Can my HSA be used to pay premiums?

No. Generally, you may not pay for your health insurance premiums from your HSA. However, HSA (and FSA as a medical expense item) funds can be used to pay for premium payments for the following:

  • Long-term care insurance; however, the amount is based on age and adjusted for inflation each year. See IRS Revenue Code 213(d)(10).  Currently, the limits for the following attained ages before the close of the tax year are: 

                                        

 These amounts change each year, so check the IRS website each year for the new amounts.

  • Healthcare continuation coverage (such as coverage under COBRA)
  • Healthcare coverage while receiving unemployment compensation under federal or state law
  • Medicare and other healthcare coverage if you are 65 or older (other than premiums for a Medicare supplemental policy, such as Medigap)
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