Can I have an MSA and an HSA?

Are you considering saving for your future healthcare needs with a health savings account (HSA) and wondering if you can also have a Medical Savings Account (MSA)? The short answer is no, you cannot have both an MSA and an HSA at the same time. Let's delve into the details to understand why.

MSAs and HSAs are both tax-advantaged accounts that allow you to save for qualified medical expenses, but there are some key differences between the two:

  • An MSA is typically offered by small employers with up to 50 employees, while an HSA is available to individuals with a high-deductible health insurance plan.
  • Contributions to an MSA are made by both the employer and the employee, whereas contributions to an HSA can be made by either the individual, employer, or both.
  • MSA funds can only be used for medical expenses, while HSA funds can also be used for retirement savings after the age of 65.

Due to these differences, the IRS does not allow individuals to have both an MSA and an HSA simultaneously. If you currently have an MSA and are eligible for an HSA, you would need to close your MSA before opening an HSA to avoid any tax penalties.

When deciding between an MSA and an HSA, consider factors like your healthcare needs, employer offerings, and long-term savings goals. Both accounts can help you save money on medical expenses and provide valuable tax benefits, so choose the one that best aligns with your financial situation.


Are you thinking about your future healthcare expenses and wondering if you can utilize both a health savings account (HSA) and a Medical Savings Account (MSA)? The answer is a firm no. You cannot have both accounts at the same time due to IRS regulations. Let's explore the reasons behind this limitation.

Both MSAs and HSAs serve a similar purpose: they offer tax advantages to help you save for qualified medical costs. However, they differ significantly in various aspects:

  • MSAs are generally available through small employers with up to 50 employees, while HSAs are designed for individuals enrolled in high-deductible health plans.
  • In the case of MSAs, contributions can be made by both the employer and the employee, whereas HSAs allow contributions from the individual, employer, or both without restrictions.
  • While MSA funds are exclusively for medical expenses, HSAs provide additional flexibility as they can also be converted for retirement use after the age of 65.

Given these differences, the IRS prohibits holding both accounts. If you're considering opening an HSA and currently have an MSA, you must close the MSA to proceed without incurring penalties. This is a crucial decision to weigh carefully.

When choosing whether to go with an MSA or an HSA, think about your current healthcare needs, what your employer offers, and your savings goals for the long-term. Both options can help you save on medical expenses and deliver key tax benefits, so evaluate which one fits your personal finance situation better.

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