Sidecar Health

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

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

• Health insurance plans
• Employer-sponsored coverage
• Major medical insurance
• Price transparency healthcare
• Consumer-driven health plans

Headquarters

HQ city

Manhattan Beach

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. 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.
2. 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.
3. 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

Go-to-market motion3 records

Distribution channels6 records

Marketing channels10 records

Core 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

Named customers1 record

Segments7 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

AI capability6 records

Feature6 records

Partnerships

Nine partnerships are on record, tiered core and flagship.

• RulacoreStrategic or Co-development Partner · 12 November 2025Sidecar 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 HealthflagshipStrategic or Co-development Partner · 23 September 2025Carrum 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 IndustriesflagshipStrategic or Co-development Partner · 27 June 2024Koch 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.)flagshipOEM/ Whitelabel/ Licensing PartnerSidecar 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.
• StripecoreTechnology or IntegrationStripe 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.
• PlaidcoreTechnology or IntegrationPlaid 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)coreTechnology or IntegrationSidecar 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.coreTechnology or IntegrationApple 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)coreTechnology or IntegrationGoogle 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

Direct 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

• Xx.com/sidecar_health
• Facebookfacebook.com/sidecarhealth

Compliance8 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Subsidiaries2 records

Funding overview

Funding rounds4 records

Investors13 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 Sidecar Health