Can I Use HSA to Pay COBRA Premiums for Spouse?

One common question many individuals have is whether they can use their HSA to pay COBRA premiums for their spouse. The short answer is - yes, in most cases you can use your HSA funds to pay for your spouse's COBRA premiums.

Being able to use HSA funds for COBRA premiums can be a significant benefit for individuals who are transitioning between jobs or experiencing changes in their healthcare coverage. Here are some important points to consider:

  • You can use your HSA to pay for your spouse's COBRA premiums if you are legally married and file taxes jointly.
  • COBRA premiums are considered qualified medical expenses under IRS regulations, making them eligible for HSA funds.
  • Using your HSA for COBRA premiums can provide a tax-advantaged way to continue healthcare coverage for your spouse.

It's essential to keep detailed records of the payments made from your HSA to cover COBRA premiums to ensure compliance with IRS regulations. Additionally, it's always a good idea to consult with a tax professional or financial advisor to understand the specific rules and guidelines that may apply to your situation.


Individuals often inquire if their Health Savings Account (HSA) can be utilized to cover COBRA premiums for their spouse. The answer is a resounding yes, you can typically use HSA funds for your spouse's COBRA premiums, provided you meet IRS requirements.

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