Can Long-Term Care Premiums Be Reimbursed Through an HSA?

Shawn Plummer

CEO, The Annuity Expert

No, long-term care (LTC) premiums cannot be reimbursed through a Health Savings Account (HSA).

Health Savings Accounts are designed for specific medical expenses, primarily those related to health insurance. While they offer a tax-advantaged way to save for and pay for these expenses, they do not cover long-term care premiums. This distinction is crucial because HSAs are meant to assist with immediate medical needs and health insurance costs, not long-term care services.

Examples of HSA Eligible Expenses

  1. Doctor’s Visits: Co-pays and deductibles for general practitioner or specialist visits.
  2. Prescription Medications: Costs for prescribed drugs not covered by insurance.
  3. Dental Treatments: Basic dental care including cleanings, fillings, and x-rays.
  4. Eye Care: Expenses for eye exams, prescription glasses, and contact lenses.
  5. Medical Equipment: Costs for crutches, wheelchairs, or other medically necessary equipment.

Non-Eligible HSA Expenses

  • Long-Term Care Premiums: As mentioned, these are not covered.
  • Cosmetic Surgery: Procedures not deemed medically necessary.
  • Non-Prescription Drugs: Over-the-counter medications without a doctor’s prescription.
  • Health Club Memberships: Costs for gym memberships or fitness classes.


Understanding what expenses are eligible for HSA reimbursement is vital for effective health expense management. Long-term care premiums, although important, are not covered under HSA rules. For managing these costs, other financial planning tools should be considered. If you require further assistance in understanding health savings accounts or need help with financial planning for long-term care, contact us today for a free quote.

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Shawn Plummer

CEO, The Annuity Expert

Shawn Plummer is a licensed financial professional, insurance agent, and annuity broker with over 14 years of first-hand experience with annuities and insurance. Since beginning his journey in 2009, he has been pivotal in selling and educating about annuities and insurance products. Still, he has also played an instrumental role in training financial advisors for a prestigious Fortune Global 500 insurance company, Allianz. His insights and expertise have made him a sought-after voice in the industry, leading to features in renowned publications such as Time Magazine, Bloomberg, Entrepreneur, Yahoo! Finance, MSN, SmartAsset, The Simple Dollar, U.S. News and World Report, Women’s Health Magazine, and many more. Shawn’s driving ambition? To simplify retirement planning, he ensures his clients understand their choices and secure the best insurance coverage at unbeatable rates.

The Annuity Expert is an independent online insurance agency servicing consumers across the United States. The goal is to help you take the guesswork out of retirement planning and find the best insurance coverage at the cheapest rates

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