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A medical savings account (MSA) is an account, generally associated with self-employed individuals, in which tax-deferred deposits can be made for medical expenses. Withdrawals from the MSA are tax-free if used to pay for qualified medical expenses. One requirement, listed in US IRS Pub 969, is that an MSA must be coupled with a high-deductible health plan (HDHP). Withdrawals from this account go toward paying the deductible expenses in a given year. The MSA account funds can cover, whether provided through the qualifying insurance or otherwise, for accidents, disability, dental care, vision care, and long-term care.
If the HDHP deductible is met with funds from the MSA in that year, the high-deductible policy will pay the remaining covered medical expenses for that year. If there are funds remaining in the account at the end of the year, the funds can either roll over into the MSA for the following year or can be withdrawn as taxable income. A very different medical savings plan for non-self employed individuals is called the health savings account or HSA.
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