Can an HSA Pay for LTC Costs?

Long-term care (LTC) costs can be a significant concern for many individuals as they plan for retirement. Health Savings Accounts (HSAs) are a valuable tool that can help cover medical expenses, but can they be used to pay for LTC costs?

Unfortunately, HSAs cannot directly pay for long-term care costs. However, there are ways in which HSA funds can be utilized to help with LTC expenses. Here's what you need to know:

  • While HSA funds cannot be used to pay for long-term care insurance premiums, they can be utilized to cover qualified medical expenses that are incurred in a long-term care facility.
  • HSA funds can be used tax-free to pay for eligible medical expenses, which may include some long-term care services such as nursing services, physical therapy, and prescription medications.
  • If you are over the age of 65, you can use HSA funds tax-free to pay for long-term care insurance premiums as long as the premiums are considered as a qualified medical expense.

It's important to note that utilizing HSA funds for LTC expenses may have tax implications, so it's advisable to consult with a financial advisor or tax professional to understand the rules and regulations associated with using HSA funds for long-term care costs.


While it might be disappointing that HSAs cannot directly cover long-term care (LTC) costs, they still offer valuable ways to manage and offset some of these expenses related to medical care.

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