Can I Use an HSA for Premiums? Understanding HSA Eligible Expenses

If you're wondering whether you can use an HSA (Health Savings Account) for premiums, the answer is usually no. HSA funds are typically intended for qualified medical expenses. However, there are some circumstances where you may be able to use your HSA for premiums.

Here are some key points to consider:

  • Premiums are generally not considered eligible expenses for HSA funds.
  • Exceptions may apply if the premiums are for long-term care insurance, health coverage while receiving unemployment benefits, or for individuals over 65 using HSA funds to pay Medicare premiums.
  • Using HSA funds for premiums that are not considered eligible expenses may result in tax penalties.

It's important to familiarize yourself with the IRS guidelines on what qualifies as an eligible expense for HSA funds. Be sure to consult with a tax professional or financial advisor if you have questions about using your HSA for premiums.


Many individuals wonder if they can tap into their Health Savings Account (HSA) for paying health insurance premiums. Generally speaking, the answer is no, as HSA funds are primarily designated for qualified medical expenses.

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