Can I Use HSA to Pay Long Term Care Health Insurance Premium?

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses, providing a tax-advantaged way to save for medical costs. One common question that arises is whether HSAs can be used to pay for long term care health insurance premiums. Let's delve into this topic to understand the relationship between HSAs and long term care insurance.

Long term care insurance is designed to cover the costs of services that help individuals with disabilities or chronic illnesses, typically not covered by health insurance, Medicare, or Medicaid. These services can include assistance with daily activities such as bathing, dressing, and eating.

When it comes to using your HSA funds to pay for long term care insurance premiums, the answer is yes, but with some restrictions:

  • HSAs can be used to pay for long term care insurance premiums, but only up to certain limits set by the IRS.
  • For 2021, the maximum amount that can be withdrawn tax-free from an HSA for long term care insurance premiums is $450 per policyholder aged 40 and below, $850 for policyholders between 41-50, $1,690 for those between 51-60, and so on.

It's essential to check the specific guidelines and limits each year as they can change. By using your HSA funds to pay for long term care insurance premiums, you can enjoy the tax benefits of your HSA while securing coverage for potential long term care needs.


Health Savings Accounts (HSAs) serve as a powerful financial resource for managing healthcare expenses, providing tax advantages as you save for medical costs. A common question among individuals planning for their healthcare needs is whether HSA funds can be allocated towards paying for long term care health insurance premiums. This is a pertinent inquiry as planning for potential long term care needs is crucial.

Long term care insurance is specifically tailored to help cover the costs incurred for services that assist individuals with chronic illnesses or disabilities—care that traditional health insurance, Medicare, or Medicaid typically does not cover. Such services include help with daily activities like eating, bathing, or dressing.

In terms of utilizing HSA funds for long term care insurance premiums, you can do so under certain conditions:

  • HSAs can be utilized to cover long term care insurance premiums but are bound by annual limits established by the IRS.
  • As per IRS guidelines for 2021, the maximum amount eligible for tax-free withdrawal from an HSA for long term care insurance premiums is $450 for policyholders aged 40 and under, $850 for those aged 41-50, and a more significant $1,690 for individuals aged 51-60.

It is critical to keep abreast of the specific yearly guidelines and limits because they are subject to change. By strategically using your HSA to pay for long term care insurance premiums, you not only gain the tax benefits associated with HSAs but also take the proactive step to secure potential long term care coverage down the road.

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