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4 methods HSAs can be utilized to pay insurance coverage premiums



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What are HSAs?

HSAs carry a triple tax benefit: Account contributions are tax-free, as are funding earnings and withdrawals if used for certified bills.


Shoppers can use HSA funds for a non-qualified buy — however they’d lose a prong of the three-tiered tax profit. A withdrawal can be taxed as earnings, just like the best way a pre-tax 401(okay) or particular person retirement account works.

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In a perfect world, customers would have the ability to totally fund their HSA every year and pay for present well being prices out-of-pocket, leaving the accounts untouched till retirement, in response to monetary advisors.

“The compounding of earnings may fund all of your well being care while you’re outdated,” stated Carolyn McClanahan, a doctor and licensed monetary planner, based mostly in Jacksonville, Florida.


But it surely’s not all the time potential to make use of HSAs that manner — particularly for decrease and center earners who might not have the ability to shoulder these bills. HSAs are usually paired with high-deductible well being plans which, relying on the plan, may generate massive payments for medical care.

Listed here are 4 instances wherein HSA funds will be utilized to premiums:


1. COBRA premiums

Premiums for health-care continuation protection equivalent to COBRA rely as a certified expense, in response to the IRS.

COBRA lets individuals who lose well being advantages — as a result of circumstances like job loss, discount within the hours labored, jobs transitions, demise or divorce — proceed their office well being protection on a short lived foundation.


COBRA protection usually permits customers to maintain the identical health-care suppliers, however the protection is usually expensive.

When employed, employees usually solely pay a share of the whole premium, with the remaining backed by their employer. With COBRA protection, nevertheless, people might need to cowl the total premium, up to 102% of the price to the plan.


The entire common premium for single protection by a office plan in 2023 is $703 a month, or $8,435 a 12 months, according to KFF, a nonprofit well being information supplier. For households, it is $1,997 a month, or $23,968 a 12 months.

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3. Medicare premiums

Medicare premiums for individuals age 65 and older are additionally certified, in response to the IRS.


This would come with premiums for Components A (hospital insurance coverage), B (medical insurance coverage) and D (prescription drug protection).

Nevertheless, premiums for Medicare supplemental well being insurance policies — like Medigap plans — aren’t certified.


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“The large mistake I see time and again is individuals considering they’ll use HSAs for Medigap bills,” McClanahan stated.


Medicare beneficiaries do not need to pay their premiums straight with an HSA to get the profit. They’ll pay from their Social Safety checks or from a checking account, for instance, and reimburse themselves with their HSAs later, McClanahan stated. Hold data and receipts of all these transactions, she suggested.

There’s a further caveat: If the HSA proprietor is not 65 years or older, then Medicare premiums for a partner or a dependent who’s 65 or older usually aren’t certified, the IRS stated.


4. Lengthy-term care premiums

Shoppers also can use their HSAs to pay for long-term care insurance coverage premiums.  

There are dollar limits on certified premiums on based mostly on age. Right here was the breakdown for 2022:

  • Age 40 or below — as much as $450
  • Age 41 to 50 — $850
  • Age 51 to 60 — $1,690
  • Age 61 to 70 — $4,510
  • Age 71 or over—$5,640

The age corresponds to the particular person for whom the premiums had been paid. The greenback limits are up to date yearly.

The insurance coverage should be a “certified long-term care insurance coverage contract,” as outlined in IRS Publication 502.

Ideally, customers would pay out of pocket for his or her long-term care premiums earlier than they retire, McClanahan stated. Nevertheless, it usually is sensible to make use of an HSA to pay these certified premiums in the event that they’re retired and now residing off their financial savings, she stated.

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