Can I Use HSA Money to Pay Health Insurance? A Guide to Understanding HSA Usage

One common question many individuals have regarding their Health Savings Account (HSA) is whether they can use the funds to pay for health insurance premiums. The answer to this question is both yes and no, depending on certain circumstances.

Here's a breakdown of when you can and cannot use your HSA money to pay for health insurance:

  • You CAN use your HSA funds to pay for health insurance premiums if:
    • Your health insurance premiums are for qualified medical expenses, such as:
      • Coverage while receiving federal or state unemployment compensation
      • COBRA continuation coverage
      • Health care coverage while receiving Trade Adjustment Assistance (TAA)
      • Medicare and other health care coverage if you're 65 or older (other than premiums for a Medicare supplemental policy, such as Medigap)
  • You CANNOT use your HSA funds to pay for health insurance premiums if:
    • Your health insurance premiums are for general health insurance not specifically listed as a qualified medical expense

It's crucial to understand the distinction between qualified medical expenses and general health insurance premiums when it comes to HSA usage. Keeping this in mind will help you utilize your HSA funds effectively and avoid any potential tax penalties.


When it comes to using your Health Savings Account (HSA) for health insurance premiums, the rules can seem a bit complex. However, it's essential to know that you can indeed use HSA funds for certain situations.

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