Will the IRS or medical insurance help pay for my hot tub or swim spa? (2024)

Will the IRS or medical insurance help pay for my hot tub or swim spa? (1)

Claiming a tax deduction for your Hot tub or swim spa.

The IRS stated in its opinion letter Index No.: 213.05-00, ” Section 213(a) allows as a [tax] deduction the expenses paid during the taxable year for medical care of the taxpayer, spouse, or dependent. Under § 213(d)(1)(A), an expense is for ‘medical care’ if its primary purpose is the diagnosis, cure, mitigation, treatment, or prevention of disease. Notice the words “primary purpose”. Because a hot tub or swim spa or spa is of a particularly personal nature, you must establish that your hot tub or swim spa is “primarily” for the cure, mitigation, treatment, or prevention of disease before you can deduct the cost of your hot tub or swim spa on your tax return. You may be able to claim your hot tub or swim spa as a tax deduction even though you also derive pleasure from it and even though someone else such as your spouse may use the spa, if you are buying the hot tub or swim spa or spa primarily to relieve pain due to an injury or disease.

You can also claim a deduction for the hot tub or swim spa as a capital expense even if it is an improvement to your home. Click here to read the IRS information.

How to prove to the IRS that your hot tub or swim spa was purchased primarily for health treatment?

Gather your medical records proving your injury and/or arthritis and a prescription from your doctor prescribing a hot tub or swim spa for alleviating or treating your injury or arthritis. You should request a written report from your treating physician which summarizes your condition (diagnoses); attaches copies of medical records showing objective findings such as X-Ray, MRI and EMG reports; states that the physician believes a hot tub or swim spa would be of therapeutic value; why the hot tub or swim spa is of benefit to you and your prognosis with or without using a hot tub or swim spa (what the physician hopes the hot tub or swim spa will accomplish).

Can you claim your hot tub or swim spa as a tax deduction when you suffered a short-term injury?

You should discuss this with your tax professional. My common sense tells me that if you suffer a back injury which gets better a year later, and you no longer need treatment, you should be able to deduct the depreciation of your spa for the year you received treatment for your injury. I believe the IRS would disallow a tax deduction where the taxpayer sustained a simple sprain, unless the taxpayer also happens to be a professional athlete or can document that use of the hot tub or swim spa was necessary to reduce loss of income. Where an injury becomes a long-term problem, such as when traumatic arthritis develops, I believe that a claim to deduct a hot tub or swim spa should be allowed. The long-term nature of some injuries and medical problems become more obvious and easier to prove, such as when a taxpayer undergoes surgery. You should discuss this issue with your accountant and your doctor to make sure that both agree as to the length of time required for a disability and as to whether your medical condition meets that requirement.

The IRS may look at other objective factors that indicate your motive for purchasing the hot tub or swim spa.

For instance, a very large hot tub or swim spa built into a very expensive beautiful deck may indicate an ulterior motive, therefore, with such a hot tub or swim spa, it would be advisable to have substantial medical documentation and deduct an amount less than the total purchase price. Since the difference in price between a large hot tub or swim spa and a small hot tub or swim spa is usually small, you should be able to deduct most of the cost of your hot tub or swim spa. For instance, if a small four-person hot tub or swim spa costs $3,500 and you purchase a large spa for $5,500, I would deduct only $3,500. The Nordic Bella Hot tub or swim spa is ideally suited for a tax deduction.

Can you deduct the cost of a hot tub or swim spa when you have been reimbursed by an insurance company for the cost?

No. You should note that if you obtain payment from an insurance company to purchase your hot tub or swim spa, you cannot also deduct the cost of the hot tub or swim spa on your tax return. If you deduct the cost of your hot tub or swim spa on your tax return and in the next year obtain reimbursem*nt from an insurance company, you would then have to declare that reimbursem*nt as income on your next year’s tax return.

How much will a tax deduction for a hot tub or swim spa save me?

Deducting my spa will likely save me approximately 40% of the purchase price, however, you will have to discuss this with your accountant. In fact, you should discuss everything mentioned here with your accountant prior to deducting the expense of your hot tub or swim spa on your tax return.

How to Get Your Insurance to Pay for Your hot tub or swim spa.

Will the insurance company pay the entire cost of my hot tub or swim spa? It seems that this depends more on the state you live in (example: California has the lest restrictive regulations in this area), it may also depend on your insurance provider. If you are entitled, the insurance company will have to pay the amount required to purchase a hot tub or swim spa necessary for your treatment. You should check your insurance policy to see if it excludes the cost of purchasing a hot tub or swim spa. This does not mean that the insurance company must purchase the largest hot tub or swim spa you can find. After all, a hot tub or swim spa that can accommodate nine people is not necessary to treat the injuries of one person. Since the difference in price between a large hot tub or swim spa and a small hot tub or swim spa may be small, you may be able to obtain reimbursem*nt for most of the cost of your hot tub or swim spa, if not the entire amount.

Health Insurance: If a hot tub or swim spa is prescribed by your physician to reduce back pain, hip, knee, joint, arthritis pain or to promote better circulation, a hot tub or swim spa may be covered by your medical insurance policy. Check with your medical insurance plan for eligibility requirements. To properly support a health insurance claim to pay for a hot tub or swim spa, you should consider obtaining the following:

  1. A prescription from your doctor prescribing a hot tub or swim spa.
  2. Copies of medical records showing objective findings of an injury, such as X-Ray reports, MRI reports and “needle” EMG (by a neurologist) reports.
  3. A report from your treating physician which summarizes your condition; states that the physician believes a hot tub or swim spa would be of therapeutic value; why the hot tub or swim spa is of benefit to you; and the prognosis or what the physician hopes the hot tub or swim spa will accomplish.
    Medical Coverage From Third-Party Liability Insurance: If you were injured in an accident for which you have a lawyer representing you for personal injuries, ask your lawyer to find out if the defendant’s insurance policy has medical coverage. If the answer is yes, you may be able to obtain payment for a hot tub or swim spa from the defendant’s insurance policy. If there is no medical coverage, the cost of a hot tub or swim spa can be added to the list of your damages and you may be able to obtain a higher settlement at the end of your case.To properly support a third-party liability insurance claim to pay for a hot tub or swim spa, in addition to 1-3 above, I would get:
  4. A written report from your doctor stating “in my professional opinion, the patient’s injury is causally related to the accident of (date of accident)”. “Causally related” are the magic words.

No-Fault Insurance: If you were injured in a car accident in a No-Fault insurance state, you may be able to obtain insurance coverage to pay for your hot tub or swim spa if prescribed by your doctor. A no-fault insurance company may deny the bill, however, if properly supported the bill should be approved. To properly support a no-fault insurance claim to pay for a hot tub or swim spa, in addition to 1-3 above, I would get 4)a written report from your doctor stating “in my professional opinion, the patient’s injury is causally related to the accident of (date of accident)”. “Causally related” are the magic words.

Automobile Insurance: Whether or not you are covered by no-fault insurance, your car insurance policy may have an additional medical coverage provision also called “med pay” which will provide you with money which you can use to purchase a hot tub or swim spa or spa.

Disclaimer: Discuss everything mentioned here with your accountant prior to deducting the expense of your hot tub or swim spa on your tax return. The information here is NOT tax advice. I am not a CPA, or an accountant and you should not rely solely on the information here.

Will the IRS or medical insurance help pay for my hot tub or swim spa? (2024)

FAQs

Will the IRS or medical insurance help pay for my hot tub or swim spa? ›

You may be able to claim your hot tub or swim spa as a tax deduction even though you also derive pleasure from it and even though someone else such as your spouse may use the spa, if you are buying the hot tub or swim spa or spa primarily to relieve pain due to an injury or disease.

Can a hot tub be considered a medical expense? ›

IRS regulations may allow a deduction for your hot tub purchase if your doctor recommends hot water therapy for a medical condition. Which is good news for a lot of people. One of the major reasons for people purchase a Hot Spring Spa is a medical condition for which a hot tub will provide relief.

What is a hot tub letter of medical necessity? ›

In very rare cases, a TPA may deem a hot tub as eligible with a Letter of Medical Necessity (LMN) which details that the only reason for purchasing this device is to treat a specific medical condition.

Is a swim spa a medical deduction? ›

Can you write off a swim spa? You may be able to claim a swim spa as a tax deduction if it is primarily for the cure, mitigation, treatment, or prevention of disease.

Will insurance pay for a hot tub if you have arthritis? ›

If your doctor prescribes hot tub therapy or hydrotherapy for a specific medical condition, like chronic pain, arthritis, or muscle spasms, there's a slim chance your insurance might cover some of the cost, but be prepared to jump through hoops and provide extensive documentation to prove medical necessity.

How do you write off a hot tub as a medical expense? ›

A medical tax deduction expense will usually reduce your cost of owning the hot tub by 25%-40%. The reason it's not a direct 100% cost reduction is that it's a tax deduction, not a tax credit. A deduction reduces the amount of your taxable income while a credit directly reduces the amount of taxes owed.

Can a doctor write a prescription for a pool? ›

However, there are circ*mstances in which a swimming pool may qualify as a deductible medical expense. To qualify for a deduction, a swimming pool must meet specific criteria outlined by the IRS. The primary condition is that a physician must prescribe the pool as a medical necessity.

How do you prove medical necessity? ›

How is “medical necessity” determined? A doctor's attestation that a service is medically necessary is an important consideration. Your doctor or other provider may be asked to provide a “Letter of Medical Necessity” to your health plan as part of a “certification” or “utilization review” process.

How do I ask my doctor for a letter of medical necessity? ›

How to get a letter of medical necessity
  1. Consult with your healthcare provider and share your condition, diagnosis and any relevant medical history.
  2. Ask your healthcare provider to issue a letter of medical necessity for the treatment or service you're seeking.
Dec 7, 2023

What qualifies as a letter of medical necessity? ›

A Letter of Medical Necessity (LMN) is the written explanation from the treating physician describing the medical need for services, equipment, or supplies to assist the claimant in the treatment, care, or relief of their accepted work-related illness(es).

What is not considered a qualified medical expense? ›

Medical care expenses must be primarily to alleviate or prevent a physical or mental disability or illness. They don't include expenses that are merely beneficial to general health, such as vitamins or a vacation.

How can you write off a swimming pool? ›

Qualifying taxpayers can deduct 100% of the installation costs the year the pool is installed, as well as deduct maintenance, operating, and cleaning costs for the years to come, but the catch is that the pool must be used solely for medical purposes.

Are hot tubs HSA eligible? ›

Hot tubs are not eligible for reimbursem*nt with a flexible spending account (FSA), health savings account (HSA), health reimbursem*nt arrangement (HRA) dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).

What is the best hot tub for arthritis? ›

If you're looking for the ultimate hot water therapy hot tub, we recommend the Nordic Encore LS. With an astonishing 53 jets, the Encore LS is the perfect combination of therapeutic relief and relaxation.

Are hot tubs anti inflammatory? ›

Hydrotherapy in a hot tub reduces inflammation from your muscles and eases soreness. Regular use of a hot tub can help you manage mild to severe inflammation caused by overuse.

Is a hot tub good or bad for inflammation? ›

Heat. The heat provided by hot tub water can help reduce swelling and the buildup of fluids in the body's tissues which are characteristics of painful inflammation. This can help improve the flexibility and mobility of joints affected by arthritis while decreasing the pain experienced from moving about.

Can I use my HSA to buy a hot tub? ›

Hot Tub: HSA Eligibility

Hot tubs are not eligible for reimbursem*nt with a flexible spending account (FSA), health savings account (HSA), health reimbursem*nt arrangement (HRA) dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).

What are not qualified medical expenses? ›

Medical care expenses must be primarily to alleviate or prevent a physical or mental disability or illness. They don't include expenses that are merely beneficial to general health, such as vitamins or a vacation.

What expenses are not allowed as deductible medical expenses? ›

Expenses that are not deductible medical expenses include:
  • The portion of your insurance premiums treated as paid by your employer. ...
  • Funeral or burial expenses.
  • Amounts paid for nonprescription medicines.
  • Amounts paid for toothpaste, toiletries, or cosmetics.
Mar 13, 2024

What can be considered medical expenses? ›

Medical expenses are any costs incurred in the prevention or treatment of injury or disease. Medical expenses include health and dental insurance premiums, doctor and hospital visits, co-pays, prescription and over-the-counter drugs, glasses and contacts, crutches, and wheelchairs, to name a few.

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