FSA Health Premiums

Are medicare premiums and insurance premiums FSA eligible?

Can I pay for Medicare premiums with my FSA?

No, FSA rules stipulate that Medicare premiums are not approved expenses. However, some employers offer limited-purpose FSAs that, in rare cases, may include the option to use FSA funds for certain Medicare-related expenses, like Medicare premiums. However, this is not a standard practice, and limited-purpose FSAs vary by employer.

What are medicare premiums?

Medicare premiums and healthcare premiums are regular payments made by individuals to maintain health coverage and access medical benefits. Medicare is primarily for individuals aged 65 and older, as well as those with disabilities. 


While Medicare premiums are specifically associated with the government-provided health insurance program for eligible individuals, healthcare premiums encompass a broader range of health insurance plans offered by private insurers or employer-sponsored plans.


Medicare enrollment typically begins three months before an individual turns 65 and continues for seven months. There are specific enrollment periods for Parts A, B, C, and D. The program parts are outlined below:

  • Medicare Part A: Hospital Insurance - Covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health services.

  • Medicare Part B: Medical Insurance - Covers doctor visits, outpatient care, medical supplies, and preventive services.

  • Medicare Part C: Medicare Advantage - An alternative to Parts A and B, offered by private insurance companies that often include prescription drug coverage (Part D) and additional benefits.

  • Medicare Part D: Prescription Drug Coverage - Helps cover the cost of prescription medications.


Medicare beneficiaries may be required to pay premiums for certain parts of Medicare, depending on their specific coverage choices and income levels. Additionally, Social Security benefits may be used to cover Medicare premiums in some cases.

Are insurance premiums FSA eligible?

Insurance premiums are generally not FSA-eligible expenses. The Internal Revenue Service (IRS) considers healthcare premiums to be personal living expenses rather than qualified medical expenses, making them ineligible for reimbursement through Flexible Spending Accounts.

What are healthcare insurance premiums?

Healthcare premiums refer to the recurring payments throughout the plan year made by individuals or employers to secure health insurance coverage. These premiums vary by health plan and are based on factors such as plan type, coverage level, deductibles, copayments, and coinsurance.

How does social security work with Medicare premiums?

For most individuals receiving Social Security benefits, Medicare Part B premiums are automatically deducted from their Social Security payments. This automatic deduction makes it more convenient for beneficiaries to pay their Medicare premiums.

Do HSAs cover medicare and insurance premiums?

Yes, if you have an Health Savings Account (HSA) linked to an High-Deductible Health Plan, you can use HSA funds (not FSA funds) to pay for Medicare Part B, Part C, and Part D premiums.

Insurance premium eligibility is one of the few defining differences between FSAs and HSAs. HSAs (and not FSAs) can be used for both Medicare premiums and insurance premiums.

Cobra and HSAs

If you are enrolled in Medicare and still pay for COBRA continuation coverage from your former employer, you may be able to use HSA funds (not FSA funds) to pay for the COBRA premiums.

Related FSA-approved products

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