What the product actually solves. Without one, every inbound payment in another currency is converted on arrival, at whatever rate and margin the receiving institution applies, and every outbound payment is converted again. A person paid in euros who spends in euros pays that spread twice for no reason. A multi-currency account holds the euros as euros, so conversion happens once, at a time the holder picks, or never. The saving is entirely in avoided conversions; the account does not make any single conversion cheaper.
Conversion inside the account is priced the same way as anywhere else. The headline is usually the absence of a fee, and the cost is usually in the spread between the rate offered and the mid-market rate. Some providers do quote the mid-market rate and charge a separate percentage, which is easier to compare precisely because it is visible. Either way the comparison to make is the total amount of the second currency received, not the advertised fee.
Deposit insurance is where the useful detail is, and it has two separate rules. For a foreign-currency deposit at a US insured bank, 12 CFR 330.3(c) is explicit: "deposits denominated in a foreign currency shall be insured in accordance with this part", and insurance "shall be determined and paid in the amount of United States dollars that is equivalent in value to the amount of the deposit denominated in the foreign currency as of close of business on the date of default of the insured depository institution." The conversion uses the noon buying rates quoted for major currencies by the Federal Reserve Bank of New York on the date of default, unless the deposit agreement specifies other widely recognized rates for all purposes. So the balance is covered, but the depositor is paid in dollars at a rate they do not control, and any move in the currency after that date belongs to them.
Separately, 12 CFR 330.3(e)(1) provides that an obligation of an insured institution payable solely at an office located outside any State "is not a deposit for the purposes of this part." A balance booked at a foreign branch is therefore outside the insurance, which is a different question from the currency it is denominated in.
Accounts at non-bank providers sit outside this framework entirely. Their balances are typically held under safeguarding or custody arrangements rather than as insured deposits, and whether any insurance reaches the customer depends on the specific arrangement disclosed by that provider. This is worth reading in the account terms rather than assuming, and it is one of the genuine differences between a bank multi-currency account and a payments-app one.
For US reporting, the currency does not matter and the location does. The FBAR regulation at 31 CFR 1010.350(a) attaches the duty to "a bank, securities, or other financial account in a foreign country." Nothing in it turns on denomination. A euro balance at a US bank is not a foreign financial account; a dollar balance at a bank in Singapore is. The Form 8938 rules draw the line in a third place again: an account maintained by a US payor is excepted, and the IRS treats a foreign branch or foreign subsidiary of a US financial institution as a US payor for that purpose, so an account at the London branch of a US bank is outside Form 8938 while remaining inside the FBAR. Anyone with balances spread across institutions in more than one country has to check each account against both rules rather than reasoning from the currency.
Holding a currency has a tax consequence when you convert. Foreign currency is property, so disposing of it can produce gain or loss measured by the change in exchange rates while it was held. Section 988(e)(2) provides relief for ordinary personal use: where nonfunctional currency is disposed of by an individual in a personal transaction, no gain is recognized by reason of exchange-rate changes, but "the preceding sentence shall not apply if the gain which would otherwise be recognized on the transaction exceeds $200." The $200 is a fixed statutory figure and is not adjusted for inflation. Note the asymmetry: the relief is written for gains, and a loss on a personal currency transaction is a nondeductible personal loss.
What it is not. A multi-currency account is not a hedge. Holding a balance in a currency is a position in that currency, and the value of that position in dollars moves with the rate. It is also not a way to hold an account outside the reach of US reporting, since the reporting rules follow the institution rather than the denomination.