Understanding the Difference Between an MSA and an HSA

Health Savings Accounts (HSAs) and Medical Savings Accounts (MSAs) are both financial tools that can help individuals save money for medical expenses, but they have some key differences.

Here's a breakdown of the main differences between an MSA and an HSA:

  • Eligibility: MSAs are typically offered by small employers, while HSAs are commonly offered by more extensive employers or can be opened by individuals.
  • Contribution Limits: HSAs generally have higher annual contribution limits compared to MSAs.
  • Who Contributes: In an MSA, both the employer and the employee can contribute to the account, while in an HSA, contributions are often made by the account holder only.
  • Rollover Rules: HSA funds can be carried over from year to year, whereas MSA funds must be used within the year or risk being forfeited.
  • Investment Options: HSAs may offer investment options to grow savings over time, while MSAs are usually more straightforward savings accounts.
  • Qualified Medical Expenses: Both accounts cover qualified medical expenses, but HSAs tend to have a broader range of eligible expenses.

It's essential to understand these differences to choose the best option for your healthcare saving needs. Consult with a financial advisor to determine which account aligns with your financial goals and healthcare requirements.


Understanding the nuances between Health Savings Accounts (HSAs) and Medical Savings Accounts (MSAs) can significantly impact how effectively you manage your healthcare costs.

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