Is Long Term Care Insurance a Qualified Medical Expense for HSA Purposes?

When it comes to Health Savings Accounts (HSAs), one common question that arises is whether long term care insurance is considered a qualified medical expense. The answer to this question is not as straightforward as it may seem, but we're here to break it down for you.

Qualifying medical expenses under an HSA are outlined by the IRS in Publication 502. While long term care insurance is generally used to cover services that help individuals with chronic illnesses or disabilities, it may or may not be considered a qualified medical expense for HSA purposes.

Here are some points to consider:

  • Long term care insurance premiums may be considered a qualified medical expense if they are specifically for medical care.
  • If the long term care insurance is for personal care services only, it may not qualify as a medical expense for HSA purposes.
  • It's important to review the terms of the long term care insurance policy to determine if it meets the IRS guidelines for qualified medical expenses.

Ultimately, the eligibility of long term care insurance as a qualified medical expense for HSA purposes depends on how the insurance policy is structured and what it covers.


Have you ever wondered if long term care insurance counts as a qualified medical expense under your Health Savings Account (HSA)? It’s a question that many people have, and while the answer isn’t black and white, we’re here to help clear things up.

According to IRS Publication 502, qualified medical expenses can include a variety of services and costs. Long term care insurance often pays for necessary services for those dealing with chronic conditions. However, whether these premiums qualify for HSA purposes hinges on specific conditions.

  • Your long term care insurance can be deemed a qualified medical expense if its primary focus is on medical care rather than personal assistance.
  • On the contrary, if the policy merely covers personal care services, it may not be classified as a qualified medical expense eligible for HSA withdrawal.
  • To ensure that you are compliant, it’s essential to carefully read the details outlined in your insurance policy regarding coverage.

In short, understanding how your long term care insurance is structured can significantly influence whether it qualifies as a medical expense for HSA purposes.

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