Can I Deduct Health Insurance Premiums from My HSA?

When it comes to health savings accounts (HSAs), there are specific rules and guidelines regarding what expenses you can pay for with the funds in your HSA. One common question that arises is whether you can deduct health insurance premiums from your HSA.

Unfortunately, in most cases, health insurance premiums are not considered qualified medical expenses that can be paid for with HSA funds. However, there are some exceptions to this rule:

  • If you are over the age of 65, you can use HSA funds to pay for Medicare premiums, which includes premiums for Medicare Part A, B, and D.
  • If you are receiving federal or state unemployment benefits, you can use HSA funds to pay for health insurance premiums.
  • If you are receiving COBRA continuation coverage, you can also use HSA funds to pay for the premiums.

It's essential to keep in mind that these exceptions have specific criteria that need to be met, so it's always best to consult with a tax professional to ensure compliance with the rules.


When considering health savings accounts (HSAs), it's important to understand the specific regulations about what expenses are eligible for HSA funds. A frequent question is whether health insurance premiums can be deducted from an HSA.

Generally, health insurance premiums do not qualify as medical expenses that are eligible for purchase with HSA funds. However, there are notable exceptions you should be aware of:

  • Individuals aged 65 and older can utilize HSA funds to cover Medicare premiums, encompassing Part A, B, and D.
  • Those receiving unemployment benefits from either federal or state programs may also use their HSA funds for health insurance premium payments.
  • In the case of individuals who have COBRA continuation coverage, HSA funds can be allocated for the premiums as well.

It's crucial to remember that these exceptions come with distinct requirements, so it’s wise to consult a tax advisor for clarification and compliance with the guidelines.

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