Are COBRA Premiums Qualified Medical Expenses for HSA? - HSA Awareness Article

When it comes to managing your health savings account (HSA), it's essential to understand what qualifies as a medical expense. COBRA premiums are a common concern for individuals transitioning between jobs or facing other life changes. But are COBRA premiums considered qualified medical expenses for HSA purposes?

COBRA, which stands for Consolidated Omnibus Budget Reconciliation Act, allows employees to continue their health insurance coverage after leaving their job under certain circumstances. While COBRA premiums can be hefty, it's important to know how they relate to your HSA.

According to the IRS, COBRA premiums are generally considered qualified medical expenses for HSA purposes. This means that you can use funds from your HSA to cover COBRA premiums without facing tax penalties. However, there are some important details to keep in mind:

  • COBRA premiums must be for health care coverage, including dental and vision, to be considered qualified medical expenses for HSA.
  • If you are receiving unemployment compensation and paying for COBRA coverage, those premiums may also be eligible for HSA reimbursement.
  • It's crucial to keep thorough records and documentation of your COBRA premiums to ensure compliance with HSA guidelines.

Understanding the role of COBRA premiums in your HSA can help you make informed decisions about your healthcare expenses, especially during times of transition. By leveraging your HSA funds wisely, you can navigate changes in your coverage with confidence and financial security.


When managing your health savings account (HSA), understanding which expenses qualify can significantly impact your finances. One common question is whether COBRA premiums, which many face during job transitions, are eligible for HSA spending.

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