Can You Use HSA for Health Premiums? Understanding HSA Rules

If you are considering opening a Health Savings Account (HSA) or already have one, you may wonder, 'Can you use HSA for health premiums?' The answer to this question is both yes and no, depending on the type of premiums you are referring to.

HSAs are designed to help individuals save for qualified medical expenses on a tax-advantaged basis. While health insurance premiums are not typically considered qualifying expenses, there are some exceptions.

Understanding the rules around using HSA for health premiums can help you make informed decisions about your healthcare expenses. Here is what you need to know:

  • HSA funds can be used to pay for certain health insurance premiums, such as:
    • COBRA premiums (for continuation coverage)
    • Health care coverage while receiving unemployment benefits
    • Medicare premiums (except for Medigap policies)
    • Long-term care insurance premiums, up to certain limits
  • Employer-sponsored health insurance premiums generally cannot be paid with HSA funds
  • If you are over 65 and receive Social Security benefits, your Medicare premiums may be paid using HSA funds
  • Using HSA funds for non-qualified expenses may result in taxes and penalties

It is essential to consult with a tax advisor or financial planner to understand the specific rules and limitations around using HSA funds for health insurance premiums in your situation.


Understanding how to use your Health Savings Account (HSA) can significantly impact your healthcare finances. So, can you use HSA for health premiums? The answer is nuanced.

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