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Health care costs, recorded, never judged.

Medical bills, your health plan, a reserve for a bad year and what care has cost - on one page in Groundwork, worked out from your own records, on your own computer. Health care is a cost, never a lever to cut.

A minute and a half, on a made-up household

Bills as the provider sent them, the plan year as the insurer reports it, a reserve for a bad year, what care has cost and who it was for, narrated and captioned.

Every Health feature, listed →

1:32
The Health page · sample household, made-up figures

A bill is the provider's statement, read as it was sent

Bring in a medical bill and Groundwork keeps what it says: the amount, the date, the due date, the account number. It becomes something you owe only when you say so. Payments toward it, what insurance changed and any payment arrangement the provider agreed are kept with it, so "amount owed now" always shows its working.

It shows what monthly amounts your own record can sustain - and never tells you what to offer, never contacts anyone, and never says what to do. If a bill goes to collections, it stays on the Health page with its own running balance, not in your debt payoff plan.

The Health page's Bills tab: a Northside Urgent Care bill of $285.40, amount owed now, a card charge that may be the same bill, and monthly amounts the record sustains. Sample household, made-up figures.
Sample household, made-up figures

Your deductible as your insurer shows it

Enter your plan's deductible and out-of-pocket maximum, then what your insurer reports you've met. Groundwork shows what's left and when it starts over. It never works these out from your spending - only your insurer knows what counted.

A health reserve is money set aside in an account you already have, so a bad medical year doesn't put a card back to work. Its natural target is your plan's out-of-pocket maximum - the most a covered year can cost. HSA and FSA balances, contribution limits and an FSA's deadline sit beside it.

The Plan and reserve tab: deductible $900 of $1,500 met, out-of-pocket maximum $1,240 of $4,000 met, as the insurer reports, and a health reserve of $1,800 of $4,000. Sample household, made-up figures.
Sample household, made-up figures

What care has cost, month by month

Health spending as recorded, for the last twelve months and the year so far, and whom it was for - as you said it, payment by payment, never guessed. The visit report and the year in review open from the same page.

It's a record, not a budget: no limit to beat, no "over", no trophies, and Groundwork never suggests spending less on care - anywhere, including the assistant and the debt plan.

The Spending tab: health spending by month for twelve months, $310 so far in 2026, and whom it was for. Sample household, made-up figures.
Sample household, made-up figures

Every Health feature in Groundwork 2.0

Each works with the AI turned off, from your own records, on your own computer.

Medical bills

  • Kept as the provider sent them: the amount, the dates and the account number.
  • Yours only when you say so. A bill becomes something you owe when you press This bill is mine to pay.
  • "Amount owed now" shows its working: the payments you link, what insurance changed, and any payment arrangement the provider agreed.
  • Asks instead of guessing. When a card charge may be the same bill, Groundwork counts both until you say.
  • What your record can sustain: monthly amounts your own record supports. It never says what to offer, and never contacts anyone.
  • Collections kept apart. On the Health page, never in Debt Payoff, with the collector's running balance, no interest or fees made up, and a note on getting legal advice.

Plan and reserve

  • Your plan year: the deductible and out-of-pocket maximum, met so far, as your insurer reports them, with dates. Never worked out from your spending.
  • An old reading says it's old. When bills were paid after your last reading, Groundwork says so instead of guessing.
  • Changes and corrections kept. A new plan or a corrected figure never rewrites the months before it.
  • A health reserve in an account you already have, aimed at your out-of-pocket maximum: the most a covered year can cost.
  • Your choice of timing: build it before, alongside or after your last debt, each shown with its debt-free date. None is labelled best, and your payoff plan follows the one you choose.
  • HSA and FSA: balances, the yearly IRS limits, and an FSA's deadline.

Spending, people and records

  • What care has cost, month by month and for the year so far. A record, not a budget: no limit to beat and no "over".
  • Whom it was for, payment by payment, as you said it, never guessed. Names are labels, not locks, and the page says so.
  • A visit report for each provider, ready to print.
  • The year in review for tax time: medical costs laid out for Schedule A, with HSA detail for Form 8889, and what Groundwork can't see said plainly. Never tax advice.

Care is never a lever

  • Never a cut. Groundwork never suggests spending less on care: not on the Budget page, the dashboard, the debt plan or in the assistant.
  • Never priced in months. Necessary care is never measured against your debt-free date.
  • Care is recognised: Medicine, Rx, Insulin, Urgent Care, Glasses, Hearing Aids, Orthodontist and more.
  • Private: health records are kept out of the AI log, and out of exports unless you tick the box. You can hide Health from the sidebar; your records stay.

Private by design

Nothing about your health leaves your computer. Health records never reach the AI log, and an export includes them only when you tick the box. The page says plainly that anyone who opens Groundwork on this computer can see it, and you can hide Health from the sidebar in Settings - your records stay.

Everything works with the AI turned off. Where a figure isn't in your records - no plan entered, no balance known - Groundwork says so instead of guessing.

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