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How Medical Savings Accounts Work For Employees Medical Savings ACCOUNT (Cash Account) Employer provides a Medical Savings Account to be used for routine health care. The cash account covers normal medical care plus medical services that traditional group health care plans don't cover: Dental Vision Chiropractic Psychological Acupuncture MSA provides first-dollar benefits. Employee keeps any unused money left in MSA. MAJOR MEDICAL PLAN Employee pays for a low cost Major Medical with a higher deductible. (This replaces the cost-sharing the employee is currently paying.) MSA funds are used for expenses that are below the deductible. When MSA funds are used up and the deductible is met, Major Medical kicks in. Major Medical provides a lifetime maximum of $2 million per covered person.