Are Premiums for Supplemental Medicare Insurance HSA Qualified Medical Expenses?

When it comes to Health Savings Accounts (HSAs), it is important to understand what expenses are considered qualified medical expenses. One common question that arises is whether premiums for supplemental Medicare insurance are HSA qualified medical expenses.

Supplemental Medicare insurance, such as Medigap policies, can provide additional coverage to fill the gaps in Original Medicare. While premiums for Medicare Part A and Part B are considered qualified medical expenses for HSAs, the treatment of premiums for supplemental Medicare insurance can be a bit more complex.

Generally, premiums for supplemental Medicare insurance are considered HSA qualified medical expenses if the insurance is:

  • For coverage of health care
  • For the HSA accountholder, their spouse, or dependents
  • Not for a Medicare Advantage plan

It's essential to note that not all supplemental Medicare insurance premiums may qualify as HSA expenses. It is recommended to consult with a tax advisor or refer to IRS guidelines for specific situations.


Understanding what qualifies as a medical expense is crucial for those utilizing Health Savings Accounts (HSAs), especially regarding Medicare. Supplemental Medicare insurance premiums can sometimes be tricky, and knowing if they qualify as HSA expenses is vital. Generally, if you have a Medigap policy, the premiums count as qualified medical expenses, but there are certain stipulations you need to consider.

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