Freedom Health

What Freedom Health does

Freedom Health, Inc. is a Florida-based Medicare Advantage HMO and a subsidiary of Elevance Health (formerly Anthem). Founded in 2008 (firmographic record also cites 2005) and headquartered in Tampa, the company operates in 24 Florida counties — Brevard, Broward, Charlotte, Citrus, Collier, Hernando, Hillsborough, Indian River, Lake, Lee, Manatee, Marion, Martin, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, St. Lucie, Sarasota, Seminole, Sumter, and Volusia — serving Medicare-eligible seniors, beneficiaries with chronic conditions (C-SNP), and dual-eligible Medicare/Medicaid enrollees (D-SNP).

The core product is Medicare Advantage HMO coverage, offered as standard MA plans and combined MA+Part D plans, with NCQA-approved Special Needs Plans through 2026. Underlying clinical infrastructure is anchored by an integrated care management system covering utilization management (pre-certification, concurrent review, discharge planning), case management, and nurse-led disease management programs for diabetes, cardiovascular disease, chronic heart failure, and COPD using nationally developed criteria including InterQual. The platform is supplemented by an extensive provider network of 1.8K+ primary care offices, 12K+ specialist offices, and 4.7K+ pharmacies.

Freedom Health generates revenue through capitation payments from CMS for Medicare Advantage and from the Florida Medicaid program for dual-eligible members. Plans are marketed primarily at $0 additional monthly premium with supplemental benefits such as OTC allowances up to $130/month, SilverSneakers fitness memberships (via Tivity Health), Active Fitness allowances up to $500/year, select 2026 Part B Premium refunds up to $185/month, and Everyday Options Allowances of $70-$200/month for C-SNP/D-SNP plans. Distribution occurs through four concierge offices (Largo, New Port Richey, Ocala, Spring Hill), licensed phone/field agents, and the CMS Medicare Online Enrollment Center. The company holds a 4.5-Star CMS rating for 2026 and is led by a Medical Director and COO Steve Willey.

Name

Freedom Health

Legal name

Freedom Health, Inc.

Website

https://freedomhealth.com

Company type

Private

Founded year

2008

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Freedom Health is a Florida-based Medicare Advantage HMO, subsidiary of Elevance Health, serving Medicare-eligible seniors plus chronic-condition and dual-eligible beneficiaries across 24 Florida counties with $0-premium plans and a 4.5-Star CMS rating for 2026.

Ownership category

akta.pro rank

Product category

Medicare Advantage Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411)

SIC

Accident & Health Insurance (6321), Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Medicare Advantage HMOs (HMO/HMO-POS) (HLAEAMAH)

akta.pro secondary industries

Medicare Advantage (MA) Plans (FSAIAGAA), Dual-Eligible Special Needs Plans (D-SNP) (FSAIAGAD), D-SNP Plan Sponsorship & Benefit Design (HLAEAFAA), MA-PD Plans (Medicare Advantage with Prescription Drug Coverage) (FSAIAGAG)

Keywords

• Medicare Advantage plans
• HMO health insurance
• Part D prescription coverage
• Special Needs Plans
• Dual-eligible coverage

Headquarters

HQ city

Tampa

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicare Advantage Capitation: Freedom Health operates as an HMO with a Medicare contract and receives per-member per-month capitation payments from CMS for providing Medicare Advantage coverage including medical benefits and Part D prescription drug coverage.
2. Part D Prescription Drug Coverage: Revenue from Medicare Part D prescription drug benefits, providing prescription coverage as part of the Medicare Advantage plans offered.
3. State Medicaid Contract: Contract with the state of Florida Medicaid program to serve dual-eligible beneficiaries who qualify for both Medicare and Medicaid.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

Freedom Health is a Medicare Advantage HMO that sells Medicare Advantage health plans, Medicare Advantage + Part D plans, Chronic Condition Special Needs Plans (C-SNP), and Dual Special Needs Plans (D-SNP) to Medicare-eligible individuals in 24 Florida counties. The plans are offered with $0 additional monthly premiums and bundle supplemental benefits such as OTC allowances, SilverSneakers fitness, dental, vision, prescription drug coverage, and care management services.

Product overview

Freedom Health is a Florida-based Medicare Advantage HMO offering comprehensive health plans with Medicare contract and Florida Medicaid program contract. The core product is Medicare Advantage Plans available as standard HMO plans or combined Medicare Advantage + Part D plans. Specialized offerings include Chronic Condition Special Needs Plans (C-SNP) for diabetes, cardiovascular disease, chronic heart failure, and COPD, as well as Dual Special Needs Plans (D-SNP) for members with Medicare and Medicaid. The portfolio includes supplemental benefits such as OTC allowances ($0-$130/month), SilverSneakers® fitness membership, Active Fitness programs ($500/year), Part B premium refunds (up to $185/month), Everyday Options Allowance ($70-$200/month), Personal Emergency Response System, and preventive services. Support programs include Disease Management, Case Management, and Utilization Management services.

Differentiator

Problem solved

Functional benefit

Products and services

• Medicare Advantage Plans

Quantifiable outcome

• CMS 4.5-Star Rating for 2026 quality, care, and member satisfaction
• +2 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Four partnerships are on record, tiered core.

• Tivity Health (SilverSneakers)coreStrategic or Co-development Partner · 1 January 2026SilverSneakers fitness program is provided by Tivity Health, an independent company. Freedom Health offers SilverSneakers membership at no cost to members as part of their plan benefits. Home fitness kits are also available through this partnership.
• Centers for Medicare & Medicaid Services (CMS)coreOthers · 1 January 2026Freedom Health is an HMO with a Medicare contract from CMS. The company operates Medicare Advantage plans evaluated annually under CMS's 5-star rating system. Enrollment depends on contract renewal.
• Florida Medicaid ProgramcoreOthers · 1 January 2026Freedom Health has a contract with the state of Florida Medicaid program to serve dual-eligible beneficiaries who qualify for both Medicare and Medicaid benefits.
• National Committee for Quality Assurance (NCQA)coreOthers · 1 January 2026NCQA approved Freedom Health to operate as a Chronic Condition Special Needs Plan (C-SNP) and Dual Special Needs Plan (D-SNP) through 2026 based on review of the company's Model of Care.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Emerging players

• Devoted Health: Devoted Health is a growth-stage Medicare Advantage insurer expanding in Florida with HMO products focused on seniors. It is an emerging challenger competing for the same dual-eligible and standard MA populations as Freedom Health.
• Clover Health: Clover Health offers Medicare Advantage plans with a tech-enabled care management focus and has a Florida presence. It competes with Freedom Health on HMO products serving Medicare-eligible seniors in overlapping counties.
• Alignment Health: Alignment Healthcare is a technology-driven Medicare Advantage insurer that has expanded into Florida. It targets similar senior populations with HMO plans and comparable supplemental benefits including OTC allowances.

Direct peers

• Aetna: Aetna (CVS Health) sells Medicare Advantage HMO and D-SNP plans in Florida counties that overlap Freedom Health's footprint. It targets similar Medicare and dual-eligible populations with comparable supplemental benefits.
• Molina Healthcare: Molina Healthcare provides government-sponsored health plans including Medicare Advantage and D-SNP products in Florida. It targets dual-eligible and low-income seniors with similar value-based benefit designs to Freedom Health.
• Cigna Healthcare: Cigna offers Medicare Advantage HMO plans in Florida and competes with Freedom Health for Medicare-eligible seniors, including on supplemental benefits and provider network breadth.
• UnitedHealthcare: UnitedHealthcare is the largest U.S. Medicare Advantage carrier and a major Florida MA competitor with AARP-branded plans. It overlaps Freedom Health on HMO, HMO-POS, and SNP products targeting the same Florida senior population.
• WellCare: WellCare, now part of Centene, is a leading Medicare Advantage and D-SNP carrier with significant Florida presence. It is a direct competitor on government-sponsored managed care products, especially dual-eligible plans.
• Florida Blue: Florida Blue (Blue Cross and Blue Shield of Florida) is the incumbent Florida-domestic health plan offering Medicare Advantage HMO and PPO products. It competes head-to-head with Freedom Health across the same 24+ Florida counties.
• Humana: Humana is the largest Medicare Advantage insurer in Florida and a national MA leader. It directly competes with Freedom Health for the same Medicare-eligible Florida seniors with HMO and PPO products and similar supplemental benefits.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/freedom-health

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

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 Freedom Health