Can Health Insurance Premiums be Paid by HSA?

Health Insurance premiums are a significant expense for many individuals and families. Health Savings Accounts (HSAs) can be a valuable tool to help manage these costs. But can you use your HSA to pay for health insurance premiums? Let's explore this common question.

HSAs are savings accounts that are specifically designed to help individuals save for medical expenses. They are typically paired with a high-deductible health insurance plan. Here's how HSAs work:

  • You contribute pre-tax money to your HSA account
  • You can use the funds in your HSA to pay for qualified medical expenses
  • Any funds unused in your HSA roll over year after year
  • HSAs offer a triple tax advantage: tax-deductible contributions, tax-free growth, and tax-free withdrawals for qualified medical expenses

While HSA funds can be used for a variety of medical expenses, including doctor visits, prescription medications, and even certain over-the-counter items, there are limitations on using HSA funds to pay for health insurance premiums.

Generally, you cannot use HSA funds to pay for health insurance premiums, with a few exceptions:

  • If you are over the age of 65, you can use HSA funds tax-free to pay for Medicare premiums
  • If you are receiving federal or state unemployment benefits, you may be able to use HSA funds to pay for health insurance premiums
  • If you have COBRA coverage after leaving a job, you can use HSA funds to pay for COBRA premiums

It's important to note that using HSA funds to pay for health insurance premiums for non-qualified plans can result in tax penalties. Make sure to consult with a qualified tax professional or financial advisor to understand the rules and regulations surrounding HSA contributions and withdrawals.


Managing health insurance premiums can be a challenge, but Health Savings Accounts (HSAs) provide a potential solution for many. One common question that arises is whether HSA funds can be utilized for health insurance premiums. Let's dive deeper into this topic.

HSAs are designed to allow individuals to save for medical expenses while enjoying tax benefits. When you contribute pre-tax income to your HSA, you can help cover out-of-pocket costs. Here’s how it generally works:

  • Contributions are made with pre-tax money, reducing your taxable income.
  • Funds can be used for a wide range of qualified medical expenses.
  • Any unused funds in your HSA continue to grow and roll over each year.
  • HSAs provide a unique triple tax advantage— tax-deductible contributions, tax-free growth, and tax-free withdrawals for eligible expenses.

While HSAs are incredibly flexible, there are restrictions when it comes to using funds for insurance premiums. Here's what you need to know about when you can and cannot use your HSA for these costs:

  • If you reach age 65, you have the option to use HSA funds without penalty for Medicare premium payments.
  • If you're collecting unemployment benefits, HSA funds may also cover insurance premiums.
  • In case you have COBRA coverage after leaving a job, you’re allowed to use HSA funds for those premium costs.

Be cautious as utilizing HSA funds for non-qualified premiums could lead to penalties. It’s wise to consult with a tax professional to get a full understanding of how to best use your HSA funds.

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