Is a Medical Savings Account the Same as an HSA?

When it comes to managing healthcare expenses, you might have come across terms like Medical Savings Account (MSA) and Health Savings Account (HSA). While they sound similar, there are key differences between the two.

A Medical Savings Account (MSA) and a Health Savings Account (HSA) share some similarities but are not the same thing.

Here's a breakdown to help you understand the differences between a Medical Savings Account and an HSA:

Medical Savings Account (MSA):

  • An MSA is a type of savings account that allows individuals to set aside pre-tax income to pay for qualified medical expenses.
  • MSAs are typically paired with high-deductible health insurance plans.
  • Contributions to an MSA may be made by both the individual and the employer.
  • Unused funds in an MSA can be rolled over and accumulate over time.

Health Savings Account (HSA):

  • Like an MSA, an HSA also allows individuals to save pre-tax income for medical expenses.
  • HSAs are only available to individuals with high-deductible health plans (HDHP).
  • Contributions to an HSA can be made by the individual, the employer, or both.
  • Unlike an MSA, funds in an HSA roll over from year to year and are owned by the individual.

While both MSAs and HSAs offer tax advantages and help individuals save for healthcare costs, the main difference lies in eligibility requirements and rollover rules.

It's essential to understand the distinctions between a Medical Savings Account and an HSA to make informed decisions about your healthcare savings strategy.


It is common for individuals to question whether a medical savings account is essentially the same as a Health Savings Account (HSA). Although they may appear alike, the distinctions between the two are significant and worth noting.

A medical savings account allows people to save pre-tax funds for medical expenditures, and these accounts are frequently bundled with employer-sponsored benefits that pair well with high-deductible health plans. This makes them a helpful tool for managing healthcare costs.

In contrast, a Health Savings Account (HSA) is specifically designed for individuals enrolled in a high-deductible health plan, providing exceptional tax benefits. With an HSA, contributions are tax-deductible, the money grows tax-free, and withdrawals for qualified medical expenses are also tax-free.

Below are some essential differences between a medical savings account and an HSA:

  • Medical savings accounts can refer to various types of accounts while HSAs have specific criteria to qualify.
  • HSAs provide triple tax advantages (tax-deductible contributions, tax-free growth, and tax-free medical withdrawals), while other medical savings accounts may not offer the same level of tax benefits.
  • Contribution limits for HSAs are established by the IRS annually, whereas medical savings accounts might have different, or no contribution limits.
  • HSAs are portable and owned by the account holder, thus enabling them to retain their account even when changing jobs, unlike many employer-specific medical savings accounts.

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