Can I Pay Long Term Insurance with HSA?

Health Savings Accounts (HSAs) are a great way to save for medical expenses, but many people wonder if they can also be used to pay for long term insurance. The short answer is no, you cannot use your HSA to pay for long term insurance premiums. Long term care insurance is considered a type of health insurance that covers the costs of long term care services, typically not covered by traditional health insurance or Medicare.

However, there are some exceptions and caveats to this rule:

  • You can use your HSA to pay for long term care services or expenses, such as nursing home care, home health care, or assisted living facilities.
  • If you are over 65 years old, you may be eligible to use your HSA to pay for long term care insurance premiums as a qualified medical expense.
  • It's essential to check with your insurance provider and tax advisor to understand the specific rules and regulations surrounding HSAs and long term care.

While you may not be able to pay for long term insurance premiums with your HSA, it's still a valuable tool for saving on medical expenses and planning for your future healthcare needs. By utilizing your HSA wisely and staying informed about its uses, you can make the most of this tax-advantaged savings account.


Health Savings Accounts (HSAs) are primarily designed to help individuals save for out-of-pocket medical expenses. While paying for long term insurance premiums with an HSA is not allowed, there are still smart ways to utilize your HSA for long term care costs. Specifically, you can cover expenses related to nursing homes, home healthcare, or assisted living facilities when the need arises.

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