A Montana Medical Care Savings Account (MSA) allows Montanans to save money for medical expenses and long-term health care, and reduce their state income taxes at the same time. Any Montana resident taxpayer can designate any Montana bank or credit union account as a Medical Care Savings Account. An MSA account must be separate from other accounts, and only the account holder has access to the funds. In 2026, each taxpayer can place up to $4800 in the account annually. This a