Are Health Insurance Premiums Included in HSA Withdrawals?

One common question that many people have regarding Health Savings Accounts (HSAs) is whether health insurance premiums are included in HSA withdrawals. The answer to this question is typically no, health insurance premiums are not included in HSA withdrawals.

HSAs are designed to help individuals save for qualified medical expenses on a tax-advantaged basis. While there are many expenses that can be paid for using HSA funds, health insurance premiums are generally not one of them. However, there are some specific circumstances where premiums may be considered eligible for HSA withdrawals:

  • If you are over the age of 65, you can use HSA funds to pay for Medicare premiums.
  • For individuals who are receiving federal or state unemployment benefits, HSA funds can be used to pay for health insurance premiums.
  • COBRA premiums may also be eligible for HSA withdrawals.

It's important to note that these exceptions are specific and may vary depending on individual circumstances. In general, health insurance premiums for traditional plans like employer-sponsored coverage or independent health plans are not considered qualified medical expenses for HSA withdrawals.


One of the most asked questions around Health Savings Accounts (HSAs) is whether you can use HSA funds for health insurance premiums. Generally, the answer is no; health insurance premiums are not allowed as HSA withdrawals. However, there are exceptions to this rule that can be important to understand.

HSAs are primarily intended to help you save for qualified medical expenses in a tax-efficient way. While there are numerous medical expenses you can cover with HSA funds, health insurance premiums typically aren't one of them. Yet, there are certain scenarios where premiums can indeed be paid using HSA funds, such as:

  • If you have reached the age of 65, you can utilize HSA funds to pay for Medicare premiums.
  • If you are receiving federal or state unemployment benefits, HSA funds can also be used for health insurance premiums.
  • Another noteworthy case is the payment of COBRA premiums with your HSA funds.

It is crucial to remember that these exceptions are quite specific and can vary based on individual situations. In most cases, traditional health insurance plans, such as employer-sponsored or independent plans, do not qualify for HSA withdrawals.

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