Coming soon. Early access list open now. No launch date set.
agenticHSA
agentichsa · early access open now

Pre-tax dollars for the care you actually need — and an honest no on the rest.

Most people have no idea what's eligible. The agent is designed to. AgenticHSA is designed to find out what may already qualify for pre-tax treatment. The plan: it reads your spend, sends what may qualify to a physician where a documented condition supports it, and organizes HSA, FSA, and HRA in one place. It isn't live yet. No HR department. No insurance expertise required.

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no w-2 needed · 1099 + Stripe + Plaid
You'd sandbox any dependency this deep in your stack. So did we.

AgenticHSA in 15 seconds

Text version:
  1. Your AI coach says: get a CGM. It can recommend it. It can't make it pre-tax.
  2. An agent that reads, never spends. Designed to flag spend that may qualify, never to move money.
  3. No documented condition, no letter. It won't build a case around a purchase. Many do not qualify.
  4. Today: an early-access list. It isn't live yet. Join, and we'll email you when it opens.
  5. AgenticHSA. Pre-tax for the care you actually need. agentichsa.com
care tied to a documented condition · pre-tax when clinically appropriate

When care is medically necessary, it should be pre-tax.

Examples, not results · a letter under IRS §213(d) only where a physician finds medical necessity (not live yet)
IRS contribution limits

How much can you put in pre-tax this year?

The IRS sets a yearly HSA contribution limit: one for self-only coverage, a higher one for family coverage, and an added catch-up from age 55. The 2026 figures are in IRS Rev. Proc. 2025-19; what that saves you depends on your tax bracket.

the agentic layer

Six agents, designed to run in the background. Every month. For you.

Not live yet: this is what opens after early access. You connect your accounts once. The agent reads your spend, drafts LMNs for physician review (the physician signs or declines), and prepares your pre-tax reimbursement for approval. You write code; we handle the paperwork.

1

Spend agent

Connects to your card + Plaid + Stripe + Apple/Google Pay. Categorizes every health-relevant transaction (clinical care, therapy, devices, services) and flags the ones that may qualify when tied to a documented condition.

connectors · Plaid, Stripe, Apple/Google Pay
2

LMN drafter

Where your record already documents a relevant diagnosis, prepares a draft Letter of Medical Necessity under IRS §213(d) for clinical review. A licensed physician evaluates the request and decides. No documented condition means no letter — the agent will not build a case around a purchase.

physician overlay · altru.care · signs or declines
3

HDHP + HSA opener

If you don't have an HDHP yet, the agent identifies the best one for your state and prepares the enrollment and contribution plan — you review and approve. If you already have one, it just plugs in. Either way: fund your HSA up to the IRS limit for the year with almost none of the manual tracking.

irs-correct · approve-to-fund
4

Reimbursement agent

For each purchase a signed LMN documents, the agent prepares your HSA reimbursement — pre-tax — for one-click approval. End of year, exports a clean ledger for your CPA: every purchase, every LMN, every receipt, every dollar saved.

reimburse · CPA-ready ledger
5

Audit shield

Planned: each signed LMN gets a hashcare record (cryptographic timestamp + physician signature + diagnosis basis), so if the IRS ever asks, the audit packet is one click — a complete, verifiable record, not a promise about how any specific audit turns out.

hashcare record · planned
6

ComfortCard wallet

Planned: every LMN, receipt and reimbursement is kept in your ComfortCard health identity wallet. Auditable. Portable. Yours, even if you leave.

identity · persistent · digital
IRS §213(d) · §7702B(c) · the standard we hold

A letter cannot make a personal expense medical. It can document care that already is.

In March 2024 the IRS warned specifically that notes based on self-reported information do not convert food, wellness or exercise spending into medical care — and that real documentation requires a visit with the diagnosing and treating provider, in person or by telehealth. We agree with that, and we build to it.

Where the ground is genuinely solid is long-term care. Qualified long-term care services are already medical care under the statute when two conditions hold: the person is chronically ill, and the services follow a plan of care prescribed by a licensed practitioner. Nothing is being converted — the certification is what the law asks for.

The test we apply. Unable to perform at least two activities of daily living for 90 days or more without substantial assistance, or requiring substantial supervision due to severe cognitive impairment. Certified within the last twelve months, renewed annually.

What we decline. General fitness and wellness. Food and supplements for general health. Any request that arrives as “write me a letter so I can pay for this.” A review that never says no is not a review — so we publish that we decline, and we say so up front.

Check this first: HSA funds cover you, your spouse and your tax dependents. Paying for a parent usually means they must qualify as your dependent.

Care at home for someone chronically ill? Seven questions, on your device, sort that care against the rule above. It never says an expense is covered, and neither does this page.

General information, not tax or legal advice. Eligibility depends on IRS rules, your plan terms and your circumstances.

where it stands today

AgenticHSA is designed to run inside ComfortCard.

ComfortCard is the health identity wallet. AgenticHSA is the engine being built on it: find spend that may qualify, draft LMNs for a licensed physician to sign or decline, and prepare pre-tax reimbursement for your approval. None of that is live yet.

today

Open now

What you can do on this site today.
  • Sort an expense on /sort: what qualifies, with IRS sources
  • Ask about a spend scan: leave your details and we follow up by email
  • Join the early-access list: we email you when it opens
  • Nothing is charged, and no subscription starts
Ask about a spend scan→
how the ecosystem connects

Three brands. One mission. Your coverage, protected.

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no w-2 required · nothing is charged to join the list