Frequently asked questions

A Medicare MSA is a type of Medicare Advantage plan that combines a high-deductible health plan with a savings account. Each year Medicare deposits money into your account, and you use it to pay for qualified medical expenses. The plan premium is $0.

The plan carries a $0 monthly premium, and Medicare deposits money into your account annually. You're responsible for costs up to the plan's deductible, but the deposit helps cover them.

Yes. The plan's $0 premium refers to the MSA plan itself — you continue to pay your standard Medicare Part B premium, just as you would with any other Medicare Advantage plan.

Yes. An MSA lets you see any provider that participates in Medicare — there's no network, and no referrals or prior authorizations are required.

It means you are not limited to a list of in-network providers. You can see any doctor, specialist, or facility nationwide that accepts Medicare, and you never need a referral or prior authorization to do so.

Funds you don't spend typically roll over and stay in your account for future qualified expenses, so the deposit continues to build if you stay healthy.

Once the deposit is spent, you pay out of pocket toward the plan's deductible. After you reach the deductible, the plan covers Medicare-approved services for the rest of the year.

Medicare MSA plans do not include prescription drug coverage on their own. You can pair your MSA with a separate stand-alone Part D prescription drug plan — Donal can help you choose one that fits your medications.

To enroll you must be enrolled in Medicare (Parts A and B). For a Group MSA offered through an employer, chamber, or association, you also need to be an eligible member of that sponsoring group.

No. Health insurance premiums are set and regulated by law, so working with Donal costs nothing extra compared to buying direct — you simply gain an independent advisor and ongoing local support.

Yes. Donal is a real, local advisor for billing questions and annual plan reviews — never a 1-800 number. He treats your coverage as one piece of a smart, long-term plan and stays available year after year.

Donal is licensed in 9 states: Utah, Idaho, Arizona, Florida, Louisiana, Maine, Michigan, North Carolina, and Virginia.

The easiest first step is a free 15-minute intro call — no cost and no obligation. Donal will answer your questions and help you decide whether an MSA is the right fit. Reach out through the contact page or give him a call.

The MSA is provided by Fenyx Health Group and is also offered under the Select Health and EMI Health names.

There are several MSA plan designs, including the Standard 200 and 300 plans and options built for the self-employed. The plans available to you can depend on your group, so ask Donal to confirm which designs you qualify for.

A Chamber or association can sponsor the plan so it's automatically available to all members as a group benefit. There's $0 cost to offer it, it's not subject to ERISA, and enrollment and renewals require no effort.

Not at all. You and your members don't have to change any of the benefits you currently offer or any existing relationships. You're simply making a new, voluntary product available — one that any certified agent or agency can help with.

There is no cost to you — Medicare is what helps fund the plan. And since there's no cost to you, there's no associated liability. That's also why the plan is not subject to ERISA. It's entirely voluntary for both you and your members.

Signing up takes only 5–7 minutes. After that, we work with you to create a marketing and outreach plan for your members. The only real downside is not offering it — because Medicare helps fund it, it stays a win-win, and it simply is not available to your members unless you make it available.