HSA Shop logoHSA Shop

HSA Guide

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

Published July 30, 2022

Check eligibility on the gobrowse 7,000+ HSA-eligible products in the free app.

Get the app
Short answer: Generally, you cannot use HSA funds to pay health insurance premiums, except for unemployment benefits, certain Medicare premiums after age 65, or self-employed premiums not deducted before taxes.

General rule on paying insurance premiums

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:

Exceptions when HSA premiums are allowed

  • 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.

Non-qualified expenses and other eligible costs

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.

Free App

Browse 7,000+ HSA-Eligible Products

Search by symptom, get price alerts, and build your HSA shopping list — all in the free app.

← Back to all articles