Can I Pay Health Care Premiums Out of HSA?

Many people are often curious about what expenses can be covered using their Health Savings Account (HSA). One common question that arises is, 'Can I pay health care premiums out of HSA?'

When it comes to using your HSA funds for health care premiums, the rules can be a bit tricky to navigate. Here's what you need to know:

  • Health care premiums typically refer to monthly insurance payments for health coverage.
  • Generally, HSA funds cannot be used to pay for health care premiums.
  • However, there are some exceptions to this rule:
    • If you are over 65, you can use HSA funds to pay for Medicare premiums (Part A, B, C, and D).
    • If you are receiving unemployment benefits, you may be able to use HSA funds to pay for health insurance premiums.
    • Certain long-term care insurance premiums may also be eligible for payment using HSA funds.
  • It's important to note that using HSA funds for health care premiums that do not fall under these exceptions can result in penalties and tax implications.

Ultimately, the best course of action is to consult with a tax professional or financial advisor to understand the specific rules and regulations surrounding the use of HSA funds for health care premiums.


It's common for people to wonder about using their Health Savings Account (HSA) for various expenses, and health care premiums are a frequent topic of inquiry. However, understanding the distinction between what HSA funds can and cannot cover is crucial.

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