Can I Use HSA Money to Pay for Insurance Premiums? - Understanding HSA Rules

One common question that arises among HSA account holders is whether HSA money can be used to pay for insurance premiums. Let's delve into the details to understand the rules surrounding this topic.

Health Savings Accounts (HSAs) are a valuable financial tool that allows individuals to save money for medical expenses on a tax-advantaged basis. However, there are certain guidelines set by the IRS regarding what HSA funds can be used for.

Here are some key points to consider:

  • HSA funds can generally be used to pay for qualified medical expenses, including deductibles, co-pays, and other out-of-pocket costs.
  • Insurance premiums are not typically considered qualified medical expenses, with a few exceptions.
  • Exceptions where HSA funds can be used for insurance premiums include:
    • COBRA premiums.
    • Health care continuation coverage under federal law.
    • Long-term care insurance premiums in certain circumstances.

It's essential to check with your insurance provider and tax advisor to determine if your insurance premiums fall under the qualified expenses that can be covered by your HSA.

While using HSA funds for insurance premiums may have limitations, the account still offers significant benefits in terms of tax savings and flexibility for covering medical costs.


One of the most frequently asked questions by HSA account holders is about the use of HSA money for insurance premiums. It’s crucial to understand the specifics of HSA rules to make the most of your account.

Health Savings Accounts (HSAs) are designed to help you save for medical expenses with tax advantages. But when it comes to insurance premiums, things get a bit tricky.

Key Takeaways:

  • HSA funds are primarily allocated for qualified medical expenses, which include things like deductibles and co-pays.
  • Generally, insurance premiums are not classified as qualified medical expenses, with some notable exceptions.
  • Specific cases where you can utilize HSA funds for premiums include:
    • COBRA premiums, which allow you to maintain your health insurance after leaving employment.
    • Health care continuation coverage as defined by federal law.
    • Long-term care insurance premiums under certain conditions.

To ensure that you’re using HSA funds correctly, consult with your insurance provider and a tax advisor about your specific situation. Even with limitations, HSAs remain an excellent option for tax savings and flexibility in healthcare spending.

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