Is an MSA the Same as an HSA? - Understanding the Difference

When it comes to managing your healthcare expenses, you may have come across the terms MSA and HSA. While both are tax-advantaged accounts designed to help you save for medical costs, there are some key differences between the two.

Let's start by defining what MSA and HSA stand for:

  • MSA - Medical Savings Account
  • HSA - Health Savings Account

Now, to answer the question - no, an MSA is not the same as an HSA. Here are some of the main differences between the two:

  • Eligibility: MSAs are typically available to self-employed individuals and small businesses with fewer than 50 employees, while HSAs are available to anyone with a high-deductible health plan.
  • Contribution Limits: MSAs have lower annual contribution limits compared to HSAs.
  • Employer Contributions: Employers can contribute to an HSA on behalf of their employees, but not to an MSA.
  • Rollover: HSA funds roll over from year to year, whereas MSA funds do not.
  • Investment Options: HSAs often offer investment options to help grow your savings, which may not be available in an MSA.

In conclusion, while both MSAs and HSAs serve similar purposes of helping you save for medical expenses, it's essential to understand the differences between the two to choose the right option for your needs.


Understanding healthcare savings options is crucial in today's world, and knowing the differences between MSAs and HSAs can help you make informed decisions about your finances.

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