THE INSIDE SCOOP ON INDOOR AIR
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Launched in 1997 as a four-year plot program, MSA enrollment is currently limited by the federal government, which places a variable, annual cap on how many policies may be sold (600,000 in 1998, for example) on a first-come, first-served basis. The government has also set the minimum and maximum annual deductibles for MSA policies at $1,500 and $2,250 for individuals, and $3,000 and $4,500 for families. Annual contributions to MSA accounts are restricted as well, to 65% of the annual deductible for individuals and 75% of the annual deductible for families.
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What this all amounts to is, in effect, comprehensive medical insurance with a high, self-insured deductible. You cover the expensive-to-insure "first dollar" of medical expenses with tax-free saved income. Unspent savings are rolled over annually, earning tax-deferred interest (the going rate is 4% to 5%) until age 65. Medical costs over and above your annual deductible are covered by insurance.
This is a little-publicized, rare good deal from Uncle Sam, and — especially if your family has no medical insurance — it may even be worth borrowing to fund the medical savings account. If you work for a small company, ask your employer to consider offering an MSA plan.
If you are self-employed, or simply want to learn more about MSAs, call your local "Blues" medical insurance companies, savings bank, or a general insurance agent. Information is also available from MSA administrators. A couple to try are FlexMSA (800-FLEX-MSA, http://www.flexmsa.com ) and Medical Savings of America, (800-853-7321, http://www.medsavings.com ). — J.V.
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