Not Eligible for HSA under Tricare. Can I Use HSA for Long Term Care?

It can be frustrating to discover that you are not eligible for a Health Savings Account (HSA) under Tricare, but there are still options available for planning your long-term care. While Tricare, the healthcare program for uniformed service members, retirees, and their families, does not qualify for an HSA, you can still explore ways to utilize your HSA for long-term care needs.

One important point to note is that HSA funds can only be used for qualified medical expenses, which are defined by the Internal Revenue Service. While long-term care expenses can be a significant part of your healthcare costs, they may not always fall under the category of qualified medical expenses for HSA purposes.

However, there are exceptions where HSA funds can be used for long-term care expenses:

  • If the long-term care services are prescribed by a licensed healthcare provider as a necessary medical treatment for a specific condition.
  • If the recipient of the long-term care services is chronically ill, meeting certain criteria defined by the IRS.

It's essential to consult with a tax professional or financial advisor to understand the specific rules and regulations governing HSA funds and long-term care expenses. They can provide guidance on how to navigate this area and ensure compliance with IRS guidelines.


It's disheartening not to qualify for a Health Savings Account (HSA) under Tricare, especially when considering the importance of long-term care funding. Although Tricare covers many health needs, it does not authorize HSA contributions, yet there's still potential in utilizing HSA funds for certain long-term care expenses.

Fundamentally, HSA money can only go toward qualified medical expenses, as marked by the IRS. Long-term care costs can be substantial, but they don't always meet the necessary criteria to be HSA eligible.

Nonetheless, if you're prescribed long-term care services by a licensed healthcare provider for a medical condition, or if you find yourself classified as chronically ill per IRS standards, you may be able to use your HSA funds here.

Consulting with a tax expert or financial advisor can be incredibly helpful in understanding the complexity of HSA rules and ensuring your financial plans align with IRS compliance.

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