Can HSA Contributions Be Used to Pay Insurance Premiums?

Health Savings Accounts (HSAs) are a great way to save for medical expenses while also reducing your taxable income. One common question that many users have is whether HSA contributions can be used to pay insurance premiums.

Unfortunately, HSA funds cannot be used to pay for health insurance premiums in most cases. However, there are some exceptions to this rule:

  • If you are over 65 years old, you can use HSA funds to pay for Medicare premiums (Part A, Part B, Part D).
  • 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 are on COBRA (Consolidated Omnibus Budget Reconciliation Act) continuation coverage after leaving a job, you can use HSA funds to pay for premiums.

It's important to note that using HSA funds for insurance premium payments requires careful documentation and may have tax implications. Always consult with a tax advisor or financial professional before making such payments.


Inquiring about the use of Health Savings Accounts (HSAs) for health insurance premiums is a common concern among account holders. As a general rule, most people cannot pay their insurance premiums directly from their HSA funds. However, there are notable exceptions depending on age and circumstance, such as being over 65, receiving unemployment benefits, or opting for COBRA coverage. Make sure to review these possibilities to maximize your HSA benefits.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter