What Insurance Premiums are HSA Qualified Expenses?

Many people wonder what insurance premiums are considered HSA qualified expenses. It's important to understand this to make the most of your HSA savings. HSA, or Health Savings Account, is a tax-advantaged account that allows you to save money for medical expenses while reducing your taxable income.

When it comes to insurance premiums, not all are considered HSA qualified expenses. Generally, you can use your HSA funds to pay for the following insurance premiums:

  • Health insurance premiums (excluding premiums for Medicare supplemental policies like Medigap)
  • Long-term care insurance premiums
  • COBRA health care continuation coverage premiums

However, there are certain insurance premiums that are not considered HSA qualified expenses:

  • Medicare premiums (except for premiums for Medicare supplemental policies for individuals over 65)
  • Dental, vision, or disability insurance premiums
  • Any insurance premiums paid with pre-tax dollars (like through an employer-sponsored plan)

It's important to keep these distinctions in mind when using your HSA funds for insurance premiums. Remember that using your HSA funds for non-qualified expenses may result in taxes and penalties.

As you navigate your HSA savings, always consult with a tax professional or financial advisor for personalized advice.


Understanding what insurance premiums can be paid with your HSA can help you maximize your savings and ensure that your healthcare costs are covered effectively. It’s a great way to invest in your health while enjoying tax benefits!

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