You generally CANNOT pay health insurance premiums from an HSA.
IRS Pub. 969
Exceptions: COBRA, premiums while receiving unemployment, qualified LTC insurance (limits), and Medicare (not Medigap) after 65.
This one doesn't qualify, but a lot of similar items do.
Browse HSA-eligible items →Informational only — not tax, legal, or medical advice. Consult a qualified tax professional about your situation. Rules version 2026-08-15, last verified July 2026.