HSA Shop logoHSA Shop

HSA Guide

Can You Pay Your Insurance Premium with HSA?

Published December 28, 2022

Check eligibility on the gobrowse 7,000+ HSA-eligible products in the free app.

Get the app
Short answer: No—HSA withdrawals for insurance premiums are not eligible expenses typically, but exceptions may allow it for unemployment benefits, age 65+ with Medicare premiums, or COBRA coverage.

HSAs and whether premiums qualify

Health Savings Accounts (HSAs) are a great way to save and pay for medical expenses, but can you use it to pay your insurance premium as well?

Health Savings Accounts (HSAs) are an excellent tool for managing medical expenses, but can they be utilized to pay your insurance premiums? The short answer is, not typically, but there are specific scenarios where this is possible.

Qualified medical expenses and exceptions

First and foremost, it's important to understand that HSAs are specifically designed to cover qualified medical expenses. While insurance premiums are not considered as eligible expenses, there are some exceptions:

  • If you are receiving federal or state unemployment benefits
  • If you are over 65 years old and have Medicare premiums
  • If you are using COBRA coverage

In these cases, you may be able to use your HSA to pay for insurance premiums. However, it's always best to consult with a tax advisor or financial expert to ensure compliance with IRS regulations.

Penalties for non-eligible premiums

Using your HSA to pay for insurance premiums that do not fall under the exceptions could result in penalties and taxes on the withdrawn amount.

Ultimately, while there are some exceptions, it's recommended to primarily use your HSA for qualified medical expenses to maximize its benefits.

Free App

Browse 7,000+ HSA-Eligible Products

Search by symptom, get price alerts, and build your HSA shopping list — all in the free app.

← Back to all articles