Can You Use HSA for Long Term Care?

When it comes to managing your healthcare expenses, a Health Savings Account (HSA) can be a valuable tool. However, one common question that many people have is whether you can use an HSA for long term care. Let's dive into the details to understand how HSAs work and if they can be used for long term care.

Firstly, it's important to note that HSAs are designed to help individuals save for qualified medical expenses. Generally, long term care expenses are not considered as qualified medical expenses.

Long term care typically refers to assistance with activities of daily living, such as bathing, dressing, and eating, that individuals may need as they age or due to a chronic illness or disability. While these services are crucial for many individuals, using an HSA to cover long term care expenses directly may not be allowed.

However, there are some scenarios where you may be able to utilize your HSA funds for long term care-related expenses:

  • If the care is deemed medically necessary by a healthcare professional, and the services are provided by a licensed healthcare provider, some expenses may be considered as qualified medical expenses.
  • If the long term care services are part of a medical care plan prescribed by a physician to alleviate a specific medical condition, they may qualify for HSA funds.

It's essential to keep detailed records and documentation of your long term care expenses to prove that they are related to medical care and meet the HSA eligibility criteria. Consulting with a tax advisor or financial planner can also provide guidance on navigating the regulations surrounding HSA usage.

While HSAs may not be a primary source of funding for long term care, they can still play a role in supplementing certain qualified expenses. Understanding the regulations and requirements for HSA usage can help individuals make informed decisions about their healthcare planning and financial management.


Understandably, many individuals are curious about the potential of utilizing their HSA for long-term care expenses. This discussion aims to clarify the use of HSAs in this context.

What is HSA?

  • A Health Savings Account (HSA) provides a tax-efficient way to save for various healthcare needs.

Using HSA for Long-Term Care:

  • Your HSA can indeed cover long-term care services, provided they are deemed medically necessary.
  • Importantly, while you can utilize HSA funds for eligible services, long-term care insurance premiums do not qualify as eligible expenses.

Benefits of Using HSA for Long-Term Care:

  • Leveraging your HSA for long-term care costs can enhance your financial strategy through tax benefits.
  • HSAs grant users autonomy in managing healthcare funds, empowering you to allocate for long-term care.
  • The contributions made to your HSA are tax-deductible, and withdrawals for qualified medical expenses, including long-term care services, are tax-free.

In summary, although HSAs serve as a useful financial resource for long-term care, grasping the relevant rules and conditions is critical for effective utilization.

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