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Is a Medical Savings Account the Same as an HSA?

Published March 21, 2024

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Short answer: An MSA is not the same as an HSA: MSAs are limited to self-employed individuals and small businesses with fewer than 50 employees, while HSAs can be offered by any employer.

What MSA and HSA have in common

Many people often wonder if a Medical Savings Account (MSA) is the same as a Health Savings Account (HSA). While both accounts aim to help individuals save for medical expenses, there are some key differences between the two.

Despite these differences, both MSAs and HSAs offer a tax-advantaged way to save for medical expenses, providing individuals with more control over their healthcare costs.

Core differences between MSA and HSA

Here is an overview of the main differences between an MSA and an HSA:

  • MSAs are less common than HSAs and are only available to self-employed individuals and small businesses with fewer than 50 employees.
  • HSAs are more widely available and can be offered by employers of any size.
  • Contributions to an MSA are tax-deductible, while contributions to an HSA can be made on a pre-tax basis or deducted from your taxes.
  • Withdrawals from an MSA are tax-free if used for qualified medical expenses, similar to HSAs.
  • MSAs have lower contribution limits compared to HSAs.

Another breakdown of key distinctions

Many people often find themselves wondering whether a Medical Savings Account (MSA) is the same as a Health Savings Account (HSA). While both are designed to assist individuals in saving money for medical expenses, they have significant differences that are important to understand.

To help clarify, here is a breakdown of the main distinctions between MSAs and HSAs:

  • MSAs are primarily available to self-employed individuals and small businesses with fewer than 50 employees, making them less common in the market.
  • HSAs, on the other hand, can be offered by any employer, regardless of size, making them a more accessible option for a larger segment of the population.
  • When it comes to contributions, MSAs allow tax-deductible contributions, while HSAs let you contribute on a pre-tax basis or deduct contributions from your taxable income.
  • Withdrawals made from both MSAs and HSAs can be done tax-free as long as they are for qualified medical expenses, making both worthy options.
  • However, one key difference is that MSAs have lower contribution limits compared to HSAs, which can affect long-term savings for your healthcare needs.

Overall takeaway: which offers flexibility

In essence, while MSAs and HSAs both provide tax advantages for saving on medical expenses, HSAs tend to offer more flexibility and higher contribution limits.

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