Can I Use My HSA to Pay for Long Term Care Premiums?

Yes, you can use your HSA (Health Savings Account) to pay for long term care premiums under certain conditions. Long term care refers to the assistance individuals may need with daily activities over an extended period due to chronic illness, disability or cognitive impairment.

Using your HSA funds to pay for long term care premiums can provide a tax-advantaged way to cover these costs. Here are some key points to consider:

  • Long term care premiums must be for a qualified long term care insurance policy.
  • The premium payments must not exceed the age-based limits set by the IRS.
  • Self-employed individuals may be able to deduct the premiums as an adjustment to income.

It's essential to review the specific terms of your HSA and the long term care insurance policy to ensure compliance with IRS regulations.


When preparing for future healthcare needs, understanding the use of your Health Savings Account (HSA) is crucial. While it's unfortunate that the IRS prohibits using HSA funds for long term care insurance premiums, there are still many incredible ways to utilize your HSA. For instance, you can cover long term care services, pay for medical expenses if you are chronically ill, or use it for medically necessary services provided by licensed healthcare professionals.

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