Is an HSA an MSA? Exploring the Differences Between Health Savings Accounts and Medical Savings Accounts

When it comes to managing healthcare costs, options like Health Savings Accounts (HSAs) and Medical Savings Accounts (MSAs) can offer individuals a way to save and pay for medical expenses.

While both accounts share similarities in how they operate, there are key differences that set them apart.

Let's explore the differences between HSAs and MSAs to help you better understand these financial tools.

Health Savings Accounts (HSAs)

HSAs are tax-advantaged savings accounts that are paired with high-deductible health plans (HDHPs). These accounts allow individuals to save pre-tax dollars for qualified medical expenses, such as doctor visits, prescriptions, and more.

Key features of HSAs include:

  • Contributions are tax-deductible
  • Interest and investment earnings grow tax-free
  • Unused funds roll over year after year

Medical Savings Accounts (MSAs)

MSAs are similar to HSAs in that they are tax-advantaged accounts designed for medical expenses. However, there are a few distinct differences:

  • MSAs are typically offered to self-employed individuals or small businesses
  • MSAs are not as common as HSAs
  • MSAs have lower contribution limits compared to HSAs

While both HSAs and MSAs can help individuals save for medical expenses, it's important to understand the specific features and requirements of each account.

Ultimately, the decision to choose between an HSA and an MSA will depend on your unique financial situation and healthcare needs.

Key Differences Between HSAs and MSAs:

  • Eligibility requirements
  • Contribution limits
  • Availability
  • Employer contributions
  • Flexibility of use

By understanding these differences, you can make an informed decision about which account may be the best fit for you.


When managing healthcare expenses, it's crucial to know the options available, such as Health Savings Accounts (HSAs) and Medical Savings Accounts (MSAs). These two accounts empower individuals to manage their medical spending effectively.

Even though HSAs and MSAs share some similarities, understanding their fundamental differences is essential for making the right choice for your financial health.

Understanding Health Savings Accounts (HSAs)

HSAs are designed for individuals enrolled in high-deductible health plans (HDHPs), allowing them to stash away pre-tax funds specifically for medical expenses such as check-ups, procedures, and prescriptions.

Key advantages of HSAs include:

  • Tax-deductible contributions
  • Tax-free growth on interest and investments
  • Funds can roll over indefinitely, making them a smart long-term saving strategy

Diving into Medical Savings Accounts (MSAs)

MSAs also focus on saving for medical needs, but they are often tailored for self-employed individuals or owners of small businesses. These accounts, while useful, are less prevalent compared to HSAs and come with a few limitations.

  • Typically available to individuals who are self-employed or work in small companies
  • Considerably less common than HSAs
  • Lower contribution limits compared to HSAs

Whether you choose an HSA or an MSA, knowing the specific features, advantages, and restrictions is essential.

The Crucial Distinctions Between HSAs and MSAs:

  • Eligibility criteria vary
  • Contribution caps differ
  • Availability may be limited
  • Employer contributions differ
  • Utilization flexibility can vary

Being aware of these aspects will empower you to select the most appropriate account tailored to your personal and financial needs.

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