How Are Insurance Premiums Reimbursable Under a HSA?

Health Savings Accounts (HSAs) are a great way to save for medical expenses while enjoying tax benefits. One key feature of an HSA is the ability to reimburse yourself for qualified medical expenses, including insurance premiums. But how exactly are insurance premiums reimbursable under an HSA?

When it comes to insurance premiums, not all types are eligible for reimbursement under an HSA. However, there are some specific scenarios where insurance premiums can be reimbursed:

  • Long-term care insurance premiums for you, your spouse, or dependents.
  • Health insurance premiums while receiving federal or state unemployment benefits.
  • Health insurance premiums while receiving COBRA continuation coverage after leaving a job.
  • Health coverage premiums for those over 65 (other than a Medicare supplemental policy, like Medigap).

To reimburse insurance premiums under an HSA:

  1. Ensure the insurance premiums fall under the qualified expenses list.
  2. Pay the insurance premiums out of pocket.
  3. Keep a record of the premium payments and any documentation supporting their eligibility.
  4. Submit a reimbursement request to your HSA provider, providing the necessary documentation.

It's important to note that not all insurance premiums are eligible for reimbursement under an HSA. Consulting with a tax professional or financial advisor can help you navigate the rules and ensure you're utilizing your HSA benefits efficiently.


Health Savings Accounts (HSAs) not only help you save for medical expenses but also present a unique way to reimburse yourself for certain insurance premiums, which can ultimately ease your financial burden. Navigating through the rules can be tricky, but it's worth it to understand how you can benefit from this aspect of your HSA.

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