What Insurance Premiums Can be Paid with HSA?

Health Savings Accounts (HSAs) are a valuable financial tool that can help individuals save money for medical expenses while also providing tax benefits. One common question that many people have about HSAs is what insurance premiums can be paid with them.

When it comes to using your HSA funds to pay for insurance premiums, there are specific guidelines that determine which premiums are eligible:

  • Qualified long-term care insurance premiums
  • COBRA health insurance premiums
  • Health care continuation coverage (such as coverage under temporary continuation of coverage under the Federal Employees Health Benefits Program)
  • Health care coverage while receiving unemployment compensation
  • Medicare and other health care coverage if the account holder is 65 or older

It's important to note that not all insurance premiums qualify for payment with HSA funds. Premiums for general health insurance coverage, such as those for a traditional health insurance plan, are typically not eligible for HSA reimbursement.

Understanding which insurance premiums can be paid with your HSA can help you make the most of this valuable savings tool. By using your HSA funds wisely, you can save money on medical expenses and take advantage of the tax benefits that HSAs offer.


Health Savings Accounts (HSAs) are not just a way to save for medical expenses; they also offer remarkable tax perks and can be a strategic part of your financial planning. One frequent concern arises around which insurance premiums can be covered using HSA funds.

Only certain types of insurance premiums qualify for HSA payment:

  • Qualified long-term care insurance premiums
  • COBRA health insurance premiums for continued coverage
  • Health care continuation coverage under federal benefits programs
  • Health care coverage during unemployment compensation
  • Medicare premiums if you are aged 65 or older

It's essential to recognize that general health insurance premiums generally do not qualify for HSA use. Thus, staying informed about eligible expenses can help you maximize your HSA benefits effectively.

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