Can You Pay Insurance Premiums with an HSA?

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses, offering tax advantages and flexibility. One common question that arises is whether you can use your HSA funds to pay for insurance premiums.

While HSAs are primarily designed to cover qualified medical expenses, they do have some flexibility in what they can be used for. Insurance premiums can be paid with HSA funds, but there are certain considerations to keep in mind:

  • Health insurance premiums: In general, you cannot pay regular health insurance premiums with HSA funds. This includes premiums for policies purchased through the marketplace or from an employer.
  • Qualified plans: You can use HSA funds to pay premiums for certain qualified health insurance plans, such as:
    • COBRA continuation coverage
    • Long-term care insurance
    • Healthcare coverage while receiving unemployment benefits

It's important to note that using HSA funds to pay insurance premiums may have tax implications. If you use HSA funds for non-qualified expenses, you may have to pay taxes on the amount withdrawn, along with potential penalties.

Before using your HSA funds to pay for insurance premiums, it's advisable to consult with a financial advisor or tax professional to understand any potential consequences.


When navigating the world of Health Savings Accounts (HSAs), you might wonder if they can assist with your insurance premiums. While HSAs shine in providing significant tax benefits and flexibility for managing healthcare costs, it's crucial to know the specific rules regarding their use for premiums.

Typically, HSA funds are not usable for standard health insurance premiums, such as those you might encounter in your employer’s plan or policies purchased through the health insurance marketplace. However, there are notable exceptions. For instance, you can allocate your HSA funds towards certain types of insurance premiums, including:

  • COBRA continuation coverage, which allows you to keep your employer's group health plan after leaving your job.
  • Long-term care insurance, ensuring you are protected for future care needs.
  • Health coverage while drawing unemployment benefits, providing peace of mind during job transitions.

Understanding these guidelines is essential to avoid tax implications, as using HSA funds for non-qualified expenses could lead to taxation and penalties. Always consider reaching out to a financial professional for personalized advice tailored to your specific situation.

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