Can I Pay LTCI with My HSA?

Long-term care insurance (LTCI) can be a significant expense for many individuals planning for their future care needs. However, did you know that you may be able to use your Health Savings Account (HSA) to pay for some of these expenses? Let's explore whether you can pay for LTCI with your HSA.

Health Savings Accounts (HSAs) are tax-advantaged accounts that are designed to help individuals save for qualified medical expenses. While LTCI premiums are not considered qualified medical expenses, there are certain situations where using your HSA to pay for LTCI may be possible.

Here are some key points to consider:

  • Under current IRS regulations, LTCI premiums are not considered a qualified expense for HSA funds.
  • However, if you are over 65 years old, you may be able to use HSA funds to pay for a portion of your LTCI premiums. The amount you can use is limited and adjusted annually.
  • Using HSA funds for LTCI premiums can provide a tax-advantaged way to supplement your long-term care planning.
  • It's important to consult with a tax or financial advisor to understand the rules and limitations surrounding using HSA funds for LTCI.

While using your HSA to pay for LTCI premiums may be an option for some individuals, it's essential to ensure you are following IRS regulations and seeking guidance from a professional to make informed decisions about your long-term care planning.


Long-term care insurance (LTCI) is an essential consideration for those planning for their future health care needs. While most people know Health Savings Accounts (HSAs) can be used for qualified medical expenses, many may not realize that using HSA funds for LTCI premiums is subject to specific regulations. Let’s shed some light on this.

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