All eligible expenses
Fitness services

Is Pool / Swim Membership FSA/HSA eligible?

📋Eligible with a Letter of Medical Necessity

Pool membership is FSA/HSA-eligible with an LMN — especially strong for arthritis, fibromyalgia, and joint conditions.

Typical cost:$30–$100/month

The full picture

Pool memberships at gyms, YMCAs, dedicated aquatic centers, or community pools are reimbursable with a Letter of Medical Necessity. Aquatic exercise has exceptional clinical support for osteoarthritis, fibromyalgia, postpartum recovery, and other conditions where joint impact is a concern.

If your gym has a pool, you can often get the full membership reimbursed. Standalone aquatic centers (~$30–$80/month) are also covered.

Conditions that qualify this expense

If you've been diagnosed with any of these, your physician may consider documenting pool / swim membership as medically necessary:

Ready to get reimbursed?

You'll need a Letter of Medical Necessity from your doctor. We make that easy — 5-minute intake, packet delivered in under 1 hour, your own physician signs.

Start your packet

Final approval is up to your administrator. Eligibility on this page is based on IRS Publication 502 and common administrator practice. Reimbursement is not guaranteed — your specific FSA/HSA administrator decides whether to approve any individual claim. DoctorNoted prepares documentation; the approval decision is theirs.