Are All Long Term Care Premiums Deductible from an HSA?

Many people wonder if all long term care premiums are deductible from an HSA. The answer is not as straightforward as a simple yes or no. When it comes to deducting long term care premiums from your Health Savings Account (HSA), there are certain guidelines and conditions that need to be met in order to qualify for the deduction. Let's delve into the details to understand better.

Long term care premiums can be considered eligible expenses for HSA withdrawals, but not all premiums are deductible. The Internal Revenue Service (IRS) has specific rules on which long term care premiums qualify for HSA deductions. Here are some key points to consider:

  • Long term care insurance premiums must be for qualified long term care insurance policies as defined by the IRS.
  • Self-employed individuals may be able to deduct eligible long term care premiums from their HSA, subject to certain limitations.
  • Premiums paid for long term care insurance that covers only qualified long term care services are considered eligible for HSA deductions.

It's important to note that any reimbursement received from long term care insurance policies cannot be reimbursed tax-free from an HSA if you claimed a deduction for the insurance premiums.

Understanding the eligibility of long term care premiums for HSA deductions can help you make informed decisions when planning for your healthcare expenses. Be sure to consult with a tax advisor or financial professional for personalized advice based on your specific situation.


Many individuals are curious about whether all long-term care premiums can be deducted from their Health Savings Account (HSA). The truth is, the situation isn't as black and white as one might think. To effectively deduct long-term care premiums from your HSA, specific requirements and conditions established by the IRS must be addressed. Let’s break it down further.

While some long-term care premiums may qualify for HSA withdrawals, it’s important to recognize that not all are deductible. The IRS has laid out clear criteria regarding which long-term care premiums are eligible for deductions. Here are several crucial points to keep in mind:

  • To qualify, long-term care insurance premiums must pertain to insurance policies deemed acceptable by the IRS.
  • For self-employed individuals, there may be opportunities to deduct long-term care premiums from their HSA, although certain restrictions apply.
  • Only premiums for long-term care insurance that provide coverage for necessary long-term care services will be eligible for HSA deductions.

Additionally, it's essential to recognize that any reimbursements received from a long-term care insurance policy cannot be claimed tax-free from an HSA if you have previously deducted the insurance premiums. Understanding how long-term care premiums align with HSA deductions can illuminate healthcare planning decisions. Consulting a tax advisor or a financial specialist will yield the most accurate guidance tailored to your individual circumstances.

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