Can You Use HSA Money to Pay for Medicare Premiums?

One common question that arises about Health Savings Accounts (HSAs) is whether you can use the funds to pay for Medicare premiums. The short answer is yes, you can use HSA funds to cover Medicare premiums, including Parts A, B, C, and D. However, there are certain rules and guidelines that you need to be aware of when using your HSA for this purpose.

It's important to understand that using HSA money to pay for Medicare premiums is allowed, but only under specific circumstances. Here are some key points to keep in mind:

  • You can use HSA funds to pay for Medicare premiums for yourself or your spouse, but not for any other dependents.
  • You cannot use HSA funds to pay for Medicare supplement insurance premiums (Medigap).
  • If you're 65 or older, enrolled in Medicare, and no longer contributing to your HSA, you can still use the existing funds in your HSA to pay for Medicare premiums tax-free.
  • If you're under 65 and using HSA funds to pay for Medicare premiums, you need to meet the criteria for being disabled or eligible for premium-free Medicare Part A based on your work history.
  • Make sure to keep accurate records of your HSA withdrawals for Medicare premium payments to ensure compliance with IRS regulations.

Overall, utilizing your HSA to pay for Medicare premiums can be a smart financial move, helping you save on healthcare expenses during retirement. Just remember to follow the rules and guidelines to avoid any potential tax implications.


It's great to know that you can tap into your Health Savings Account (HSA) to pay for Medicare premiums. This includes all coverage parts—A, B, C, and D. Just ensure that you adhere to specific requirements for a smooth transaction.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter