What is the difference between a Medical Savings Account (MSA) and a Health Savings Account (HSA)?

Answered by 5 licensed agents

An HSA is a type of medical savings account. It is funded by you and/or your employer and it receives special IRS treatment. You must be in a qualifying High Deductible Health plan to contribute to an HSA.

An MSA is a special type of Medicare advantage plan. It has two parts. A high Deductible advantage plan and a savings account. The Insurance company deposits money into the savings portion, but you are not allowed to contribute any of your own money. You use that money and your own money to reach the deductible amount and then at that point the Advantage plan starts paying according to the plan structure.

Answered by Mark Bilgere on August 21, 2026

Broker Licensed in TX, AR, IN & LA, MN, NE & OK

Answered by Mark Bilgere Medicare Insurance Agent
MSA and HSA both have high deductibles. MSA is tied to a part C. HSA is for people under 65 in a High deductible plan. MSA is funded by Medicare. HSA is funded by the individual or the company that the individual works for.

Answered by Kenneth Parsons on August 20, 2026

Agent Licensed in NM, AZ & TX

Answered by Kenneth Parsons Medicare Insurance Agent
Once a person qualifies for Medicare they can no longer contribute to a Health Savings Account (HSA). A Medical Savings Account (MSA) can be set up by someone who is already a Medicare beneficiary.

Answered by Marcia West on August 18, 2026

Agent Licensed in WA, FL, GA, MI, TX & VA

Answered by Marcia West Medicare Insurance Agent

Answered by Voss Speros on August 18, 2026

Broker Licensed in AZ, CA, CO & 20 other states

Answered by Voss Speros Medicare Insurance Agent
A Medical Savings Account is a Medicare Advantage plan. A type of Medicare health plan offered by a private insurance company that works

with Medicare. Medicare Advantage Plans provide all of your Part A & Part B

benefits with some exclusions where claims wouldn’t be covered.

The Medicare Advantage types include

• Health Maintenance Organizations

• Preferred Provider Organizations

• Private Fee-for-Service Plans

• Special Needs Plans

• Medical Savings Account Plans.

A Health Savings Account is a high deductible health plan, a HDHP. Health insurance with a savings account component. If your on Medicare then you don't need a HDHP. You could get a Medicare Advantage plan. Please consult with a Broker.

Source: Medicare & You 2026.

Plans are insured or covered by a Medicare Advantage (HMO, PPO and PFFS) organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare to get information on all of your options.

Answered by Andrew Zurbuch, MBA on August 21, 2026

Broker Licensed in IN, FL, KY, MO, OH & TN

Answered by Andrew Zurbuch, MBA Medicare Insurance Agent

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