HSAs offer a unique triple tax advantage: pre-tax contributions, tax-free growth, and tax-free withdrawals for qualified medical expenses. IRAs offer tax-deferred or tax-free growth, but contributions are either pre-tax (Traditional) or after-tax (Roth). HSAs also have no "use it or lose it" rule—funds roll over indefinitely. After age 65, HSA funds can be withdrawn for any reason (subject to income tax if not for medical expenses), making them powerful retirement planning tools. For more on Bitcoin IRAs, see our Bitcoin IRA page.

Yes. To contribute to an HSA, you must be enrolled in an HDHP. For 2025, an HDHP requires a minimum deductible of $1,600 for individuals or $3,200 for families. You cannot contribute to an HSA if you have other health coverage (with some exceptions, such as dental, vision, or disability insurance). Consult with your health insurance provider and tax advisor to confirm your eligibility.

Before age 65, withdrawals for non-qualified medical expenses are subject to ordinary income tax plus a 20% penalty. After age 65, you can withdraw HSA funds for any reason—if not used for qualified medical expenses, withdrawals are subject to ordinary income tax (similar to a Traditional IRA), but no penalty applies. This makes HSAs powerful retirement planning tools.

Absolutely. By combining your control with a secure, multisignature setup, collaborative security offers one of the safest ways to hold Bitcoin for long-term investments like an HSA. Since 2016, we've had zero satoshis lost across all clients.

With our collaborative security model, losing one key does not mean losing access to your Bitcoin. The remaining keys can be used to regain control, ensuring your assets are always recoverable. This is one of the key advantages of multi-signature security.

Bitcoin ETFs give you exposure to Bitcoin's price, but you don't own actual Bitcoin and you cannot self-custody the asset. With our approach, you hold real Bitcoin in self-custody, giving you true ownership, censorship resistance, and the ability to hedge against the traditional financial system. Learn more about why direct ownership matters →

Bitcoin held in an HSA grows tax-free, and withdrawals for qualified medical expenses are tax-free. After age 65, withdrawals for non-medical expenses are subject to ordinary income tax. The Bitcoin Adviser does not provide tax advice. You must consult with a qualified tax professional for guidance specific to your circumstances and the current IRS rules.

For new accounts, there is typically a 7-day waiting period (industry standard) from when your account opens before funds can be sent to purchase Bitcoin. Once that period passes, the process usually takes 2–4 weeks from initial consultation to Bitcoin in your vault. This includes opening or transferring your HSA, coordinating with Advanta Trust, setting up your River account, executing the Bitcoin purchase, and setting up your collaborative security vault.

Advanta Trust fees: Typical fees include a $50 account opening fee, a $95 transaction fee per investment, a $295 annual record-keeping fee (for accounts over $15,000), plus wire fees (e.g., $15 incoming, $30 outgoing).

River exchange: Transaction fees apply based on River's current fee schedule.

The Bitcoin Adviser: 1% annual fee paid in Bitcoin for self-custody assistance, estate planning protocols, and ongoing technical and operational support.

All third-party fees are subject to change. Please refer to Advanta Trust, River, and any other service providers for their current fee schedules and terms.

Yes. You can have multiple vaults in one wallet platform—one for your HSA Bitcoin, one for personal Bitcoin, one for IRA Bitcoin, etc. Each vault is separate and never co-mingled, but can be managed through the same secure platform with collaborative security.