Antidote Health

What Antidote Health does

Antidote Health is a New York–based virtual-first healthcare company founded in 2020 that combines ACA-compliant health insurance with on-demand telehealth and integrated chronic-condition programs on a single member-facing platform. Its core product line consists of ACA HMO plans (Complete, Elite, Standard, and Catastrophic suites at Bronze, Silver, and Gold metal tiers) issued through state-licensed subsidiaries in Arizona (Antidote Health Plan of Arizona, Inc.) and Ohio (Antidote Health Plan of Ohio, Inc.), with a $0 Virtual Care Benefit that provides unlimited visits with Antidote's virtual primary care clinicians. Underlying technology includes a unified mobile application on iOS and Android, a web-based Antidote Member Portal, secure video consultations, and AI-driven remote monitoring tools that power dedicated Diabetes Care, Hypertension Care, Primary Care-Led Mental Health, and Weight Loss programs, as well as a curated $0 Drug List for common generics.

The company monetizes through recurring monthly premiums on its ACA plans (individual, ICHRA, and small-group), monthly or one-time telehealth subscriptions available without insurance, and pharmacy revenue streams. Distribution combines direct-to-consumer online quoting through shop.antidotehealth.com, mobile-app self-serve enrollment, a dedicated broker portal (broker.antidotehealth.com), a small-business employer sales motion (primarily Arizona), and a brand-led demand generation strategy anchored by NBA ambassador and investor Giannis Antetokounmpo, with additional community outreach via the Charles Antetokounmpo Family Foundation. The target customer base spans uninsured and underinsured individuals, gig workers, self-employed professionals, and small employers in Arizona and Ohio seeking affordable, virtual-first coverage. The company has raised approximately $56M across seed (Aug 2021), Series A (Mar 2022), and follow-on rounds in 2023, and operates with a 51–100 employee base under CEO and co-founder Avihai Sodri.

Name

Antidote Health

Legal name

Antidote Health Group, Inc.

Website

https://antidotehealth.com

Company type

Private

Founded year

2020

Operating status

Operating

Headcount range

51–100 employees

Short description

Antidote Health is a New York-based virtual-first healthcare company founded in 2020 that sells ACA-compliant HMO insurance plans in Arizona and Ohio alongside on-demand telehealth subscriptions, integrated chronic-condition programs, and AI-driven remote monitoring for individuals, families, and small employers.

Ownership category

akta.pro rank

Product category

Health Insurance

NAICS

HMO Medical Centers (621491), Direct Health and Medical Insurance Carriers (524114)

SIC

Accident & Health Insurance (6321), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

ACA Marketplace (On-Exchange) Individual Plans (FSAIAEAA)

akta.pro secondary industries

Group/Employer-Sponsored Critical Illness & Hospital Indemnity (FSAIAKAD), Self-Funded (ASO) Group Health Plans & Stop-Loss (FSAIAFAB), Disease-Specific & Condition-Specific Critical Illness (e.g., Cancer, Heart/Stroke) (FSAIAKAH)

Keywords

• ACA health insurance
• Telehealth services
• Virtual primary care
• Chronic care management
• ICHRA plans

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Marketing or Sales, Technology or R&D, Operations, Supply Chain

Revenue model

1. ACA Health Insurance Premiums: Recurring monthly premiums collected from individual and family members enrolled in ACA-compliant HMO plans (Complete, Elite, Standard, Catastrophic suites at Bronze, Silver, and Gold metal levels) offered through Antidote Health Plan of Arizona, Inc. and Antidote Health Plan of Ohio, Inc.
2. Telehealth Subscriptions: Flexible monthly subscription for on-demand telehealth access to licensed providers, available without insurance. Members can also purchase one-time individual telehealth visits.
3. Small Group / Employer Health Plans: Predictable monthly premiums from small-group employers in Arizona (and Ohio for ICHRA) for ACA-compliant group health plans.
4. ICHRA Plan Revenue: Revenue from Individual Coverage Health Reimbursement Arrangement (ICHRA) plans, where employers provide tax-free reimbursements and employees purchase individual ACA plans. Available in Arizona and Ohio.
5. Pharmacy / Drug Plan Revenue: Revenue from prescription drug coverage including $0 Core Rx and $0 Advanced Rx Drug Lists, with pharmacy network access (including Costco mail-order service) in Arizona and Ohio.

Pricing tiers

Go-to-market motion4 records

Distribution channels5 records

Marketing channels10 records

Core offering

Antidote Health sells ACA-compliant HMO health insurance plans (Complete, Elite, Standard, and Catastrophic suites across Bronze, Silver, and Gold metal tiers) in Arizona and Ohio, embedded with unlimited $0 virtual primary care, urgent care, mental health, and chronic-condition management programs. It also offers standalone on-demand telehealth subscriptions that do not require insurance, plus ICHRA and Small Group employer plans, all delivered through a proprietary mobile app and member portal with AI-driven remote monitoring.

Product overview

Antidote Health operates a single, vertically integrated virtual-first healthcare platform that pairs ACA-compliant health insurance plans with on-demand telehealth and chronic-condition programs under one member experience. The core product line is the Antidote Health ACA Insurance Plans family (Complete, Elite, Standard, and Catastrophic suites in Bronze, Silver, and Gold metal tiers) sold in Arizona and Ohio, anchored by the $0 Virtual Care Benefit and delivered through the Antidote Member Portal and Antidote App. The platform also offers standalone Antidote Telehealth on-demand visits (no insurance required), ICHRA and Small Group Health Plans for employers, and a suite of Integrated Health Programs (Diabetes Care, Hypertension Care, Primary Care-Led Mental Health Care, and Weight Loss) that use AI-driven monitoring and the $0 Drug List to manage chronic conditions.

Differentiator

Problem solved

Functional benefit

Brands

• Antidote App: Mobile application for members to manage healthcare plans, schedule virtual visits, access digital ID cards, view claims, and refill prescriptions.

Products and services

• Antidote Health ACA Insurance Plans ACA-compliant HMO health insurance plans for individuals and families in Arizona and Ohio, with four plan suites (Complete, Elite, Standard, Catastrophic) across Bronze, Silver, and Gold metal tiers. Every plan covers the 10 essential health benefits and includes $0 preventive care, mental and behavioral health support, a member portal, and access to a quality provider network.
• Antidote Telehealth (On-Demand Virtual Care) On-demand telehealth service offering unlimited $0 virtual visits with Antidote virtual clinicians for Complete and Elite plan members. Services include primary care, urgent care, mental health, hypertension care, diabetes care, prescription services, and doctor's notes. One-time visits or flexible monthly subscriptions are available without insurance.
• Antidote App Mobile application available on iOS and Android that lets members manage insurance benefits, find in-network providers, schedule virtual primary care visits, access digital ID cards, track claims, refill prescriptions, and contact Member Services.
• Antidote Member Portal Web-based member portal at app.antidotehealth.ai providing 24/7 access to plan information, provider search, claims tracking, digital ID cards, virtual visit scheduling, health history forms, autopay enrollment, and document downloads.
• Small Group Health Plans ACA-compliant group health insurance plans for small businesses in Arizona, offering predictable monthly costs, simple employee enrollment, and unlimited $0 virtual care visits.
• ICHRA Plans Antidote Health insurance plans designed to be paired with an employer's Individual Coverage Health Reimbursement Arrangement (ICHRA), allowing tax-free employer reimbursements of individual premiums and qualified medical expenses. Available in Arizona and Ohio.
• Diabetes Care Program Integrated health program for members with a diabetes diagnosis that delivers personalized virtual care plans, remote blood sugar monitoring with expert data analysis, education and lifestyle support, and $0 access to insulins and supplies on the $0 Drug List.
• Hypertension Care Program Integrated health program for members with hypertension that combines anytime clinician access, lifestyle modification coaching, AI-driven blood pressure monitoring, and $0 access to common blood pressure medications on the $0 Drug List.
• Primary Care-Led Mental Health Care Program Integrated program that embeds mental health assessment, diagnosis, and treatment (for anxiety, depression, PTSD, and similar conditions) inside Antidote virtual primary care visits, with referrals to specialized mental health providers when appropriate and $0 medication options.
• Weight Loss Program

Quantifiable outcome

• $0 unlimited virtual visits with Antidote virtual clinicians for Complete and Elite plan members
• +4 more outcomes

Segments5 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 capability4 records

Feature6 records

Partnerships

Five partnerships are on record, tiered flagship, core partnership and minor.

• Giannis AntetokounmpoflagshipGTM or Marketing Partner · 10 August 2022Giannis Antetokounmpo was announced as Antidote Health's new ambassador and investor on August 10, 2022. He promotes the company's affordable telemedicine services and invests in community healthcare initiatives, particularly in Milwaukee, drawing on personal experience with healthcare barriers in Greece.
• Charles Antetokounmpo Family Foundationcore partnershipStrategic or Co-development PartnerCollaboration between Antidote Health and Giannis Antetokounmpo's non-profit, the Charles Antetokounmpo Family Foundation, to provide no-charge mental health services under the 'Leave No One Behind' initiative.
• VSP (Vision Service Plan)minorChannel Partner/ Reseller/ DistributorVSP is referenced as the directory through which Antidote Health members can find in-network vision specialists, particularly for pediatric care.
• HRI DentalminorChannel Partner/ Reseller/ DistributorHRI Dental provides the in-network dental directory used by Antidote Health members to find in-network dentists.
• Costco (Prescription Mail Order)minorChannel Partner/ Reseller/ DistributorCostco is referenced as a prescription mail-order service partner available to Antidote Health plan members in Arizona and Ohio.

Scale indicators8 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Oscar Health: Tech-enabled ACA marketplace insurer selling individual and family plans across many U.S. states, with a strong +Oscar virtual care and provider platform. Closest direct competitor to Antidote's ACA-plus-telehealth model, though at much larger scale and broader geography.
• Alignment Health: Tech-forward health plan focused on Medicare Advantage with embedded virtual care and chronic-condition programs. Comparable in pairing an insurance license with AI-driven care management, though concentrated in MA rather than ACA.
• Bright Health Group: Tech-enabled payer offering individual ACA and Medicare Advantage plans powered by its NeueHealth care delivery platform. Comparable ACA-plus-virtual-care stack, although currently operating at reduced scale following strategic pullbacks.
• Clover Health: Medicare Advantage insurer using its Clover Assistant software to drive physician decision-making and chronic-care management. Comparable tech-first payer approach with AI-augmented primary care, though MA-focused.

Emerging players

• Hims & Hers Health: Direct-to-consumer telehealth subscription platform combining virtual visits with prescription fulfillment. Comparable D2C telehealth subscription model and consumer brand-led growth motion, but does not underwrite insurance.
• Ro: Direct-to-consumer telehealth and pharmacy company offering virtual primary care, mental health, and chronic-condition treatment on a subscription basis. Comparable consumer telehealth positioning and chronic-care programs, without insurance underwriting.
• Carbon Health: Tech-enabled primary and urgent care provider offering virtual and in-person visits with integrated chronic-condition management. Comparable virtual primary care and AI-assisted clinical workflows, though clinic-anchored rather than insurance-anchored.

Broad incumbents

• Teladoc Health: Largest U.S. telehealth provider offering virtual primary care, mental health, and chronic-condition management to insurers, employers, and consumers. Comparable core virtual-care services, though distributed via enterprise contracts rather than owned insurance products.
• Amwell: Enterprise telehealth platform serving health systems, insurers, and employers with virtual visit infrastructure and behavioral health. Overlaps with Antidote's telehealth stack as an enabling/distribution layer rather than a competing insurer.
• One Medical (Amazon One Medical): Membership-based primary care platform combining virtual visits with in-person clinics, now owned by Amazon. Comparable virtual-first primary care with chronic-condition management, though anchored on a national clinic footprint rather than insurance underwriting.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/antidoteai
• YouTubeyoutube.com/c/AntidoteHealth
• Facebookfacebook.com/AntidoteHealthAI
• LinkedInlinkedin.com/company/antidotehealth
• Instagraminstagram.com/antidote.health
• TikToktiktok.com/@antidotehealth

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries2 records

Funding overview

Funding rounds7 records

Investors5 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 Antidote Health