Can You Pay for Health Insurance Premiums from an HSA?

One common question that arises when discussing Health Savings Accounts (HSAs) is whether you can use the funds to pay for health insurance premiums. The short answer is yes, but there are specific rules and regulations that govern how this can be done.

HSAs are a tax-advantaged savings account that individuals can use to pay for qualified medical expenses. While health insurance premiums are generally not considered qualified medical expenses, there are some exceptions where you can indeed use your HSA funds to pay for them.

Here are some key points to consider when it comes to using your HSA to pay for health insurance premiums:

  • Health insurance premiums that can be paid from an HSA must be for a high-deductible health plan (HDHP).
  • You can use HSA funds to pay for your HDHP premiums if you are receiving federal or state unemployment benefits.
  • If you are 65 years or older, you can also use HSA funds to pay for Medicare premiums (except for Medigap).
  • COBRA premiums can be paid from an HSA as well.

It's crucial to ensure that you are using your HSA funds for eligible expenses to avoid penalties or taxes. Keeping detailed records of your HSA transactions and expenses is vital for compliance with IRS regulations.

Health Savings Accounts offer a valuable way to save for medical expenses while providing tax benefits. Understanding the rules around using HSA funds for health insurance premiums can help you make the most of this financial tool.


One frequently asked question regarding Health Savings Accounts (HSAs) is the applicability of these funds towards health insurance premiums. The good news is that in certain situations, you can indeed utilize your HSA for this purpose, provided you adhere to specific guidelines.

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