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Writer's pictureNiara Brown

HMA VS HSA



Let's break down the differences between an HMA (Health Matching Account) and an HSA (Health Savings Account):

Health Matching Account (HMA)

  1. Purpose: An HMA is a type of medical savings account that helps you save for medical expenses. It's designed to increase the value of your contributions over time, so you get more funds to cover healthcare costs.

  2. How It Works: With an HMA, you make monthly contributions. Over time, these contributions are matched by the HMA program, often at a certain rate, which increases the total amount available for medical expenses.

  3. Flexibility: HMAs are not tied to high-deductible health plans (HDHPs), meaning you can use them alongside any type of health insurance.

  4. Growth: The key feature of an HMA is the matching aspect, where your contributions grow over time due to the program’s matching funds, potentially giving you more money to use for healthcare.

  5. Tax Treatment: Contributions to an HMA are typically not tax-deductible, and the account may not have the same tax advantages as an HSA.

  6. Eligible Expenses: Funds in an HMA can usually be used for a wide range of medical expenses, including deductibles, copayments, and other out-of-pocket costs.



Health Savings Account (HSA)

  1. Purpose: An HSA is a tax-advantaged savings account specifically designed to help people with high-deductible health plans (HDHPs) save money for medical expenses.

  2. How It Works: To contribute to an HSA, you must be enrolled in an HDHP. Contributions are made pre-tax, meaning they reduce your taxable income. The funds in an HSA grow tax-free, and withdrawals for qualified medical expenses are also tax-free.

  3. Flexibility: HSAs are only available to individuals who have an HDHP. If you switch to a health plan that isn’t a high-deductible plan, you can no longer contribute to your HSA, though you can still use the funds.

  4. Growth: The money in an HSA can be invested, potentially growing over time. Any unused funds roll over year after year, and the account stays with you even if you change jobs or health plans.

  5. Tax Treatment: HSAs offer significant tax benefits. Contributions are tax-deductible, growth within the account is tax-free, and withdrawals for eligible medical expenses are also tax-free.

  6. Eligible Expenses: HSA funds can be used for a wide range of qualified medical expenses, including deductibles, copayments, prescriptions, and certain other healthcare costs. If you withdraw funds for non-qualified expenses before age 65, you'll pay taxes plus a penalty; after 65, non-qualified withdrawals are taxed as ordinary income.

Key Differences

  • Eligibility: HSAs require enrollment in an HDHP, while HMAs do not have this requirement.

  • Tax Benefits: HSAs provide tax advantages at multiple stages (contributions, growth, and withdrawals), whereas HMAs generally do not offer tax benefits.

  • Contribution Matching: HMAs offer a matching program to increase the funds available for healthcare expenses, while HSAs do not have a matching component but allow for tax-free investment growth.

  • Flexibility: HSAs have restrictions tied to HDHPs, while HMAs can be used with any type of health insurance.

Both HMAs and HSAs are designed to help you manage healthcare costs, but they operate differently and offer distinct benefits.

If you are interested in learning more or wanting to start an HMA or HSA book an appointment!





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