Can I Pay Health Insurance Premiums with HSA Account?

Health Savings Accounts (HSAs) have become a popular way for individuals to save for medical expenses while enjoying tax benefits. One common question that arises is whether HSA funds can be used to pay for health insurance premiums.

Regarding the question 'Can I pay health insurance premiums with HSA account?', the short answer is yes, but there are rules and restrictions to keep in mind:

  • HSA funds can be used to pay for health insurance premiums in certain situations.
  • These premiums are typically limited to specific types of insurance, such as:
    • COBRA continuation coverage
    • Health care coverage while receiving unemployment benefits
    • Medicare (but not Medigap)
    • Long-term care insurance
  • It's important to verify with your insurance provider that HSA funds can be used for premium payments.
  • If you're under 65 and using HSA funds to pay for health insurance premiums, the payments are generally considered taxable income.
  • Anyone over 65 can use HSA funds to pay for health insurance premiums without incurring any tax penalty.
  • Be sure to keep detailed records and receipts of your premium payments for tax purposes.

While HSA funds can be a valuable resource for covering various medical expenses, it's essential to understand the guidelines around using them for health insurance premiums.


Health Savings Accounts (HSAs) offer an incredible opportunity to save money for medical expenses while receiving tax benefits. An interesting fact is that HSAs can be utilized to pay certain health insurance premiums, though there are specific conditions.

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