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Can you pay for Medicare HMO premiums with an HSA?
Are you wondering if you can pay for Medicare HMO premiums with a health savings account (HSA), flexible spending account (FSA), or health reimbursement arrangement (HRA)? You may also be wondering if this item is eligible or ineligible for reimbursement with your HSA, FSA, or HRA.
Yes, you can pay for Medicare HMO premiums with an HSA, FSA, or HRA.
HSA fast facts
- Health savings accounts (HSAs) were created as part of the Medicare Prescription Drug, Improvement, and Modernization Act, or MMA, signed into law by President George W. Bush on December 8, 2003. The MMA was the largest overhaul to Medicare in the program's history.
- HSAs are only available as part of a high-deductible health plan (HDHP).
- As part of the 2020 CARES Act, over-the-counter medications and menstrual care products became eligible for purchase with an HSA.
- Contributions to an HSA can be made by an employer or employee on a pretax basis.
- Funds in a health savings account can be invested in a similar way as other retirement accounts.
- Funds can be withdrawn at any time for any reason, but funds withdrawn for non-approved medical expenses before the age of 65 are subject to income taxes and an additional penalty.
Common HSA providers
- Bank of America
- Bend
- BenefitWallet
- Blue Cross Blue Shield
- Cigna
- Fidelity
- Fifth Third
- Further
- HealthEquity
- HealthSavings Administrators
- HSA Authority
- HSA Bank
- Lively
- Optum Bank
- PNC
What about FSA and HRA eligibility?
The same HSA eligibility status for Medicare HMO premiums applies to flexible spending accounts (FSAs) and health reimbursement arrangements (HRAs) as well.
Disclaimer
Please note that it's always best to check with your HSA administrator or health insurance provider to confirm if you can pay for Medicare HMO premiums with your HSA card before making any purchases.
A good rule of thumb is that if your doctor diagnosed you with a specific medical condition or ordered a treatment, product, or prescription specifically for you, your health savings account should cover it. Sometimes your HSA will even cover items that it normally wouldn't if you have a letter of medical necessity signed by your doctor. Again, you should check with your HSA administrator before any purchase if you have any questions about an item being eligible or ineligible.