Can I Pay My Health Insurance Premium with My HSA?

Health Savings Accounts (HSAs) are a great way to save for medical expenses while enjoying tax benefits, but many people wonder if they can use their HSA funds to pay for health insurance premiums. The short answer is yes, in some cases, you can pay for health insurance premiums with your HSA.

However, there are specific rules and guidelines to follow regarding using HSA funds for health insurance premiums:

  • You can use HSA funds to pay for health insurance premiums if you are receiving federal or state unemployment benefits.
  • You cannot use HSA funds to pay for health insurance premiums if you are enrolled in Medicare, including Medicare Part A, B, C, or D.
  • If you are over 65 and not yet enrolled in Medicare, you can use HSA funds to pay for health insurance premiums, including premiums for employer-sponsored health insurance or a plan purchased on the Health Insurance Marketplace.
  • Group health insurance premiums typically cannot be paid for with HSA funds, unless they are for COBRA coverage, for a retiree health plan, or for individuals receiving federal or state unemployment benefits.

It's important to always check with your insurance provider and HSA administrator to ensure that you are following the proper guidelines when using HSA funds to pay for health insurance premiums. Keeping thorough records of your expenses and payments is also crucial for tax purposes.


Health Savings Accounts (HSAs) offer not only a way to save for forthcoming medical expenses, but they also provide noteworthy tax advantages. Many individuals often ask whether they can apply their HSA funds towards paying health insurance premiums, and the answer is nuanced. In some situations, yes, you can!

To fully understand when and how HSA funds can be used for health insurance premiums, consider these important guidelines:

  • HSA funds can be allocated to health insurance premiums if you are currently receiving federal or state unemployment benefits.
  • However, if you find yourself enrolled in any part of Medicare—be it Part A, B, C, or D—you won’t be able to pay your premiums with HSA funds.
  • For those over the age of 65 who have not yet signed up for Medicare, HSA funds can indeed be utilized for premiums associated with employer-sponsored insurance or plans acquired through the Health Insurance Marketplace.
  • Generally, group health insurance premiums don't qualify for HSA spending, with exceptions such as COBRA coverage payments, premiums for retiree health plans, or those who are receiving unemployment benefits.

Always remember to consult with both your insurance provider and HSA administrator for accurate assistance on utilizing your HSA funds correctly. Keeping detailed records of transactions is not just good practice; it’s essential for tax reporting!

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter