Can I Use an HSA to Pay for Premiums? Understanding HSA Basics

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses, but many people are unsure of what expenses they can cover using an HSA. One common question that arises is whether you can use an HSA to pay for premiums.

When it comes to health insurance premiums, the general rule is that you cannot use HSA funds to pay for them. However, there are some exceptions:

  • If you are receiving unemployment benefits, you can use your HSA funds to pay for health insurance premiums.
  • If you are over 65 years old, you can use your HSA funds to pay for Medicare premiums (but not for supplemental insurance).
  • If you are self-employed, you can use your HSA funds to pay for health insurance premiums as long as the premiums are not deducted from your income before taxes.

It’s important to note that using HSA funds for non-qualified expenses, such as insurance premiums outside of the exceptions mentioned above, can result in tax consequences and penalties. Therefore, it’s essential to understand the rules and regulations governing HSAs to avoid any financial pitfalls.

While HSA funds cannot typically be used for premiums, they can be used for a wide range of other healthcare expenses, including:

  • Doctor visits
  • Prescriptions
  • Dental care
  • Vision care
  • Medical supplies
  • And more

By understanding the guidelines for using HSA funds and knowing what expenses are eligible, you can make the most of your HSA and stay on top of your healthcare expenses.


Health Savings Accounts (HSAs) are an excellent way to save for healthcare costs, but many people are often confused about how to use these funds, especially concerning health insurance premiums. Generally speaking, HSA funds cannot be used for paying premiums, but there are notable exceptions you should be aware of.

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