Can an HSA be Used to Pay Insurance Premiums? A Comprehensive Guide

Health Savings Accounts (HSAs) are a great way to save for medical expenses while enjoying tax advantages. One common question that arises is whether HSA funds can be used to pay insurance premiums. Let's dive into this topic to provide a clear understanding.

HSAs were designed to help individuals save for qualified medical expenses. While they cannot be used to pay typical health insurance premiums, there are exceptions to this rule.

Here are some key points to consider:

  • HSAs can be used to pay premiums for:
    • Long-term care insurance
    • Certain types of health coverage while receiving federal or state unemployment benefits
    • COBRA health care continuation coverage
  • Medicare premiums cannot be paid using HSA funds
  • Using HSA funds for non-qualified expenses may incur taxes and penalties
  • Employers may offer options to pay premiums directly from HSA funds

It's essential to check with your insurance provider and HSA administrator to understand specific guidelines regarding premium payments.

In summary, while HSAs typically cannot be used to pay regular health insurance premiums, there are exceptions for specific types of coverage. Be sure to know the rules to avoid any tax implications.


Health Savings Accounts (HSAs) serve as a valuable tool for individuals seeking to save on out-of-pocket medical costs while also benefiting from tax advantages. However, when it comes to the question of paying insurance premiums, the rules can be a bit tricky. Generally, HSAs cannot be used to pay traditional health insurance premiums, but there are notable exceptions that you should be aware of.

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