Are HSA Monies Used to Pay Insurance Premiums Taxed if I'm Fully Retired and Not 65?

Health Savings Accounts (HSAs) are a valuable tool for individuals looking to save money for medical expenses while enjoying tax advantages. One common question that arises is whether HSA funds can be used to pay for insurance premiums when someone is fully retired and not yet 65 years old.

When it comes to using HSA funds for insurance premiums, the rules can be a bit complex. Here's what you need to know:

  • Generally, HSA funds cannot be used to pay for health insurance premiums, unless under specific circumstances.
  • However, if you are fully retired but not yet 65 years old, you can use your HSA funds to pay for health insurance premiums without facing a tax penalty.
  • This rule applies to both individual health insurance premiums and Medicare premiums if you are enrolled in Medicare.
  • Once you turn 65, you can use HSA funds to pay for Medicare premiums, including Part B, Part D, and Medicare Advantage premiums, without any tax implications.

It's essential to keep in mind that while HSA funds can be used for various medical expenses, including insurance premiums, the rules can vary based on your age and circumstances. Consulting with a financial advisor or tax professional can help you understand how to maximize the benefits of your HSA.


Health Savings Accounts (HSAs) offer a fantastic way to save money for health-related expenses with the added benefit of tax savings. If you’re fully retired and under the age of 65, one of the questions you might be asking is if you can utilize your HSA funds to cover insurance premiums.

It’s important to note that while HSA funds generally cannot be used for health insurance premiums, there are exceptions that may apply to your situation. For instance:

  • If you’re fully retired and not yet 65, you can utilize your HSA funds to pay for your health insurance premiums without incurring any tax penalties.
  • This flexibility extends to premiums for individual health insurance plans as well as Medicare premiums, should you be enrolled in the program.
  • Once you reach the age of 65, you will find that there are even more options available, such as using HSA funds to pay for various Medicare premiums without any tax consequences.

As with most financial decisions, it’s highly advisable to consult with a financial advisor or tax professional to make the most of your HSA benefits and ensure you are compliant with all regulations.

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