Can You Include Monthly Premium in HSA Account Expenses?

Health Savings Accounts (HSAs) are a great way to save for medical expenses while also enjoying tax benefits. One common question that arises is whether you can include your monthly health insurance premium in your HSA account expenses.

Unfortunately, in most cases, you cannot directly pay your monthly health insurance premium from your HSA account. However, there are certain circumstances where you may be able to include your premium as an eligible expense.

Here are a few key points to consider:

  • HSAs are designed to cover qualified medical expenses, which typically include services and items used to diagnose, cure, mitigate, treat, or prevent illness.
  • Health insurance premiums are considered a pre-tax expense when paid through an employer-sponsored plan. This means that if your employer deducts your health insurance premiums from your paycheck before taxes, you are already receiving a tax benefit.
  • While you cannot use HSA funds to pay for regular health insurance premiums, you may be able to use them for certain types of premiums, such as:
    • Cobra continuation coverage
    • Long-term care insurance premiums
    • Health coverage while receiving unemployment benefits
    • Medicare and other health coverage if you are 65 or older
  • Make sure to keep detailed records of your expenses and consult with a tax professional to ensure you are using your HSA funds appropriately.

Overall, while you may not typically include your monthly health insurance premium in your HSA account expenses, there are still ways to maximize the benefits of your HSA while staying compliant with IRS regulations.


When it comes to Health Savings Accounts (HSAs), many people are curious about what expenses qualify. One commonly asked question is whether your monthly health insurance premium can count towards HSA account expenses. While direct payment from your HSA for monthly premiums is generally not allowed, there are exceptions to this rule.

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