Can I Use My HSA to Pay for Insurance Premiums? A Complete Guide

Health Savings Accounts (HSAs) are a powerful tool for managing healthcare expenses, but many people are unsure about what they can use their HSA funds for. One common question that arises is whether HSA funds can be used to pay for insurance premiums. Let's delve into this in detail.

First and foremost, HSA funds cannot be used to pay for health insurance premiums, with only a few exceptions:

  • If you are 65 years or older, you can use HSA funds to pay for Medicare premiums (but not for Medigap).
  • If you are receiving federal or state unemployment benefits, you can use HSA funds to pay for COBRA premiums.
  • If you are enrolled in an employer-sponsored health plan and the premiums are deducted from your paycheck on a pre-tax basis, you cannot use HSA funds to pay for them.

It's important to note that if you use HSA funds to pay for ineligible expenses like insurance premiums, you may face penalties and taxes on the amount spent.

While you cannot use HSA funds for insurance premiums, there are many other eligible expenses that you can use your HSA funds for, including medical expenses such as doctor's visits, prescriptions, and even some over-the-counter medications.

Understanding what you can and cannot use your HSA funds for is crucial to making the most of this valuable financial tool. If you have any doubts about eligible expenses, it's always best to consult with a financial advisor or tax professional.


Have you ever thought about using your Health Savings Account (HSA) for health insurance premiums? The reality is, while HSAs are fantastic for saving on qualified medical expenses, they generally don’t cover premiums. Still, there are a few exceptions worth noting.

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