Healthee

What Healthee does

Healthee (legally Insurights, Inc.) is a New York-based AI-driven health benefits navigation and cost-containment platform founded in 2021. The company sells a unified employee-facing app and employer dashboard centered on Zoe, an AI virtual assistant trained on health insurance concepts and each employer's live plan documents, that delivers 24/7 multilingual benefits support across 50+ languages. The product surface spans plan comparison, cost transparency (backed by 2B+ claims and provider-specific rates), benefits navigation, 24/7 telehealth, a digital Medical ID, pharmacy benefits including a ZeroCostRx formulary of 200+ medications, and the Healthee Access bundled cash-pay network of 18,500+ providers offering 175,000+ procedures at 20–50% savings versus traditional insurance pricing. Employer-side capabilities include an AI Fraud, Waste, and Abuse detection engine (pay-for-performance), AI Claims Analytics delivered through Healthee Pulse, and Zoe for HR, a conversational analytics assistant for benefits leaders.

Underlying the product is a multi-agent AI architecture that connects to employer plan data, provider networks, and claims feeds in real time, with HIPAA and SOC 2 Type II compliance underpinning data handling. Healthee monetizes through a per-employee SaaS subscription for the core navigation platform, supplemented by outcome-based pricing on the FWA module (employers pay only on recovered dollars) and incremental monetization from Healthee Access and pharmacy modules. The go-to-market combines direct enterprise sales (targeting employers with 5,000–70,000+ employees) with channel distribution through benefits advisors and brokers, third-party administrators (TPAs), professional employer organizations via PrismHR, and HRIS integrations including the Workday Wellness Partner program.

The company has raised approximately $82 million across a $32 million Series A (March 2024, co-led by Fin Capital, Glilot Capital Partners, and Group11 with TriNet) and a $50 million Series B (April 2025, led by Key1 Capital), and reports 15,000+ employer customers and 1M+ U.S. households on the platform. Named enterprise customers include Instacart, SiriusXM, Celonis, TAG-The Aspen Group, Builders FirstSource, TriNet, Genesys Health, and Nassau Financial Group, with strategic partnerships spanning Talkspace (mental health), Health Benefit Alliance, CoreTrust (public sector), and Homethrive (caregiving). Healthee operates as a privately held, U.S.-only company headquartered at 242 West 36th Street, New York.

Name

Healthee

Legal name

Insurights, Inc.

Website

https://healthee.com

Company type

Private

Founded year

2021

Operating status

Operating

Headcount range

51–100 employees

Short description

Healthee is an AI-driven health benefits navigation and cost-containment platform that serves U.S. employers (5,000–70,000+ employees), TPAs, brokers, and PEOs with a conversational AI assistant (Zoe), claims analytics, cost transparency, telehealth, and a bundled cash-pay provider network.

Ownership category

akta.pro rank

Product category

Health Benefits Administration Software

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Health and Welfare Funds (525120)

SIC

Services-Health Services (8000), Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Care Navigation, Advocacy & Benefits Guidance Platforms (HLALADAJ)

akta.pro secondary industries

Primary Care & General Medicine Virtual Care (Employer-Sponsored) (HLALADAA), Employer/Member Engagement Platforms for Provider-Sponsored Plans (HLACAEAM)

Keywords

• Health benefits navigation
• AI healthcare concierge
• Benefits administration platform
• Healthcare cost transparency
• Employee benefits software

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. SaaS Platform Subscription: B2B SaaS subscription model where employers pay for access to Healthee's AI-powered health benefits navigation platform. Pricing based on employee count or organization size. Implementation typically takes 6-8 weeks from contract to launch.
2. Performance-based FWA Recovery: Pay-for-performance model for fraud, waste, and abuse detection where employers only pay when dollars are recovered. No hidden fees; no recoupment means no cost.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels5 records

Core offering

Healthee (legally Insurights, Inc.) is an AI-powered health benefits navigation and cost-containment platform sold as a B2B SaaS subscription to employers, brokers, TPAs, and PEOs. The platform centers on Zoe, an AI virtual health concierge that provides 24/7 conversational benefits support, complemented by cost transparency, plan comparison, telehealth, benefits navigation, claims analytics, fraud/waste/abuse detection, pharmacy benefits, and a national cash-pay provider network.

Product overview

Healthee is an AI-powered health benefits navigation and cost-containment platform delivered as a unified platform with integrated modules. The core platform centers on Zoe, an AI virtual assistant that provides 24/7 conversational benefits support. Supporting core capabilities include the Plan Comparison Tool for AI-powered open enrollment support, Cost Transparency for healthcare price transparency, Telehealth for 24/7 virtual care access, and Benefits Navigation for year-round coverage guidance. Add-on modules extend the platform with Fraud/Waste/Abuse Detection for claims integrity, AI Claims Analytics for real-time spend intelligence, Pharmacy Benefits with ZeroCostRx formulary, Medical ID digital wallet, and Healthee Access cash-pay network. Zoe for HR provides analytics for HR leaders. All capabilities integrate into a single employee-facing app and employer dashboard.

Differentiator

Problem solved

Functional benefit

Brands

• Zoe: AI-powered virtual health assistant that answers employee questions about benefits, coverage, providers, costs, and care options in plain language 24/7.
• Healthee Access
• Healthee Pulse

Products and services

• Zoe (AI Virtual Assistant) Conversational AI health concierge for employees that delivers personalized answers on coverage, treatment options, provider search, costs, and benefits navigation 24/7/365 in 50+ languages, trained on each employer's specific plan data.
• Plan Comparison Tool Recommendation engine that analyzes employees' healthcare situations (family size, anticipated needs, preferred providers) to rank and personalize health plan choices during open enrollment.
• Cost Transparency Provides employees with real-time pricing estimates for provider visits and procedures, comparing in-network, out-of-network, and cash-pay options based on 2B+ claims data.
• Telehealth 24/7 virtual access to board-certified medical and mental health professionals at no copay; telehealth visits do not generate insurance claims against the employer's plan.
• Benefits Navigation Year-round platform that helps employees understand, compare, and act on health coverage with contextual support, plan explanations, and proactive nudges for underused benefits.
• Fraud, Waste, and Abuse (FWA) Detection AI engine that analyzes claims data to identify billing patterns, anomalies, upcoded procedures, duplicate billing, unbundling, and suspicious activity on a pay-for-performance basis (employers pay only when dollars are recovered).
• AI Claims Analytics Conversational analytics on claims data that lets HR and benefits leaders query cost drivers, utilization trends, and plan design gaps in plain language and receive actionable savings insights.
• Pharmacy Benefits (ZeroCostRx) Pharmacy benefit offering with 67,000+ in-network pharmacies, ZeroCostRx formulary of 200+ essential medications at $0 cost, and Care Pathways for chronic condition management.
• Medical ID (Digital Wallet) Digital wallet for insurance cards and medical IDs providing instant access on any device with real-time tracking of deductibles and out-of-pocket maximums.
• Healthee Access (Cash-Pay Network) National bundled cash-pay network with 18,500+ providers offering 175,000+ procedures across 30+ specialties at 20-50% savings versus traditional insurance pricing.
• Healthee Pulse Employer-side benefits management hub that includes AI claims analytics, benefits engagement tools, and communication features for HR teams.
• Zoe for HR AI analytics assistant for HR and benefits leaders that surfaces insights on engagement, utilization, and healthcare spending through natural language queries and proactively recommends adoption improvements.

Quantifiable outcome

• 87% reduction in HR administrative workload
• +8 more outcomes

Named customers9 records

Segments7 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

AI capability11 records

Feature6 records

Partnerships

Six partnerships are on record, tiered core and minor.

• WorkdaycoreStrategic or Co-development Partner · 2 April 2026Healthee joined Workday Wellness Program as a Workday Wellness Partner, enabling employers to drive smarter healthcare decisions and increase benefits utilization through Workday integrations.
• PrismHRcoreChannel Partner/ Reseller/ Distributor · 12 February 2026Healthee is available to PEOs within PrismHR's ecosystem as a solution for modernizing benefits navigation and reducing healthcare costs for PEO clients.
• HomethriveminorStrategic or Co-development Partner · 5 February 2026Partnership enabling employees to access caregiving resources alongside their existing health benefits in one centralized experience.
• Health Benefit Alliance (HBA)coreStrategic or Co-development Partner · 30 December 2025Strategic partnership integrating Healthee's platform and AI assistant Zoe into HBA's portfolio of self-funded, level-funded, and traditional benefit programs. Features include real-time coverage visibility, plan comparison tools, in-network care location, provider cost estimation, and telehealth access.
• CoreTrustminorStrategic or Co-development Partner · 13 November 2025Partnership to modernize healthcare navigation for the public sector, extending Healthee's reach beyond private employer-sponsored benefits.
• TalkspacecoreStrategic or Co-development Partner · 7 August 2025Strategic partnership integrating Talkspace's digital therapy offerings (messaging therapy, virtual sessions, psychiatric care) into Healthee's platform for frictionless mental health telehealth access.

Scale indicators12 records

Recent moves6 records

Expansion highlights6 records

Emerging players

• Wysa: AI-driven mental health support platform sold to employers and health plans. Adjacent in AI assistant modality and employer benefits channel, though narrower in clinical scope.
• Thatch: Modern ICHRA-focused benefits platform giving employers AI-guided health benefits decisions. Comparable in the AI benefits decisioning wedge, though more SMB and individual reimbursement oriented.

Direct peers

• Accolade (Transcarent): Personalized health and benefits navigation platform serving large employers with advocacy, virtual care, and provider search. Direct competitor to Healthee's employer benefits navigation stack, now operating under Transcarent with broader care navigation scope.
• Included Health: Combines virtual primary care, behavioral health, and benefits navigation for employer-sponsored plans, with a focus on LGBTQ+ care and integrated care teams. Closely comparable to Healthee's Zoe + telehealth + navigation bundle.
• HealthJoy: AI-driven employee benefits navigation and virtual care platform serving mid-market and enterprise employers, with a virtual assistant at the core. Highly comparable product shape to Healthee's Zoe-led offering.
• Castlight Health: Pioneer in healthcare navigation and cost transparency for employer-sponsored plans. Comparable in cost transparency and benefits navigation, with a longer enterprise track record and narrower AI focus.
• Quantum Health: Healthcare navigation and care coordination platform centered on its proprietary Real-Time Intercept model for self-insured employers. Comparable in serving large self-funded plans with navigation and claims analytics.
• Lyra Health: Mental health-focused benefits platform for employers, with expanding primary care offerings. Comparable as an AI-enabled employer benefits player and a likely partner/competitor across overlapping modules.

Broad incumbents

• Personify Health: Formed by the merger of Virgin Pulse and HealthComp; offers wellbeing, navigation, and benefits administration to large employers at scale. A broader incumbent with adjacent navigation capabilities.
• Sharecare: Digital health company offering wellbeing, navigation, care management, and cost containment to employers, health plans, and providers. Overlaps with Healthee's engagement and navigation modules.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/gethealthee
• YouTubeyoutube.com/@gethealthee
• Facebookfacebook.com/gethealthee
• LinkedInlinkedin.com/company/get-healthee
• Instagraminstagram.com/get.healthee

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds6 records

Investors10 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 Healthee