What is RMSA Compared to HSA?

When it comes to managing your health finances, two common options that are often compared are the Health Savings Account (HSA) and the Retiree Medical Savings Account (RMSA). Both accounts offer tax advantages and can help you save for medical expenses, but there are important differences between the two.

Here's a breakdown of RMSA compared to HSA:

  • Contributions: HSA contributions can be made by both the account holder and their employer, while RMSA contributions are typically made solely by the employer.
  • Usage: HSAs are used for current and future medical expenses, including those in retirement, whereas RMSAs are specifically designed to help cover medical expenses during retirement.
  • Portability: HSAs are portable and can be taken with you if you change jobs or retire, whereas RMSAs are usually tied to the employer offering the account.
  • Investment Options: While both accounts may offer investment options, HSAs tend to have more flexibility in investment choices compared to RMSAs.
  • Eligibility: To open an HSA, you must be enrolled in a high-deductible health plan (HDHP), whereas RMSAs are typically offered to retirees as part of their benefits package.

Understanding the differences between RMSA and HSA can help you make an informed decision about which account may be the best fit for your financial and health needs.


When navigating the complexities of health finance options, understanding the distinctions between a Health Savings Account (HSA) and a Retiree Medical Savings Account (RMSA) can empower consumers to make smarter choices. An HSA allows you to set aside pre-tax dollars for a broad range of medical expenses not limited to retirement, while an RMSA focuses specifically on medical costs that arise during your retirement years.

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