HSA for Medicare Part B and Part D premiums

Jun 06, 2010 1 Replies

In publication 969 under "Distributions From an HSA" it says,



Insurance premiums. You cannot treat insurance pre- miums as qualified medical expenses unless the premi- ums are for: 1. Long-term care insurance. 2. Health care continuation coverage (such as cover- age under COBRA). 3. Health care coverage while receiving unemployment compensation under federal or state law. 4. Medicare and other health care coverage if you were 65 or older (other than premiums for a Medicare supplemental policy, such as Medigap).



This seems to say that a 65-year-old?s HSA can pay for Medicare Part B and Part D premiums. Is this correct?


I don't see where the medicare part is a limiting factor. Therefore, as long as it's any type of medicare (and age 65+), it counts.

IRC 223(d)(2)(c)(iv) "in the case of an account beneficiary who has attained the age specified in section 1811 of the Social Security Act, any health insurance other than a medicare supplemental policy (as defined in section 1882 of the Social Security Act)."

------------------- Different Issue - HSA related:

Note also: 223(d)(2)(c)(i): "a health plan during any period of continuation coverage required under any Federal law."

Does that mean that once we are "required to have insurance" as per the recent health bill that was passed this year, our premiums may now be excluded from income if paid from an HSA?

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