Can I Use My HSA to Pay for My Insurance?

One common question many people have about Health Savings Accounts (HSAs) is whether they can be used to pay for insurance premiums. The short answer is no, you cannot use your HSA funds to directly pay for your health insurance premiums. However, there are some exceptions and other ways you can utilize your HSA for insurance-related expenses.

HSAs are designed to help individuals save and pay for qualified medical expenses on a tax-free basis. These expenses typically include things like doctor visits, prescriptions, and medical procedures. While insurance premiums are not considered eligible expenses under the IRS guidelines, there are some instances where you may be able to use your HSA for insurance costs:

  • If you are over the age of 65, you can use your HSA funds to pay for Medicare premiums
  • If you are receiving federal or state unemployment benefits, you may be able to use your HSA to pay for health insurance premiums
  • If you have COBRA coverage after leaving a job, you can use your HSA to pay for those premiums as well

It's important to keep in mind that using your HSA for insurance premiums in any other situation may result in tax implications and penalties. It's always best to consult with a tax professional or financial advisor to ensure you are using your HSA funds in compliance with the IRS regulations.


When considering whether to use your Health Savings Account (HSA) for your insurance premiums, it’s essential to understand that while generally not permitted, there are exceptions. For example, individuals over 65 can utilize their HSA for Medicare premiums, making HSAs a valuable resource in later years.

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