Can You Use HSA Money to Pay for Insurance Premiums?

One common and important question many people have about Health Savings Accounts (HSAs) is whether you can use HSA money to pay for insurance premiums. The answer to this question is both yes and no, depending on the type of insurance premiums you are looking to pay for.

Health Savings Accounts (HSAs) are tax-advantaged accounts that are designed to help individuals save and pay for qualified medical expenses. These accounts are typically paired with high-deductible health insurance plans. The funds contributed to an HSA are tax-deductible, grow tax-free, and can be withdrawn tax-free when used for qualified medical expenses.

When it comes to using HSA funds to pay for insurance premiums, here are some key points to consider:

  • Medicare premiums: You can use HSA funds to pay for Medicare premiums, including Part A, B, C, and D premiums.
  • Long-term care premiums: HSA funds can also be used to pay for long-term care insurance premiums up to certain limits.
  • Certain health insurance premiums: In some cases, you may be able to use HSA funds to pay for health insurance premiums, but this usually applies to specific types of coverage, such as COBRA continuation coverage, coverage while receiving unemployment compensation, or for individuals over the age of 65.
  • Other insurance premiums: Generally, you cannot use HSA funds to pay for other types of insurance premiums, such as life insurance, disability insurance, or vision or dental insurance premiums.

It's important to note that using HSA funds to pay for insurance premiums may have tax implications and eligibility criteria, so it's always best to consult with a tax advisor or financial planner to understand the rules and regulations surrounding HSA withdrawals for insurance premiums.


One common and important question many people have about Health Savings Accounts (HSAs) is whether you can use HSA money to pay for insurance premiums. The answer to this question varies based on the type of insurance premiums you are attempting to cover.

Health Savings Accounts (HSAs) are tax-advantaged accounts specifically designed to help you save and pay for qualified medical expenses. Typically paired with high-deductible health insurance plans, HSAs allow your contributions to be tax-deductible, grow tax-free, and be withdrawn tax-free when used for eligible medical costs.

When considering HSA funds for insurance premiums, here are some essential insights:

  • With Medicare premiums, you can utilize HSA funds for payments associated with Part A, B, C, and D, ensuring you stay covered as you age.
  • Regarding long-term care, HSA funds are permitted for paying premiums, though there are limits that you should be aware of.
  • In certain scenarios, you can also use HSA funds for specific workplace health insurance premiums — particularly COBRA continuation coverage or premiums for individuals receiving unemployment benefits.
  • It's crucial to recognize that HSAs cannot generally be used to pay for life insurance, disability insurance, or standard vision and dental insurance premiums.

Using HSA funds towards insurance premiums might come with various tax implications and eligibility criteria. Therefore, you should always consult a tax advisor or financial planner to fully understand the regulations surrounding HSA withdrawals.

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