A health savings account that holds actual bitcoin in your name rather than an ETF, inside the ordinary triple-tax-advantaged HSA structure — contributions deductible, growth untaxed, qualified withdrawals untaxed. This is not a care provider. It is the savings rail underneath everything else in this directory: if you have left fiat insurance for a direct primary care membership and a health share, you still need somewhere to hold the money, and this is the bitcoin answer to that question.
Sound-money criteria: Bitcoin-only, and explicitly so — the company describes itself as laser-focused on bitcoin with no distractions from the broader crypto noise. No other asset is offered. Fees can be paid in bitcoin at a ten percent discount. Coins are held in offline cold storage: Horizon Trust Company of New Mexico is the IRS-designated trustee holding the cash side, Digital Trust of Nevada is the bitcoin custodian, and the multi-signature security is provided by BitGo.
The full fee picture, including the parts that are easy to miss: $300 a year for account administration, a $50 one-time activation fee, and a 1% trading fee on buys and sells — so roughly $350 to open. There is also a $250 one-time termination fee to close the account, which is worth knowing before you start rather than after. Year-end 1099-SA and 5498-SA forms are generated automatically. Checkout runs through Zaprite.
Allies are screened on sound-money criteria only — cash price, no billing office, no insurance dependency. We do not evaluate clinical quality, and a listing is not a medical recommendation.