Can my HSA be used to pay premiums?

Generally, you may not pay for your health insurance premiums from your HSA. However, HSA funds can be used to pay for premium payments for the following:

  • 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)
  • Long-term care insurance; however, the amount is based on age and adjusted for inflation each year. See IRS Revenue Code 213(d)(10). For 2020, the limits for the following attained ages before the close of the tax year are:
    • 40 or less - $430
    • More than 40 but less than 50 - $810
    • More than 50 but less than 60 - $1,630
    • More than 60 but less than 70 - $4,350
    • More than 70 - $5,430

(These amounts change each year, so check the IRS website the most current information.)

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