Buy used fitness and wellness equipment with your HSA or FSA
Treadmills, Pelotons, rowers, saunas, hot tubs and more, paid for with pre-tax money from your health savings account or flexible spending account. You need a Letter of Medical Necessity first. The clinician review is $29, and it is refunded in full if you are not approved.
What it could save
Estimated saving on the median asking price of eligible listings on Commonplace now, at an assumed 30% combined tax rate. Yours depends on your own rate and plan.
How it works
Get the letter before you buy, so it is dated before your purchase. Then pay the way your plan allows.
Get your letter first
Before you buy, fill in a short health form for the item you want. The clinician review costs $29, refunded in full if you are not approved. Starting from a listing's HSA/FSA button fills in the item for you.
A licensed clinician reviews it
A licensed clinician reviews your answers. If they approve, they sign a Letter of Medical Necessity that cites IRS Section 213(d) and Publication 502. The letter is valid for 12 months from the date it is signed.
Pay with HSA or FSA funds
Check out with your HSA or FSA card, or pay another way and send the letter and your receipt to your plan administrator for reimbursement.
Shop by category
Each page shows eligible listings and what they could save.
HSA and FSA questions
What can I buy with my HSA or FSA on Commonplace?
Fitness and wellness equipment priced over $500, such as treadmills, Pelotons, rowers, saunas, hot tubs, cold plunges and massage chairs. Each eligible listing shows an HSA/FSA option. Medical spa and pool equipment are not included.
What is a Letter of Medical Necessity?
A letter from a licensed clinician stating that an item is medically necessary for the diagnosis, cure, treatment, or mitigation of a specific medical condition. Ours cites IRS Section 213(d) and IRS Publication 502, and it is valid for 12 months from the date it is signed.
Who decides whether my purchase is eligible?
Your HSA or FSA plan administrator, and only them. The letter is the documentation plans ask for, but it does not guarantee reimbursement. If you are unsure, check with your plan before you buy.
When should I get the letter?
Before you buy. Plans can look for a letter dated on or before the purchase, so request it first and check out once it is signed.
What does the letter cost, and what if I am not approved?
The clinician review is $29. If the clinician does not approve you, the $29 is refunded in full.
How much could I save?
HSA and FSA money goes in before tax, so paying with it saves roughly your own tax rate on the purchase. We estimate with a 30% combined rate: on a $2,000 item that is about $600. Your actual saving depends on your tax rate and your plan.
Can I pay with my HSA or FSA card?
You can try your card at checkout. If it is declined, or your plan prefers reimbursement, pay another way and submit the letter with your receipt to your plan administrator.
What should I keep?
The signed letter and your receipt. The IRS may ask for them as proof of eligibility. Commonplace also keeps a copy of the letter for at least 7 years.
Read the full guide to buying fitness equipment with your HSA or FSA
Commonplace does not give tax or medical advice. Reimbursement eligibility is decided only by your HSA or FSA plan administrator. A Letter of Medical Necessity is signed only if the reviewing clinician approves it, and the review fee is refunded in full if they do not. Savings shown are estimates at an assumed 30% combined tax rate, not a quote. Your saving depends on your own tax rate and plan.