Can I use my HSA account to pay for COBRA premiums?

Asked by: Curtis Herzog  |  Last update: January 11, 2026
Score: 4.8/5 (53 votes)

Can you use HSA for COBRA premiums? The short answer is yes. You can use funds from your Health Savings Account (HSA) to pay for COBRA premiums. This option is particularly beneficial for individuals who want to maintain their health insurance coverage but face the financial burden of COBRA premiums.

What insurance premiums can be paid with HSA funds?

You can use your HSA to pay for premiums on long term care insurance, COBRA (health insurance you might use if you become unemployed), and even Medicare if you are age 65 or older.

Can you use HSA for COBRA insurance premiums?

HSAs can be used to pay for qualified health insurance premiums, including Medicare, COBRA, and long-term-care insurance. Anytime you use your HSA to cover eligible expenses, you'll get triple tax benefits that can save you money.

Can I use my HSA to pay health insurance premiums if I retire early?

If you pay for your medical expenses out of pocket now, you'll have more saved in your HSA account to help pay for medical expenses once you retire. If you retire before age 65 and you aren't yet eligible for Medicare, you can use money in your HSA to pay your medical coverage premiums.

Can HSA be used for long-term care insurance premiums?

Since long-term care insurance premiums are considered a medical expense, you can use your HSA to pay your premiums. You can even use an HRA or MSA to fund your premiums, but not an FSA.

Can I Use My Hsa To Cover Insurance Premiums

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What is the 12 month rule for HSA?

It means you must remain eligible for the HSA until December 31 of the following year. The only exceptions are death or disability. If you violate the testing period requirement, your ineligible contributions become taxable income.

What will HSA not cover?

For example, nutritional supplements that aren't prescribed by your doctor aren't covered. Health club memberships and lactose intolerance medications typically aren't covered either. Here are some examples of non-qualified HSA expenses: Babysitting or child care (a dependent care FSA can help with child care)

What is the HSA account loophole?

The ultimate loophole available to almost everyone under the age of 65 in our tax code is the Health Savings Account (HSA). It is the only account you can contribute to and deduct the contribution and then withdraw the money tax free. Think about that, a tax deduction going in and no taxes going out.

What do people do for health insurance when they retire early?

If you retire before age 65 without health coverage

If you retire before you're 65 and lose your job-based health plan when you do, you can use the Health Insurance Marketplace ® to buy a plan.

What can I use my HSA for Blue Cross Blue Shield?

Eligible expenses include:
  • Doctor and hospital visits.
  • Copays and coinsurance.
  • Prescriptions.
  • Some over-the-counter medications like pain relievers, allergy relief, cough suppressants, etc.
  • Feminine hygiene products.
  • Dental and vision care, including prescription eyeglasses.
  • Health insurance or medical expenses if unemployed.

Are COBRA premiums tax-deductible?

Are my COBRA premiums deductible? Yes they are tax deductible as a medical expense. There isn't necessarily a “COBRA Tax Deduction”. You can only deduct the amount of COBRA medical expenses on your federal income tax in excess of 7.5% of your Adjusted Gross Income and then only if you itemize deductions.

Can HSA pay for gym membership?

Gym memberships. While some companies and private insurers may offer discounts on gym memberships, you generally can't use your FSA or HSA account to pay for gym or health club memberships. An exception to that rule would be if your doctor deems fitness medically necessary for your recovery or treatment.

How much should I have in my HSA at retirement?

The amount of money you should have in your HSA during retirement depends on your healthcare needs and circumstances. According to the Fidelity Retiree Health Care Cost Estimate, a single person who is age 65 in 2023 should aim to have about $157,000 saved (after tax) for healthcare expenses during retirement.

Can I pay my COBRA premiums with HSA?

Can you use HSA for COBRA premiums? The short answer is yes. You can use funds from your Health Savings Account (HSA) to pay for COBRA premiums. This option is particularly beneficial for individuals who want to maintain their health insurance coverage but face the financial burden of COBRA premiums.

What is the downside of an HSA?

Drawbacks of HSAs include tax penalties for nonmedical expenses before age 65, and contributions made to the HSA within six months of applying for Social Security benefits may be subject to penalties. HSAs have fewer limitations and more tax advantages than flexible spending accounts (FSAs).

What happens if I use my HSA for Botox?

Can you use HSA funds to pay for Botox? If you're using Botox for cosmetic purposes like reducing wrinkles or fine lines, it's not considered an HSA-eligible expense. However, Botox may be HSA eligible if it's used to treat a medical condition like chronic migraines, severe muscle spasms, or overactive bladder.

Can you get a COBRA if you retire?

COBRA allows former employees, retirees, and their dependents to temporarily keep their health coverage. If you get COBRA, you must pay for the entire premium, including any portion that your employer may have paid in the past. This means your payment is often more expensive than what you paid as an employee.

How much does COBRA cost?

COBRA insurance typically costs 102% of the total health plan premium. This includes both the employee and employer contributions, along with a 2% administrative fee.

How long can you be on COBRA?

While COBRA is temporary, in most circumstances, you can stay on COBRA for 18 to 36 months.

How does IRS know what you spend HSA on?

Verification of expenses is not required for HSAs. However, total withdrawals from your HSA are reported to the IRS on Form 1099-SA. You are responsible for reporting qualified and non-qualified withdrawals when completing your taxes.

What can HSA not pay for?

Personal use items—such as toothbrushes and toothpaste, as well as nutritional supplements—such as vitamins and herbal supplements, cannot be covered by an HSA unless the supplements are recommended by a medical practitioner as treatment for a diagnosed medical condition.

Do you lose money in HSA if you don't use it?

Myth #2: If I don't spend all my funds this year, I lose it. Reality: HSA funds never expire. When it comes to the HSA, there's no use-it-or-lose-it rule. Unlike Flexible Spending Account (FSA) funds, you keep your HSA dollars forever, even if you change employers, health plans, or retire.

Can you use HSA to pay premiums?

You generally can't use HSA funds to pay premiums. Once you turn 65, you can use the money in your HSA for anything you want. If you don't use it for qualified medical expenses, it counts as income when you file your taxes. Six months before you retire or get Medicare benefits, you must stop contributing to your HSA.

When should you not use an HSA?

HSAs might not make sense if you have some type of chronic medical condition. In that case, you're probably better served by traditional health plans. HSAs might also not be a good idea if you know you will be needing expensive medical care in the near future.

Can I use HSA for dental?

Your HSA also covers expenses for standard dental cleanings and dental check-ups. One thing to keep in mind is that some of these procedures may have a co-payment, so it's important that you check with your dental insurance provider to find out exactly what you'll have to pay out of pocket.