Sidecar Health
- Company typePrivate
- Founded2018
- HeadquartersCovina, United States
- Headcount251–500
- GTM typeB2B
- OfferingServices
Sidecar Health firmographics
Firmographics- Name
- Sidecar Health
- Legal name
- Sidecar Health, Inc.
- Website
- https://sidecarhealth.com
- Company type
- Private
- Founded year
- 2018
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Ownership category
- akta.pro rank
Sidecar Health industry classification
Industry- Product category
- Health Insurance
- NAICS
- Direct Life, Health, and Medical Insurance Carriers (52411), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Direct Health and Medical Insurance Carriers (524114), Insurance Agencies and Brokerages (524210)
- SIC
- Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)
- akta.pro primary industry
- Large Group Health Insurance (Mid-Market & National Accounts) (FSAIAFAE)
- akta.pro secondary industries
- Self-Funded (ASO) Group Health Plans & Stop-Loss (FSAIAFAB), Fully Insured Group Health Plans (Employer-Sponsored) (FSAIAFAA)
Keywords
Where Sidecar Health is headquartered
LocationHeadquarters
- HQ city
- Covina
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
Sidecar Health business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure, Others
Revenue model
- Fully Insured Large Group Premiums: Recurring per-member-per-month premiums on ACA-compliant, large group (51+ employees) major medical plans underwritten by Sidecar Health Insurance Company (NAIC #17104). Currently issued in FL, GA, OH, and TX; fully insured plans combine premium revenue with full risk underwriting.
- ASO / TPA Fees for Self-Funded Plans: Recurring Administrative Services Only (ASO) and Third Party Administrator (TPA) fees paid by self-funded employer plan sponsors for administration of large group major medical health plans. Sidecar Health Insurance Solutions, LLC administers these self-funded arrangements, generating fee revenue rather than premium revenue. Launched in 2025, covering members in 46 states.
- Provider Direct Billing & Marketplace Services: Operational revenue tied to provider direct-billing agreements and the provider marketplace, in which providers join via an online provider agreement form and benefit from immediate Visa card payment. Generates incremental fee/service economics layered on top of the core insurance product.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Multi-year contract | Fully insured large group major medical plan, quote-based |
| Other | Multi-year contract | Self-funded (ASO) plan with TPA services, quote-based |
| Other | Annual | Sidecar Health First Dollar coverage plan (illustrative) |
Go-to-market motion3 records
Distribution channels6 records
Marketing channels10 records
Sidecar Health product offering
Product offeringCore offering
Sidecar Health underwrites and administers ACA-compliant, employer-sponsored major medical health insurance plans with no provider networks, no prior authorizations, no referrals, and no step therapy. Plans pay a transparent Benefit Amount (typical local cost) for every covered service; members shop for care via a mobile app, pay providers directly with the Sidecar Health Visa Benefit Card, and keep half the savings when they choose a lower-cost provider. Fully insured large group plans are available in FL, GA, OH, and TX, and self-funded ASO/TPA services cover members in 46 states.
Product overview
Sidecar Health is a single-product health insurance platform built around a no-network, consumer-driven model: a unified set of ACA-compliant major medical plans (fully insured and self-funded/ASO) underwritten by Sidecar Health Insurance Company, delivered to members through the Sidecar Health Mobile App and Sidecar Health Visa Benefit Card, and supported by a side partner ecosystem including the Provider Portal, Care Search Assistance, the Care Partner Program, and Unplanned Events Protection. The offering is augmented by partnership-enabled modules — Mental Health Coverage via Rula and Specialty Care via Carrum Health — and the company has phased out the legacy Access Plan (fixed indemnity) to focus exclusively on employer-sponsored major medical coverage across 46 states.
Differentiator
Problem solved
Functional benefit
Products and services
- Sidecar Health ACA-Compliant Major Medical Insurance Plans Fully ACA-compliant, employer-sponsored major medical coverage with no provider networks, no prior authorizations, and no referrals. Plan pays the typical local cost of care (the Benefit Amount) and members keep half the savings when they choose lower-cost providers. Available as both fully insured (FL, GA, OH, TX) and self-funded (ASO) solutions for employers with 51+ employees.
- Sidecar Health Mobile App Native iOS and Android app that lets members look up coverage, shop for care with upfront transparent pricing, manage expenses, monitor savings, submit claims, and access the Sidecar Health Visa Benefit Card. Includes a provider marketplace with quality ratings and a guided storyline demo of the member experience.
- Sidecar Health Visa Benefit Card Visa payment card issued by Sutton Bank (Member FDIC) that members use to pay providers directly at the point of care, eliminating cost-sharing and bad debt for providers. Underpins Sidecar's direct-to-provider payment model and the in-app claims submission workflow.
- Sidecar Health Provider Portal Web portal for healthcare providers to verify member eligibility, check claim status, submit claims, set up direct billing agreements, and access coordination of benefits resources. Available to any provider with a registered provider domain email; underpins the no-network, no-prior-authorization claims architecture.
- Sidecar Health ASO / TPA Services Administrative Services Only (ASO) and Third Party Administrator (TPA) services offered by Sidecar Health Insurance Solutions, LLC for self-funded group health plans, enabling self-funded national employers to leverage the Sidecar Health model across 46 states.
- Care Search Assistance Concierge support team that helps members seeking complex care or surgery locate high-quality providers whose prices fall within or below the Benefit Amount, often resulting in cash back for the member.
- Care Partner Program Dedicated level of servicing for high-complexity, high-stress episodic conditions such as cancer, providing personalized guidance and coordination throughout treatment.
- Mental Health Coverage (via Rula partnership) Expanded mental health coverage giving members access to Rula's network of behavioral health providers for virtual therapy and psychiatry with transparent pricing and no network restrictions.
- Specialty Care (via Carrum Health partnership) Specialty care offering providing access to 1,200+ vetted Centers of Excellence providers for surgical, cancer, and substance use treatment with bundled pricing, a 30-day warranty on surgery and two years on cancer care.
Quantifiable outcome
- 20% lower healthcare costs vs. legacy group plans (2025 estimates)
- +12 more outcomes
Companies that use Sidecar Health
Customer profileNamed customers1 record
Segments7 records
Ideal customer profiles3 records
Sidecar Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration6 records
AI capability6 records
Feature6 records
Sidecar Health partnerships and signals
Strategic signalPartnerships
Nine partnerships are on record, tiered core and flagship.
- RulacoreSidecar Health partnered with Rula, a behavioral health provider, to expand mental health coverage for its members. The collaboration gives members access to virtual therapy and psychiatry with transparent pricing and without network restrictions, addressing a major pain point for employers (mental health access). The partnership reflects Sidecar Health's no-network model extending to virtual behavioral health.
- Carrum HealthflagshipCarrum Health is Sidecar Health's first collaboration with a Centers of Excellence (COE) network. Members gain access to 1,200+ vetted COE providers for surgical, cancer, and substance use treatment, with bundled pricing, 30-day warranty on surgery, and 2-year warranty on cancer care. Carrum claims a 30% reduction in unnecessary procedures and up to 45% savings per surgical episode, addressing the specialty-care segment that accounts for ~50% of employer healthcare spend.
- Koch IndustriesflagshipKoch Industries is both an enterprise customer and a co-design partner: Sidecar Health provides major medical insurance to Koch's workforce and is co-designing employer coverage with Koch alongside the $165M Series D led by Koch Disruptive Technologies. The relationship was the anchor use case for Sidecar Health's Florida expansion.
- Visa (Visa U.S.A. Inc.)flagshipSidecar Health brands its member payment card as the "Sidecar Health Visa Benefit Card" pursuant to a license from Visa U.S.A. Inc. The card underpins Sidecar's direct-to-provider payment model and is core to the company's value proposition of point-of-care payment without balance billing.
- StripecoreStripe is integrated as a payment processor across Sidecar Health's website, app, and services, as disclosed in the Privacy Policy. Stripe handles payment processing for the company.
- PlaidcorePlaid is integrated as a payment-data connector across Sidecar Health's services, as disclosed in the Privacy Policy. Plaid enables linked-bank-account functionality for the Sidecar Health payment card and claims workflows.
- Google (Geo-Location Services)coreSidecar Health uses Google Maps / Google Earth Geo-Location Services to power maps, geocoding, places, and provider-location features across the member app and website. Members are bound by Google's Geo-Location Services Terms of Use when using these features.
- Apple Inc.coreApple is a third-party beneficiary of Sidecar Health's iOS App Terms of Use; the iOS app is distributed via the Apple App Store and must comply with Apple's App Store Terms of Service. Apple does not provide maintenance, support, or warranty for the Sidecar Health iOS App.
- Google (Android / Google Play)coreGoogle is a third-party beneficiary of Sidecar Health's Android App Terms of Use; the Android app is distributed via the Google Play Store and must comply with Google's Android Market Terms of Service. Google is not responsible for the Sidecar Health Android app.
Scale indicators18 records
Recent moves8 records
Expansion highlights6 records
Sidecar Health competitors and assessment
Company assessmentDirect peers
- Oscar Health: Tech-enabled ACA-compliant health insurance company offering individual and employer group plans with consumer-driven digital experience. Direct competitor in the alternative employer health plan category cited alongside Sidecar Health by Mercer.
- Centivo: Alternative health plan provider for employers built around transparent pricing and a curated provider network, targeting self-funded employers seeking lower-cost alternatives to traditional PPOs. Directly comparable mission and employer customer base.
- Curative: Employer health plan offering with transparent, $0 copay/coinsurance design after members complete a baseline visit, targeting similar alternative-plan market. Listed by Mercer as a flagship alternative to traditional group health plans.
- Angle Health: Tech-enabled health insurance startup offering customizable employer health plans with transparent pricing and a digital member experience. Direct competitor in the alternative employer benefits category.
- Collective Health: Employer-focused health benefits platform combining navigation, claims administration, and provider networks for self-funded employers. Comparable employer-customer base and self-funded/ASO distribution motion.
- Gravie: Health benefits marketplace and administrator offering alternative employer health plans with price transparency and consumer choice. Comparable alternative-plan positioning for employers and brokers.
Emerging players
- Clover Health: Tech-enabled health plan focused primarily on Medicare Advantage with a software-forward member experience and provider-data analytics. Comparable technology-driven insurance approach, though focused on a different market segment.
Broad incumbents
- Alignment Healthcare: Tech-enabled Medicare Advantage insurer with consumer-driven member experience and AVA platform for care navigation. Broader incumbent in tech-enabled health insurance with comparable digital-first philosophy.
- UnitedHealth Group (UnitedHealthcare): Largest US health insurer and employer group benefits incumbent. Sidecar Health competes with UnitedHealthcare's employer plans for RFP wins and brokers' shelf space.
- CVS Health (Aetna): Vertically integrated health insurer and PBM (Aetna) offering large-group employer plans nationally. Major incumbent competing for employer health benefits RFPs against alternative-plan challengers like Sidecar Health.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Sidecar Health social profiles
Digital presenceSidecar Health compliance and trust
Trust signalCompliance8 records
Sidecar Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Sidecar Health leadership team
Management profileNumber of profiles
Profiles9 records
Sidecar Health subsidiaries and ownership
Company hierarchySubsidiaries2 records
Sidecar Health funding detail
Funding detailFunding overview
Funding rounds4 records
Investors13 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Sidecar Health M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Sidecar Health
What does Sidecar Health do?
Sidecar Health underwrites and administers ACA-compliant, employer-sponsored major medical health insurance plans with no provider networks, no prior authorizations, no referrals, and no step therapy. Plans pay a transparent Benefit Amount (typical local cost) for every covered service; members shop for care via a mobile app, pay providers directly with the Sidecar Health Visa Benefit Card, and keep half the savings when they choose a lower-cost provider. Fully insured large group plans are available in FL, GA, OH, and TX, and self-funded ASO/TPA services cover members in 46 states.
Is Sidecar Health a public or private company?
Sidecar Health is a private company. It is classified as venture growth investor backed and is currently operating.
When was Sidecar Health founded?
Sidecar Health was founded in 2018. It employs 251 to 500 people.
Where is Sidecar Health based?
Sidecar Health is headquartered in Covina, United States, in the North America region.
How does Sidecar Health make money?
Three revenue lines are on record. Fully Insured Large Group Premiums are the primary driver. The others are ASO / TPA Fees for Self-Funded Plans and provider Direct Billing & Marketplace Services.
Who are Sidecar Health's main competitors?
Direct peers on record are Oscar Health, Centivo, Curative, Angle Health, Collective Health and Gravie. Clover Health is listed as an emerging player. Broad incumbents are Alignment Healthcare, UnitedHealth Group (UnitedHealthcare) and CVS Health (Aetna).
Does Sidecar Health have an API?
Yes. Sidecar Health provides a partner-facing Provider Portal (provider.sidecarhealth.com) that allows providers to verify member eligibility, check claim status, access direct billing agreement workflows, and access Coordination of Benefits resources. A public, self-service developer API is not advertised; access is portal-based and intended for registered provider domains only. Developer documentation is at provider.sidecarhealth.com/login.
What industry is Sidecar Health in?
Sidecar Health's product category is Health Insurance. Its primary akta.pro industry code is FSAIAFAE, Large Group Health Insurance (Mid-Market & National Accounts), with a secondary code of FSAIAFAB, Self-Funded (ASO) Group Health Plans & Stop-Loss. Its NAICS code is 52411 and its SIC code is 6324.