Presidio Healthcare

What Presidio Healthcare does

Presidio Healthcare is a U.S. health insurance carrier that launched as the first regulated, pro-life Christian health insurance company in American history. Founded in 2024 by Daniel Cruz (CEO, FSA/MAAA) and Bob Hogan (CLO, JD), the company operates as a Delaware-incorporated holding with two wholly-owned subsidiaries — Presidio Healthcare Insurance Company (underwriting and policy issuance) and Presidio Connect LLC (member-connect services) — and is headquartered in Dallas, Texas, with an additional privacy office in Irving, Texas.

The company's core product is the FortressPlan, a regulated major medical insurance plan structured around four tiers (Elite, Secure, Value, Essential) and unified by a $0 deductible, 50% coinsurance, nationwide provider network with 4M+ doctors and hospitals, no annual or lifetime policy maximums, and a half-MOOP rollover feature. Plan pricing is not publicly disclosed and is delivered via a self-serve quoting tool; the company markets its offering as up to 60% cheaper than ACA marketplace coverage. Membership also includes access to ProlifeProviders.com, a provider search tool that elevates faith-aligned doctors. Presidio obtained the first-ever ACA religious insurer exemption, allowing it to legally exclude contraceptive and abortifacient coverage — distinguishing it from both ACA-compliant plans and unregulated healthcare sharing ministries.

The business generates revenue through monthly insurance premiums (subscription/recurring) sold via two channels: direct-to-consumer through presidiocare.com and quote.presidiocare.com, and indirectly through a network of licensed insurance agents and brokers who use a dedicated Producer Portal. The company is currently live in Texas only, with stated expansion plans to Florida, Indiana, Georgia, North Carolina, and Ohio in 2026 and beyond. It is HIPAA-, GLBA-, COPPA-, and WCAG 2.1 Level AA-compliant, and is supported by a 1-10 person team that has raised $4+ million in seed funding led by Rob Hays with participation from SENT Angels and New Founding.

Name

Presidio Healthcare

Legal name

Presidio Healthcare Incorporated

Website

https://presidiocare.com

Company type

Private

Founded year

2024

Operating status

Operating

Headcount range

1–10 employees

Short description

Presidio Healthcare is a Dallas-based, Delaware-incorporated health insurance carrier offering the FortressPlan — the first regulated, pro-life Christian major medical plan in the U.S. — sold to individuals and families in Texas via DTC and broker channels under a unique ACA religious insurer exemption.

Ownership category

akta.pro rank

Headquarters

HQ city

San Diego

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Insurance Premiums: Presidio Healthcare generates revenue through insurance premiums paid by enrolled members. The FortressPlan offers multiple plan tiers (Elite, Secure, Value, Essential) with varying maximum out-of-pocket limits. Members pay monthly premiums in exchange for coverage including $0 deductible options, 50% coinsurance, nationwide network access, and pro-life aligned benefits.

Pricing tiers

Go-to-market motion3 records

Distribution channels2 records

Marketing channels4 records

Core offering

Presidio Healthcare sells the FortressPlan, a fully regulated, pro-life Christian health insurance product available in four tiered options (Elite, Secure, Value, Essential) with $0 deductibles, 50% coinsurance, MOOP rollover, nationwide provider network access, and no annual or lifetime policy maximums. The product is targeted at individuals and families whose pro-life or Catholic values are not accommodated by ACA marketplace plans or healthcare sharing ministries, and is distributed both directly online and through licensed insurance agents.

Product overview

Presidio Healthcare is America's first pro-life, Christian health insurance company, offering the FortressPlan as its core product. The FortressPlan is a comprehensive health insurance plan available in four tiers (Elite, Secure, Value, Essential) with key features including $0 deductible options, 50% coinsurance, nationwide provider network access, and no annual or lifetime policy maximums. The company complements its insurance offering with ProlifeProviders.com, a provider search tool connecting members with pro-life healthcare providers. Additional member services include a Member Portal for plan management and a Producer Portal for insurance brokers.

Differentiator

Problem solved

Functional benefit

Brands

• FortressPlan: The company's flagship health insurance product - a faith-aligned, fully regulated health insurance plan built on Christian principles, featuring $0 deductible options, nationwide network access, and pro-life coverage exclusions.

Products and services

• FortressPlan Faith-based, pro-life health insurance plan available in four tiers (Elite, Secure, Value, Essential) featuring $0 deductible options, 50% coinsurance, nationwide network access, and no annual or lifetime policy maximums, for pro-life individuals and families seeking values-aligned health coverage.
• ProlifeProviders.com Pro-life provider search tool that helps members find doctors and medical professionals who uphold the dignity of human life, covering over 4 million U.S. providers and highlighting faith-based affiliations.
• Member Portal Online portal for members to access their health plan information, view benefits, claims, and billing statements for their FortressPlan coverage.
• Producer Portal Portal for licensed insurance agents and brokers to quote, enroll members in FortressPlan coverage, service health plans, and access member information and commission details for their clients.

Quantifiable outcome

• Up to 60% cheaper than ACA coverage
• +2 more outcomes

Named customers1 record

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• ProlifeProviders.comcoreStrategic or Co-development Partner · 3 November 2025Presidio launched ProlifeProviders.com as a first-of-its-kind pro-life provider search tool. The platform covers over 4 million U.S. providers, highlights faith-based affiliations, and elevates value-aligned providers in search results based on community support. It serves as both a member resource and a marketing tool for the company.

Scale indicators4 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• Christian Healthcare Ministries (CHM / Medi-Share): One of the largest faith-based healthcare sharing ministries in the U.S. and the most direct competitor to FortressPlan — both target Christians seeking values-aligned coverage, but Medi-Share is unregulated while Presidio is regulated insurance, which is the core product distinction.
• Liberty HealthShare: Faith-based healthcare sharing ministry serving Christian individuals and families. Direct comparable to FortressPlan on target customer (pro-life/Christian Americans) and value proposition (values-aligned healthcare), differing primarily on regulatory structure (sharing vs. regulated insurance).
• Samaritan Ministries: One of the oldest and largest Christian healthcare sharing ministries, serving members who share medical bills. Comparable to Presidio in serving the pro-life/Christian segment but operating on a sharing model rather than regulated insurance.
• Sedera Health: Medical cost-sharing community serving individuals, families, and employer groups with values-aligned alternatives to traditional insurance. Comparable to Presidio on niche alternative-to-ACA positioning and target segments, though structured as a sharing model.
• Zion HealthShare: Faith-based healthcare sharing organization serving Christian members seeking affordable, values-aligned healthcare alternatives. Comparable to FortressPlan on faith-based value proposition and individual/family coverage focus.

Broad incumbents

• Blue Cross Blue Shield of Texas: Dominant regulated health insurer in Presidio's single current market (Texas) and the largest ACA marketplace carrier in the state. Comparable as a competing individual/family health insurance provider but operating mainstream, non-faith-based products.
• UnitedHealthcare: Largest U.S. health insurer offering individual, family, and employer plans across all 50 states. Comparable as a competing individual health insurance provider with vastly greater scale and capital.
• Centene: Major managed care company heavily concentrated in the ACA marketplace and government-sponsored health programs. Comparable as a large-scale individual market health insurer and the type of incumbent Presidio must compete against on price and network access.
• Cigna: Major national health insurer offering individual and family plans across most U.S. states. Comparable as a large-scale regulated health insurance competitor with established provider networks and capital reserves Presidio lacks.

Emerging players

• Oscar Health: Technology-driven individual and family health insurer with a strong ACA marketplace presence, including in Texas. Comparable to Presidio as a newer, direct-to-consumer-focused individual health carrier competing against established incumbents in the same regulatory framework.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/presidiocare
• Facebookfacebook.com/presidiocare

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Subsidiaries2 records

Funding overview

Funding rounds2 records

Investors3 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Presidio Healthcare