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Can You Use HSA to Pay COBRA Premiums?

Published February 14, 2023

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Short answer: No—IRS guidelines say you cannot use HSA funds to pay COBRA premiums because they are health plan premiums, not qualified medical expenses.

HSA payments and COBRA premium eligibility

If you've recently lost your job, you may be considering COBRA as a way to continue your health insurance coverage. But can you use your HSA to pay for COBRA premiums?

Unfortunately, the IRS does not allow you to use your HSA funds to pay for COBRA premiums, as these are considered health plan premiums and not qualified medical expenses under the HSA rules.

How to use HSA during COBRA

However, there are still some ways to utilize your HSA in relation to COBRA:

  • You can use your HSA funds to pay for qualified medical expenses not covered by your COBRA plan
  • You can continue to contribute to your HSA even while on COBRA, as long as you are still enrolled in an HSA-eligible high-deductible health plan
  • If you find a new job with health insurance coverage, you can use your HSA funds for other qualified medical expenses or save them for future healthcare needs

If you’ve recently faced unemployment, it’s understandable to look into COBRA for keeping your insurance policy active. But can you tap into your HSA to cover the cost of COBRA premiums? The answer is no—according to IRS guidelines, HSA funds cannot be utilized for paying COBRA premiums, which are categorized as health plan premiums rather than qualified medical expenses.

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