A Medicare Medical Savings Account plan (MSA) is a special type of Medicare Advantage plan (Part C). This type of Medicare Advantage Plan may offer the freedom of choice for people who want more control over their health care dollars and decisions. And along with the freedom come some responsibilities.
There are two parts to a Medicare Medical Savings Account (MSA Plan):
- A special bank savings account
- A high-deductible health plan
The Savings Account
The savings account part of a Medicare Medical Savings Account plan is self-managed like any other bank savings account. One main difference is that the account is funded with money from Medicare.
Medicare gives Medicare Advantage plan sponsors a set amount of money for each beneficiary covered by the plan. The plan uses the money to pay the Medicare-covered portion of the plan member’s health care costs.
When you have a Medicare Medical Savings Account (MSA) plan, the plan deposits the money it receives from Medicare into a savings account that you manage. You then become responsible for paying the Medicare-covered portion of your health care costs, instead of the plan. In effect, you must pay 100% of the cost for Medicare-covered services up to the plan deductible.
You may withdraw money from the account – tax free – and use it to help pay qualified medical expenses. Qualified expenses are defined by the Internal Revenue Service (IRS). This includes costs for services covered by Medicare Part A and Medicare Part B and some other expenses.
The plan deposits funds from Medicare into your account at the beginning of each year. The amount can vary. Funds may earn tax-free interest or investment income, and the balance carries over year to year.
You may not deposit your own money into a Medicare Medical Savings Account (MSA) plan. Funds withdrawn and used to pay non-qualified expenses are taxed and a penalty is also applied.
The High-Deductible Health Plan
In general, Medicare Medical Savings Account (MSA) plans:
- Cover all the services that Original Medicare (Part A and Part B) covers
- Allow you to see any provider that accepts Medicare
- Do not charge premiums; you continue to pay your monthly Part B premium to Medicare
- Do not include prescription drug coverage; you may buy a separate Part D stand-alone prescription drug plan
The high deductible is a key defining feature of Medicare MSA plans. The annual deductible may be more than the amount Medicare provides to deposit into the savings account. You need to be able to cover the difference if you use all the money in the savings account before the deductible is met.
Once the deductible is met, the health plan pays 100% of the cost for covered services. In effect, the deductible is the plan’s out-of-pocket maximum. All Medicare Advantage plans are required to set an annual out-of-pocket maximum. The maximum limit for 2017 is $6,700.
Savings account withdrawals used to pay for services covered by the plan count toward the deductible. You may use the funds for other qualified medical expenses, but those amounts will not apply to the deductible.
- Medicare.gov – Your Guide to Medicare Medical Savings Account
- Medicare.gov – Who can join a Medicare Advantage Plan?