Can HSA Accounts Be Used to Pay Health Premiums for Retirees?

Health Savings Accounts (HSAs) are a valuable tool for individuals to save and pay for qualified medical expenses tax-free. One common question that arises is whether HSA accounts can be used to pay health premiums for retirees.

While HSAs have strict guidelines on what expenses are considered qualified, the use of funds for health insurance premiums is allowed in certain cases. Here are some key points to consider:

  • Retirees aged 65 and older: Retirees who are 65 years and older can use HSA funds to pay for health insurance premiums, including Medicare Parts A, B, D, and Medicare Advantage plans.
  • Retirees under 65: Those under 65 can also use HSA funds to pay for health insurance premiums, such as COBRA coverage, long-term care insurance, and health coverage while receiving federal or state unemployment benefits.
  • Non-healthcare premiums: HSA funds cannot be used for premiums for stand-alone dental, vision, or specific disease insurance plans.
  • Income tax implications: Using HSA funds for health premiums may impact the tax treatment of contributions and withdrawals, so it's essential to consult with a tax advisor or financial planner.

In conclusion, HSA accounts can be used to pay for health insurance premiums for retirees, depending on their age and the type of coverage. It's crucial to understand the rules and limitations of HSA funds to maximize their benefits effectively.


Health Savings Accounts (HSAs) offer retirees a unique opportunity to manage their healthcare expenses in a tax-advantaged way. Understanding how to utilize these accounts, especially for health premiums, is essential for budgeting during retirement.

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