Can You Pay Medicare Premiums with a HSA?

Health Savings Accounts (HSAs) are a valuable tool for saving money on medical expenses. But can you use your HSA funds to pay for Medicare premiums?

Medicare premiums are the monthly fees you pay for your Medicare coverage. While you generally cannot use HSA funds to pay for these premiums directly, there are some exceptions:

  • If you are 65 or older, you can use your HSA funds to pay for Medicare Part A and B premiums, as well as Medicare Advantage premiums.
  • However, you cannot use HSA funds to pay for Medicare Part D premiums, as these are considered standalone prescription drug plans.

It's important to note that while you can use your HSA funds to pay for Medicare premiums, you cannot use them for Medigap (Medicare Supplement Insurance) premiums.


Health Savings Accounts (HSAs) are a fantastic way to save for future medical expenses, including healthcare premiums. If you’re 65 or older and enrolled in Medicare, you may be wondering how your HSA can help with your monthly costs.

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