I'm not sure how a MSA and HSA are different, but in a HSA...you can put like up to 6500 (family) into a tax deductible HSA account. The contributions work like a 401K or IRA would to reduce taxes.
As a requirement, you have to also carry a high deductible insurance policy that has been approved. This can run families $500 on up a month. You can deduct these health insurance premiums, as well as HSA contributions, as expenses/deductions when doing taxes.
All payments that come out of the HSA account are distributions. As long as these payments are for approved medical purposes, no taxes are due on the distributions.
“Let it not be said that no one cared, that no one objected once it’s realized that our liberties and wealth are in jeopardy.”
― Ron Paul
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