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

One common question among HSA account holders is whether they can use their HSA funds to pay for long term care premiums. The short answer is yes, you can use your HSA to pay for long-term care premiums, but with certain limitations and guidelines to follow.

Long term care insurance is designed to cover the costs of long-term care services, such as help with activities of daily living in a variety of care settings, including your home, assisted living facilities, or nursing homes. While not all healthcare expenses are eligible for HSA reimbursement, long term care premiums are considered an eligible expense by the IRS.

Here are some key points to keep in mind when using your HSA to pay for long term care premiums:

  • Long term care premiums need to be for qualified long term care insurance
  • Premiums for a qualified long-term care insurance policy are considered eligible medical expenses
  • Generally, the amount you can withdraw tax-free from your HSA to pay for long term care premiums is capped at certain limits set by the IRS

It's essential to check with your insurance provider to ensure that your long-term care policy qualifies and meets the IRS guidelines for eligibility. By using your HSA funds to pay for long term care premiums, you can benefit from the tax advantages of your HSA while securing coverage for potential long-term care needs.


If you're considering using your HSA to fund long-term care premiums, it's important to know that HSAs can indeed be a wise financial tool for this purpose. Following IRS guidelines, you can tap into your HSA to cover premiums for qualified long-term care insurance.

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