MSAs and HSAs are both tax - nontaxable preservation accounts . HSAs are associate with non - Medicare private insurance plans , while MSAs are link up to Medicare Advantage ( Part C ) plans .

A person enroll in ahealth savings design ( HSA)ormedical savings account ( MSA)can have revenue enhancement - nontaxable money deposited into their bank news report to cover medical expenses .

Although a health insurance architectural plan relating to either account type will have in high spirits deductible , a person can use the money to make up them .

This article compare and contrasts how HSAs and MSAs manoeuver and outline what to love about each eccentric of account .

MSA vs HSA

For an somebody to have an HSA , they typically need to be enrol in a high - deductible health programme ( HDHP ) that their employer provides or one that they choose through the Health Insurance Marketplace .

HSA and Medicare MSA minimum deductibles

A Medicare MSA design or an HSA HDHP plan has deductibles of at least$1,650for an individual or $ 3,300 for a sept .

In dividing line , an MSA requires enrollment in a special Medicare Advantage ( Part C ) programme , which intend the mortal must stipulate for Medicare . Part C programme are private insurance choice that are an alternative toOriginal Medicare(parts A and B vitamin ) and ply tantamount coverage .

Another significant difference between these economy accounts is the source of the funds . For an HSA , finances are derive from the mortal ’s payroll check , and the employercan contributeadditional money . Conversely , an MSA is funded by government Medicare allocations .

Archer MSA vs MSA

Archer MSAs and Medicare MSAs are unlike — Archer MSAs do not relate to Medicare . They make out before HSAs andwerespecifically designed for ego - hire individuals or employees of caller with 50 or fewer worker .

HSA vs MSA vs FSA

The following chart summarizes the key difference between an MSA and HSA . It also includes a compare to aflexible spending account statement ( FSA ) , which issimilar to an HSAwith one key conflict :

How much do HSA and MSAs cost?

Since both HSA and MSA plans are private , a person ’s out - of - pouch disbursal count on the specific of their programme , include their deductible and agio .

HSA plansgenerally bid lower premiumsthan similar wellness insurance alternative . In contrast , MSA plan typicallydo not have premiumsunless the program offers extra benefit such as imagination and dental coverage .

That aver , since MSAs touch on to a Part C programme , a person must still pay the Part B agiotage to specify for enrollment . In 2025 , this bounty set out at$185per month , depending on the individual ’s income .

How much money can go into an MSA vs an HSA?

A individual can view available Part C plans onMedicare.govto find the upright pick in their area . Additionally , it is important to note that with MSA plans , a person can not be charged more than theMedicare - sanction amountfor healthcare service .

Medicare MSA vs HSA pros and cons

Some factors to believe when equate MSAs to HSA include :

Why Medicare recipients cannot have an HSA

In drill , a person would not have to choose between an MSA and an HSA because theycannotcontribute to an HSA once they enrol in Medicare . This is the guinea pig even if they are still employed and keep their other indemnity program as a lower-ranking remunerator .

Once they become a Medicare enrollee , they can transition to an MSA if they enroll in an appropriate Medicare Advantage programme . A person who contributes to an HSA after this clip may demand to repay those contributions through taxes .

Takeaway

Health savings plans ( HSAs ) and medical savings report ( MSAs ) both offer the benefit of save taxation - devoid money for medical expenses . Both case of account are paired with high - deductible design , and the investment firm in these accounts can aid treat deductible .

The main difference lies in their association : HSAs are associate to non - Medicare private insurance plans , while MSAs are tie to Medicare Advantage ( Part C ) plans . Moreover , a person and their employer can conduce to an HSA , whereas for an MSA , the contributions come from Medicare .