, Here's How!

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Quick Answer:

Yes, Nex Playground and Play Pass are HSA/FSA eligible with a Letter of Medical Necessity (LMN) from a licensed healthcare provider. They qualify when used to prevent, manage, or reverse conditions like childhood obesity, developmental coordination disorder, or stroke.

Crates Health makes this easy. Get your personalized, compliant LMN and handle your reimbursement in one click.

What Is Nex Playground

Nex Playground is the small, colorful console that turns your living room into a motion-controlled game space. In Fruit Ninja, you slice fruit with your arms; in Starri, you move to the music. Its built-in camera follows your movements, so you play without holding a controller. Up to four people can join in together.

The Nex Playground console costs $299 at its regular U.S. price and includes five games. The box contains the console, camera cover, remote, HDMI cable and power adapter. The remote is just for the menus; once a game starts, you're the controller.

For more games, the optional Play Pass opens a library of 60+ titles. It costs $89 for 12 months or $49 for three months. You don't have to add it: the console and its five included games are ready to play on their own.

All that moving around isn't just for fun; it can have a medical purpose too. A provider can connect active play to a specific health condition, whether the player is your child or you.

Why Nex Playground Qualifies for HSA/FSA

Nex Playground qualifies when a licensed provider connects its use to your health condition in a Letter of Medical Necessity. The letter documents why active play is part of your care, and with that on paper, your HSA or FSA can pay for the console.

IRS Publication 502 includes the “diagnosis, cure, mitigation, treatment, or prevention of disease” in its definition of medical expenses. Here are some of the common conditions a provider can document, and what research on active video games found for each:

  • Childhood obesity or overweight. Active games turn screen time into time spent moving. A 2023 systematic review pooled seven randomized trials in children and teens with overweight. Kids playing active video games saw a bigger drop in BMI z-score (BMI compared with kids the same age and sex) than the control groups did. Publication 502's Weight-Loss Program entry also lets you include amounts you pay to lose weight “if it is a treatment for a specific disease diagnosed by a physician (such as obesity, hypertension, or heart disease)”.
  • Developmental coordination disorder. Movement games are full of repeated motor tasks, like reaching for targets and reacting to them. A 2018 systematic review of motor-based interventions looked at approaches for developmental coordination disorder and found positive motor benefits from active video games.
  • Stroke rehabilitation in adults. Nex makes its games for kids and families, and adults can play the same motion games. A 2025 Cochrane review found virtual reality and interactive video gaming slightly better than other therapy approaches for arm function, balance and activity limitation.

These aren't the only ones. If your provider connects active play to a different health condition you or your child has, Nex Playground qualifies just the same.

How to Get Nex Playground Covered With a Letter of Medical Necessity

A Letter of Medical Necessity for Nex Playground comes through one of two routes:

  • Through Crates, typically in under 24 hours. Start with the short online health assessment, which takes about 2 to 3 minutes. A licensed provider reviews it and, if you qualify, issues a letter for the console that's valid for 12 months and renews each year.
  • Through your own doctor, a few days to a few weeks. A provider who already treats your condition can write it. Book a visit, say you want to buy Nex Playground with HSA/FSA funds, and ask them to document how active video games help prevent, manage, or reverse your condition. Make sure your doctor signs and dates the letter; the visit could include a copay.

How to Buy Nex Playground With HSA/FSA Funds

Get the letter first, then buy the console from any store and get your HSA or FSA money back.

  1. Get your Letter of Medical Necessity first. Use either option above, through Crates or your own doctor.
  2. Buy Nex Playground anywhere. Pay with your personal card, online or in store, and keep the itemized receipt showing the console and amount paid.
  3. Get your funds back. Let Crates file the claim with one-click reimbursement, or upload the letter and receipt yourself. Keep the console's receipt and your letter with your tax records if you're using an HSA.

Which Nex Playground Products Qualify

The Nex Playground console qualifies with an LMN documenting its medical purpose, wherever you buy it. The $299 purchase includes the hardware and five starter games. Want the bigger game library? Play Pass qualifies too when your LMN names it, because its games deliver the same active play.

ProductWhat it isRegular U.S. priceHSA/FSA eligibility
Nex PlaygroundCamera-based active play console with five included games$299Yes, with an LMN
Play PassSubscription that unlocks 60+ more active games$89 for 12 months or $49 for 3 monthsYes, with an LMN

Using pre-tax HSA/FSA funds can save you up to 30%. If your combined federal, state and applicable payroll taxes come to 30%, the $299 console saves you $89.70 in taxes, so it effectively costs $209.30 before sales tax and shipping. Your own number depends on your tax rates. Regular prices checked October 18, 2026.

Shopping for other exercise gear too? Our workout equipment HSA/FSA guide shows how other equipment qualifies with a documented medical purpose.

Frequently Asked Questions

Is Nex Playground FSA eligible?

Yes, with an LMN. Once a provider documents a health condition such as childhood obesity, your FSA can cover the console. Pay with your personal card wherever you shop, then claim it back with the letter and receipt. Your HSA works the same way.

Can I use my HSA or FSA card to buy Nex Playground?

You can try, but most online stores aren't set up to take HSA or FSA cards, so plan on using your personal card. Keep the itemized receipt and your LMN, then get reimbursed. Crates makes the filing one click: we send the claim, and the eligible amount comes back to you.

Can I buy Nex Playground for my child with HSA/FSA funds?

Yes, if your child counts as your eligible dependent under IRS account rules. The letter is written for your child: their LMN ties the console to their condition. Pay with your personal card, then upload the receipt and letter to get reimbursed from your account.

Can I buy Nex Playground at Costco and get reimbursed?

Yes. Costco is one of the current retailers Nex lists. Get your LMN before you go, pay with your personal card and keep the itemized receipt. Then upload the letter and receipt to get reimbursed. Buying somewhere else instead? It works the same way.

Can I buy Nex Playground without Play Pass?

Yes. Every Nex Playground includes five games, and Play Pass is an optional add-on that unlocks 60+ more. Planning to add it? Ask for an LMN that names the console and Play Pass, and both qualify. Pay with your personal card, keep the itemized receipts, then upload them with your letter for reimbursement.

Do I need a Letter of Medical Necessity for Nex Playground?

Yes. The LMN links the console to a specific health condition and says why it's part of your care. Get one from your own provider or through Crates before you buy. Then pay with your personal card and upload the letter and itemized receipt to get reimbursed.

How do I get reimbursed if I already bought Nex Playground?

Start with a letter, which you can get now. Your account dates and the letter decide what you can file. The rule: HSA expenses must come after the account is opened, and FSA expenses must fall within your coverage period. Then upload the letter and itemized receipt to get reimbursed, and next time, get the letter first.

Anchor Ebanks

Written by

Anchor Ebanks

Anchor Ebanks is an HSA/FSA optimization expert featured in Yahoo Finance, The American Journal of Healthcare Strategy, Admissions Gateway, and Poets & Quants. He attended Harvard Business School and was an AI research fellow at the Berkman Klein Center for Internet & Society focused on healthcare access. Prior to wellness benefits, he spent nearly a decade at Google, YouTube, and Deloitte. Connect on LinkedIn, Twitter, or at anchor@crateshealth.com.

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