Can Long Term Care Plans be Paid from the HSA Account?

One common question that individuals have about Health Savings Accounts (HSAs) is whether long term care plans can be paid from the HSA account. The answer to this question is yes, in certain circumstances.

HSAs are designed to help individuals save for medical expenses both now and in the future, including long term care costs. While HSAs cannot cover long term care insurance premiums, they can be used to pay for qualified long term care services and expenses.

Long term care services that can be paid from an HSA include:

  • Nursing home care
  • Assisted living facilities
  • In-home care
  • Hospice care

It's important to note that the IRS has specific guidelines on what qualifies as a tax-deductible long term care expense. Before using your HSA to pay for long term care, it's recommended to consult with a tax professional to ensure compliance with IRS regulations.


Many people wonder if they can use their Health Savings Account (HSA) to cover long term care expenses. The good news is that it is possible, but with specific conditions attached.

While HSAs cannot be used to pay for long term care insurance premiums, they are quite useful for covering a variety of qualified long term care services. This includes everyday needs that come with aging or chronic illnesses.

Some eligible long term care services you can pay for with your HSA funds include:

  • Nursing home care, which can relieve the financial burden of skilled nursing services
  • Assisted living facilities, where residents can receive help with daily activities
  • In-home care, enabling comfort and safety in familiar surroundings
  • Hospice care, which focuses on providing comfort for terminally ill patients

Keep in mind that the IRS has specific rules regarding what counts as a qualified long term care expense. Therefore, it’s wise to check with a tax expert to confirm that your intended purchases align with these IRS guidelines before proceeding.

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