Are MSA and HSA the Same? Here's What You Need to Know

Health Savings Account (HSA) and Medical Savings Account (MSA) are both types of accounts that help individuals save money for medical expenses. While they share similarities, there are key differences between them.

MSA is a type of account available to self-employed individuals and small businesses with fewer than 50 employees. It is designed to work with a high-deductible health plan (HDHP) and allows tax-free contributions and distributions for qualified medical expenses.

HSA, on the other hand, is available to individuals with a high-deductible health insurance plan. It also allows tax-free contributions and distributions for medical expenses, but it has higher contribution limits and more flexibility in investment options.

Here are some key points to differentiate between MSA and HSA:

  • Eligibility: MSA is limited to self-employed individuals and small businesses, while HSA is available to individuals with a high-deductible health insurance plan.
  • Contribution Limits: HSA has higher contribution limits compared to MSA.
  • Investment Options: HSA offers more investment options for growing your savings.
  • Employer Contributions: While both accounts allow individual contributions, some employers may contribute to an employee's HSA but not MSA.

In conclusion, MSA and HSA are not the same. Understanding the differences between them can help you make an informed decision about which account is best for your healthcare savings needs.


The Health Savings Account (HSA) and Medical Savings Account (MSA) may seem similar at first glance, but they cater to different groups and come with distinct features.

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