What Age Can I Use HSA Funds to Pay Insurance Premiums?

Health Savings Accounts (HSAs) offer individuals the flexibility to save and use funds for various healthcare expenses. One common question people have is, at what age can they use HSA funds to pay insurance premiums?

It's important to note that the rules regarding using HSA funds for insurance premiums vary based on the type of insurance:

  • Medicare Premiums: Individuals can use HSA funds tax-free to pay for Medicare premiums once they reach the age of 65.
  • Retiree Health Insurance Premiums: HSA funds can be used to pay for retiree health insurance premiums tax-free.
  • COBRA Premiums: HSA funds can be used to pay for COBRA premiums tax-free.
  • Long-Term Care Insurance Premiums: HSA funds can be used to pay for long-term care insurance premiums tax-free.

Aside from these specific instances, using HSA funds to pay for insurance premiums before the age of 65 may incur taxes and penalties. It's essential to understand the rules and regulations surrounding HSA withdrawals to avoid any unexpected financial consequences.


Understanding the use of Health Savings Accounts (HSAs) can be quite confusing, especially when it comes to knowing when and how you can utilize HSA funds to cover insurance premiums. One vital detail to keep in mind is that you can start using your HSA funds for certain premiums at age 65, specifically for Medicare premiums.

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