No, Health Savings Accounts (HSAs) cannot be used to pay for long term care insurance premiums. HSAs are designed to help individuals save money for qualified medical expenses, and long term care insurance premiums do not fall under the list of qualified expenses. However, some states may offer tax incentives for individuals who purchase long term care insurance, so it is worth checking with your state's tax department to see if any deductions or credits are available. It is always recommended to consult with a qualified insurance professional or tax advisor to get personalized advice based on your specific situation.