Can HSA Funds Be Used to Pay Medical Insurance Premiums?

Health Savings Accounts (HSAs) are a valuable tool for helping individuals save for medical expenses while also enjoying tax benefits. One common question that arises is whether HSA funds can be used to pay for medical insurance premiums.

When it comes to using HSA funds for insurance premiums, the answer is not always straightforward. The IRS has specific rules in place governing what medical expenses are considered eligible for HSA funds, including insurance premiums.

Generally, HSA funds can be used to pay for medical insurance premiums in some circumstances:

  • If you are currently receiving federal or state unemployment benefits
  • If you have COBRA continuation coverage
  • If you are aged 65 or older and are enrolled in Medicare (but not for Medigap premiums)
  • If you are receiving long-term care insurance
  • If you are self-employed and paying for health insurance premiums

It's important to note that using HSA funds for insurance premiums may have tax implications, so it's best to consult with a tax professional or financial advisor to understand the rules and any potential consequences.

Overall, while HSA funds can be a flexible way to cover a variety of medical expenses, including insurance premiums in certain situations, it's essential to stay informed about the regulations to make the most of your HSA benefits.


Health Savings Accounts (HSAs) are a fantastic way to save for medical expenses and receive beneficial tax advantages. A common inquiry is whether HSA funds can cover medical insurance premiums.

Determining if you can use HSA funds to pay for insurance premiums is not entirely straightforward due to IRS regulations. These regulations set specific criteria regarding which medical expenses qualify for HSA reimbursement.

In general, there are specific situations where HSA funds may be utilized to pay for medical insurance premiums:

  • If you are currently on federal or state unemployment benefits
  • If you have COBRA continuation coverage
  • If you are over 65 and enrolled in Medicare (excluding Medigap premiums)
  • If you are receiving long-term care insurance premiums
  • If you are self-employed and covering your health insurance costs

Using HSA funds for insurance premiums can have tax implications, so consulting with a tax professional is crucial to understand the rules and any potential consequences.

While HSA funds offer versatility for various medical expenses and may include insurance premiums in specific scenarios, staying updated on the guidelines ensures you get the most out of 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