What if buying healthcare was a joyful experience?

First Dollar is the health wallet for modern, member-driven plans.

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There’s a better way to pay for healthcare.

Tax-advantaged accounts and supplemental benefits have the power to be transformative for everyday Americans. These programs save money, fill gaps, and help keep folks out of the clinic.

Yet, few eligible members take advantage of HSAs, FSAs, HRAs, and more. The original promise of these benefits has not been met. Why?

Today, most consumer-directed benefits are hard to use. Sometimes this is by design. Many players in the industry don't care whether benefits are being utilized, as long as they get paid. Worse, some companies make more money when benefits aren't used.

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Colin sits at his computer


Behind most consumer-directed benefits lies a hodgepodge of legacy systems built for a different time.

We think all plans should aspire to 100% utilization. Customers who love to use their benefits are cheaper and less expensive to insure. They're also more loyal.

100% utilization is also just the right thing to do. Members work incredibly hard to earn their benefits in the first place. As an industry, we must do everything we can to help ensure the health and well-being of the people we serve.

That's the world we want to live in. And it's the one that we're creating, with First Dollar. We're technology-first so you can be member-first. It's that simple.

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Our co-foundersSeveral team members sitting at a long conference table having a conversation.


80 NPS

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Our Leadership Team

First Dollar is a mission-driven team of entrepreneurs and technologists based in sunny Austin, Texas. We're out to make healthcare work better by improving how people pay for it.

Our Investors

Hybrid Office

Based in Austin, we work across the United States.

Careers @ First Dollar

If you're interested in creating the future of paying for healthcare, we'd love to hear from you.

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