Consumer controlled personal health accounts allow consumers to control a portion of their own health care dollars and pay directly for incidental medical needs such as physician visits and prescription drugs. These include Medical Savings Accounts (MSAs), Health Reimbursement Arrangements (HRAs) or Flexible Spending Accounts (FSAs). These may accompany a high-deductible policy, or are often used to pay copayments and deductibles on a traditional policy, or in some cases may accompany no insurance policy at all.