A healthcare system involves activities whose primary purpose is to promote, restore and maintain health (WHO, 2000). It is fundamental that health systems are able to maintain and improve social welfare. In relation to mobilization of resources and long-term sustainability healthcare expenditure, ongoing efforts by the stakeholders involved are occasionally made to revisit the current system and propose more innovative financing mechanisms. The Medical Saving Account (MSA) is one of the mechanisms being assessed to gauge the efficiency of cost containment. This study aims to examine the health and financial status of selected residents in Shah Alam, analyze the acceptance of the MSA, and determine the level of willingness to pay (WTP) for the MSA. Data collection was conducted by distributing 31 questionnaires as a pilot test. Respondents were randomly selected from Shah Alam and given a guided questionnaire. The data was analyzed using SPSS. Most of the respondents reported a good health status with no serious diagnosed diseases and a good financial status. However, none of the factors studied showed a significant association with the acceptance of the MSA implementation with a median WTP of RM72.30 (approximately 17USD). To develop the MSA as a comprehensive model which can complement existing financing mechanisms, the benefits of the MSA need to be addressed especially in closing the gaps between the current systems as well as improving the current mechanism models or revising the proposed scheme.
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