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Can You Use Your HSA or FSA for CrossFit? How It Works at CrossFit Spring Hill

January 13, 2024 · Joe Pangallo · Updated October 19, 2026

Often, yes. CrossFit Spring Hill works with TrueMed, a company that lets people use HSA and FSA money for fitness when a licensed provider says exercise is part of treating or preventing a health condition. If you qualify, your membership is paid with pre-tax dollars.

Here is who qualifies, how it works, and what it saves.

Who qualifies

HSA and FSA money is for medical care. A gym membership counts as medical care when a licensed provider writes a Letter of Medical Necessity saying exercise will help treat or prevent a condition you have or are at risk for.

Conditions that commonly qualify include high blood pressure, prediabetes and type 2 diabetes, high cholesterol, carrying extra weight, and joint or back pain. TrueMed’s providers make the call. You do not need a diagnosis in hand before you start.

How it works

  1. Take TrueMed’s online health survey through our qualification link. It takes a few minutes.
  2. A licensed provider in TrueMed’s network reviews it. If exercise fits your health picture, they issue a Letter of Medical Necessity.
  3. Pay your membership as you normally would.
  4. Submit your receipts and the letter to your HSA or FSA administrator for reimbursement. TrueMed sends you the exact instructions, and their support team helps if you get stuck.

Once you qualify, TrueMed guarantees the reimbursement.

What it saves you

HSA and FSA money goes in before tax. That makes every dollar of membership paid from it cheaper by your tax rate.

Tennessee has no state income tax, so the math here is simple: your federal bracket, plus payroll tax if the money goes in through your paycheck. For most of the people who train with us, that lands near 30 cents on every dollar. A membership you would pay $100 for out of your take-home pay costs you about $70.

Your bracket and your plan decide the exact number. Check with your tax advisor or benefits administrator if you want it to the dollar.

If you have FSA money left this year

Most FSA plans are use-it-or-lose-it. Some allow a short grace period or a small carryover, and the rest of the balance disappears at the deadline.

If you are sitting on FSA money in the fall, find your plan’s deadline this week. Qualifying through TrueMed before it passes means that money pays for training instead of going back to your employer.

Questions we get about HSA and FSA

Does every member qualify? No. Qualifying depends on your health, and a licensed provider makes the decision. Many of our members do, because the conditions that qualify are common in adults over 35.

Can I start the survey before I join? Yes. Take it whenever you like. If you are not a member yet, book a free No Sweat Intro and we will walk you through the membership side.

Does CrossFit Spring Hill see my health information? No. The survey and the letter are between you and TrueMed’s providers.

Is this tax advice? No. We are a gym. This is how the program works and what it saves most people. Your own numbers depend on your plan and your bracket.

Start here

Check if you qualify for HSA/FSA spending

Not a member yet? Book a free No Sweat Intro. It is a 20-minute conversation, no workout, and we will answer the HSA question in person.

Book a free intro