You can tap HSA money for COBRA, Medicare and a portion of long-term-care premiums. Thinkstock By Kimberly Lankford, Contributing Editor July 21, 2015 I’m leaving my job and keeping my employer’s health insurance through COBRA until I start my new job in a few months. Can I pay the COBRA premiums from my wife’s flexible-spending account or from a health savings account she has from an old job? Does it matter that it’s her account rather than mine?See Also: Can I Contribute to Both an HSA and an FSA? You can’t use money from a flexible-spending account to pay COBRA health insurance premiums, but you can tap money in a health savings account tax-free for COBRA costs (COBRA is a federal law that lets you continue group health insurance coverage after you leave your job or no longer qualify as a dependent). It doesn’t matter whether it’s your own or your wife’s account. Money in an HSA can be used tax-free for eligible medical expenses for the account holder, his or her spouse, and any current tax dependents. Sponsored Content In addition to COBRA premiums, you can use HSA money tax-free for Medicare Part B, Part D and Medicare Advantage premiums as long as the account holder is age 65 or older. You can also use HSA money for a portion of long-term-care insurance premiums, based on your age (see How Married Couples Can Pay for Long-Term-Care Insurance With HSA Funds for details), and for any health premiums paid while receiving unemployment benefits. Otherwise, regular health insurance premiums – whether for an employer plan or a policy you buy yourself – are not an HSA-eligible expense. For more information about HSAs, see FAQs About Health Savings Accounts and IRS Publication 969. Got a question? Ask Kim at firstname.lastname@example.org.