Is an HSA considered a MSA? Exploring the Differences

Health Savings Accounts (HSAs) and Medical Savings Accounts (MSAs) are both tax-advantaged accounts designed to help individuals save for healthcare expenses. While they share some similarities, they are not the same thing.

One of the main differences between an HSA and an MSA is that an HSA is a type of account that individuals can set up on their own, typically in conjunction with a high-deductible health insurance plan. On the other hand, a Medical Savings Account (MSA) is a specific type of account that is only available to self-employed individuals and small business employees.

Here are some key points to consider when comparing HSAs and MSAs:

  • HSAs are available to anyone with a high-deductible health plan, while MSAs are limited to self-employed individuals and small business employees.
  • HSAs have higher annual contribution limits compared to MSAs.
  • MSAs have lower deductibles than HSAs but come with certain restrictions on who can open and contribute to the account.

Ultimately, while both HSAs and MSAs offer tax advantages and can help individuals save for medical expenses, they cater to different groups of people and have distinct features.


Health Savings Accounts (HSAs) and Medical Savings Accounts (MSAs) play a crucial role in helping individuals save money for healthcare expenses, yet they differ significantly in their structure and eligibility. HSAs are accessible to anyone enrolled in a high-deductible health plan, which makes them a popular choice for many individuals seeking a tax-advantaged way to save for medical costs.

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