AvMed
- Company typePrivate
- Founded1969
- HeadquartersMiami, United States
- Headcount501–1,000
- GTM type—
- OfferingServices
AvMed firmographics
Firmographics- Name
- AvMed
- Legal name
- AvMed, Inc.
- Website
- https://avmed.org
- Company type
- Private
- Founded year
- 1969
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Ownership category
- akta.pro rank
AvMed industry classification
Industry- Product category
- Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411), Insurance Carriers (5241)
- SIC
- Accident & Health Insurance (6321), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Group HMO Plans (FSAIAFAK)
- akta.pro secondary industries
- Medicare Advantage HMOs (HMO/HMO-POS) (HLAEAMAH), Self-Funded (ASO) Group Health Plans & Stop-Loss (FSAIAFAB), MA Employer Group Waiver Plans (EGWP) (HLAEACAH)
Keywords
Where AvMed is headquartered
LocationHeadquarters
- HQ city
- Miami
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
AvMed business model
Business model- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Health Insurance Premiums: AvMed generates revenue primarily through收取健康保险费 from individuals, families, and employer groups. Members pay monthly premiums for health coverage including medical, pharmacy, and wellness benefits. The company is a not-for-profit health plan, with revenues used to fund operations and member services.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Entrust (HMO) - Subsidy-Eligible Plan |
| Subscription | Monthly | Engage (HMO) - Copay-Based Plan |
| Subscription | Monthly | Empower (POS) - Broad Network Plan |
| Subscription | Monthly | Entrust Plus (POS) - Flexible Network Plan |
| Subscription | Monthly | Active & Fit DIRECT Gym Membership |
| Other | Annual | HealthyWorks Employer Incentive Program |
Go-to-market motion2 records
Distribution channels7 records
Marketing channels6 records
AvMed product offering
Product offeringCore offering
AvMed is a Florida-based not-for-profit health insurance company that sells Individual & Family Plans (Entrust HMO, Engage HMO, Empower POS, Entrust Plus POS) and Employer Group Plans segmented by size (Elect/Flex/Elite for small groups, Achieve/Aim/Choice for large groups, plus ASO self-funded options). The company also offers Medicare Advantage plans, pharmacy benefits, wellness programs (WELLfluent, MyLife MyPlan, HealthyWorks), case and disease management, virtual visits, HSA/HRA accounts, and member/employer/agent self-service portals.
Product overview
AvMed is a Florida-based not-for-profit health insurance company offering Individual and Family Plans and Employer Group Plans. Individual & Family Plans include four main products: Entrust (HMO-subsidy eligible), Engage (HMO-copay-based), Empower (POS-broad network), and Entrust Plus (POS). Employer Group Plans are segmented by employer size: Small Group (2-50 employees) with Elect HMO, Flex POS, and Elite POS; Large Group (51+ employees) with Achieve HMO, Aim HMO, and Choice POS. Additional products and services include HSA/HRA accounts managed through Health Equity, the AvMed Mobile App for iOS/Android, Virtual Visits via MDLive, SmartShopper cost comparison tool, WELLfluent wellness program, HealthyWorks employer incentive program, Case Management Programs for complex conditions, Disease Management for chronic conditions, Rx Saving Solutions for prescriptions, and Nurse On Call 24/7 support. Members access services through Member Portal, Employer Portal, and Agent Broker Portal. AvMed was acquired by Sentara Healthcare in January 2023.
Differentiator
Problem solved
Functional benefit
Brands
- Entrust: Subsidy-eligible HMO plan with affordable protection and over 55 plan options.
- Engage
- Empower
- Entrust Plus
Products and services
- Entrust (HMO) Subsidy-eligible HMO Individual & Family health plan with affordable protection, copays as low as $0-$10 for primary care, deductibles starting at $0, and $0 virtual visits. Available to individuals and families in Florida.
- Engage (HMO) Copay-based HMO Individual & Family plan centered on a Primary Care Physician providing coordinated healthcare with predictable copays for individuals and families in Florida.
- Empower (POS) Flexible point-of-service Individual & Family plan offering network and cost-share flexibility with ability to see both in and out-of-network providers across 31 Florida counties.
- Entrust Plus (POS) Flexible POS Individual & Family plan offering a larger provider network across Florida with no referral needed for specialist visits and deductibles as low as $0 for individuals.
- AvMed Elect (HMO) Small group HMO Employer Group plan (2-50 employees) providing access to select network of providers throughout 52 Florida counties with patient-centered care emphasizing PCP coordination.
- AvMed Flex (POS) Small group POS Employer Group plan (2-50 employees) with access to providers in 22 Florida counties with PCP coordination and out-of-network benefit for nationwide access.
- AvMed Elite POS Small group POS Employer Group plan with access to select network of providers throughout 52 Florida counties with out-of-network benefit for nationwide access.
- AvMed Achieve (HMO) Large group HMO Employer Group plan (51+ employees) designed around patient-centered care with PCP partnership and no referral required for specialist access.
- AvMed Aim (HMO) Large group HMO Employer Group plan for South Florida employers with 51-99 eligible employees providing access to Miami-Dade, Broward and Palm Beach counties providers.
- AvMed Choice (POS) Versatile large group POS Employer Group plan (51+ employees) with network flexibility and tiered cost share options through PHCS partnership for nationwide provider access.
- AvMed Self-Funded Options (ASO) Administrative Services Only program for large group employers offering greater choice and flexibility with local ASO account management, provider networks, eligibility and claims administration.
- AvMed Medicare Advantage Plans Medicare Advantage plans (Medicare Part C and Part D) for Florida Medicare-eligible beneficiaries, receiving 4.5 out of 5 stars from CMS in the 2025 Star Ratings.
- MyLife MyPlan Wellness Program Comprehensive personalized wellness program designed to help AvMed members take a more active role in their health, supporting member health and well-being.
- WELLfluent Wellness Program Trademarked wellness program providing free fitness resources, nutrition guidance, and social activities to help AvMed members get active and live healthier lifestyles.
- HealthyWorks Employer Wellness Program Employer incentive program rewarding businesses with 51+ fully-insured employees up to 10% back on premiums for participating in wellness initiatives including smoking cessation and healthy lifestyle programs.
- AvMed Mobile App Mobile application for iOS and Android enabling AvMed members to manage health plans, view digital ID cards, access virtual care, file claims, check deductibles, search providers, and utilize wellness tools.
- Member Portal Secure online self-service portal for AvMed members to file claims, view ID cards, check deductibles, update contact information, and access plan details.
- Employer Portal Self-service portal for employer groups to manage benefits, view member information, access employer group tools, and reporting resources.
- Agent Broker Portal Secure online portal for independent insurance agents to manage their book of business, access quoting and enrollment tools for AvMed group and individual products, and track commissions.
Quantifiable outcome
- AvMed has ranked #1 for customer satisfaction in Florida by J.D. Power for consecutive years, with improved index scores across all core dimensions
- +3 more outcomes
Companies that use AvMed
Customer profileNamed customers2 records
Segments4 records
Ideal customer profiles4 records
AvMed technology and API
TechnologyTechnology focussed No
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration10 records
Feature7 records
AvMed partnerships and signals
Strategic signalPartnerships
14 partnerships are on record, tiered core, flagship and general.
- Mount Sinai Medical CentercoreAvMed strengthened its provider network with the addition of Mount Sinai Medical Center, a top 5% hospital in the nation. This allows Medicare Advantage, Group, and Family and Individual Plan members access to this premier healthcare facility.
- Sentara HealthcareflagshipAvMed, Inc. was acquired by Sentara Healthcare in January 2023. Sentara Healthcare is one of the largest not-for-profit integrated health care delivery systems in the U.S. Mid-Atlantic region. This acquisition positions AvMed as part of a larger healthcare system while maintaining its Florida operations and member focus.
- Rx Savings SolutionscoreAvMed partnered with Rx Savings Solutions, a market-leading prescription transparency tool, to help its members save money on prescription drugs. The partnership provides members with offers and alerts to reduce out-of-pocket prescription costs.
- Memorial Healthcare SystemcoreMultiyear agreement renews partnership with Memorial Healthcare System, providing the South Florida community with high quality, affordable healthcare through a broad network of providers, clinics, outpatient centers and hospitals throughout Broward County.
- Health EquitycoreAvMed partners with Health Equity to manage Health Savings Accounts (HSAs) paired with HSA-qualified high-deductible health plans. Health Equity provides online consumer tools, VISA debit cards for HSA funds, and rollover of funds year to year.
- PHCS/MultiplancoreAvMed partners with PHCS (Multiplan) to provide nationwide network access for Choice plan members, enabling out-of-network benefits at different levels of out-of-pocket costs through a nationwide network of healthcare providers.
- HealthsparqgeneralAvMed uses Healthsparq for provider directory and facility search functionality, allowing members to find local care covered under their AvMed plans, including primary care, specialists, hospitals, and urgent care facilities.
- MDLivecoreAvMed partners with MDLive to provide Virtual Visits, offering real-time access to interactive consultations with board-certified physicians from computers or smartphones, anytime, anywhere.
- Active & Fit DIRECTgeneralAvMed offers Active & Fit DIRECT program providing gym memberships from $28/month as a member benefit included in certain health plans, supporting member wellness and fitness goals.
- SmartShoppergeneralSmartShopper is a powerful tool that rewards eligible AvMed members with cash back when they choose the best care at the best price, helping members make cost-conscious healthcare decisions.
- AvailitycoreAvMed partners with Availity for provider portal functionality, enabling providers to check eligibility, submit claims, and manage authorizations through a standardized digital platform.
- ZelisgeneralAvMed partners with Zelis for payment solutions, providing the ePayment Center for providers to access full payment details, enrollment for ACH payments, and payment management.
- Express ScriptscoreAvMed uses Express Scripts for pharmacy benefits management, providing members with access to covered drug lists, pharmacy search, mail order pharmacy services, and prescription drug coverage through a comprehensive formulary system.
- OptumgeneralAvMed provides Optum resources for behavioral health provider training and support, helping providers address mental and emotional health issues within the AvMed network.
Scale indicators8 records
Recent moves8 records
Expansion highlights5 records
AvMed competitors and assessment
Company assessmentBroad incumbents
- Cigna: National carrier with employer group and individual health products, including Florida. Competes for AvMed's large employer group business and offers PPO/POS alternatives where AvMed's HMO-heavy portfolio is thinner.
- Aetna (CVS Health): National carrier offering individual, employer group, and Medicare plans, including Florida. Overlaps with AvMed's employer group and Medicare Advantage products and brings broader national scale to Florida bids.
- Centene Corporation: Government-program-focused national insurer with Florida Medicaid and Marketplace presence. Comparable to AvMed on ACA Marketplace product design and competes for individual and dual-eligible members in Florida.
- UnitedHealthcare (UnitedHealth Group): Largest U.S. health insurer offering individual, group, Medicare, and Medicaid products with a meaningful Florida presence. Competes across all of AvMed's segments and across all Florida counties with substantially greater scale and brand spend.
Direct peers
- Molina Healthcare: Government-program-focused health plan with significant Florida Medicaid and Marketplace presence. Comparable to AvMed in scale and mission-driven orientation, and competes for individual ACA Marketplace and government-segment membership in Florida.
- Florida Blue: Blue Cross Blue Shield of Florida — the largest Florida-domiciled health insurer offering individual, group, and Medicare plans across the state. Most direct competitor to AvMed given shared Florida focus, similar product mix (HMO/POS), and overlapping provider networks.
- Humana: Major Medicare Advantage-dominant carrier with a very large Florida MA footprint. Directly comparable to AvMed on HMO/MA product design and Florida market presence, and a primary competitor for senior membership and group MA contracts.
Emerging players
- Clover Health: Medicare Advantage insurer with a small Florida footprint and a tech-enabled, clinical-first operating model. Competes with AvMed in the Florida MA market with a primary-care-centric, narrower-network approach.
- Oscar Health: Tech-enabled ACA Marketplace-focused insurer with a growing Florida presence. Competes against AvMed's Entrust/Empower individual products with a digitally-native member experience and narrower-network strategies.
- Alignment Healthcare: Medicare Advantage-focused plan with selective Florida expansion. Comparable to AvMed on HMO MA product structure and senior-segment focus, with a tech-forward operating model targeting the same MA demographic.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
AvMed social profiles
Digital presenceAvMed compliance and trust
Trust signalCompliance6 records
AvMed financial estimates
Financial estimateRevenue estimate
Valuation estimate
AvMed leadership team
Management profileNumber of profiles
Profiles2 records
AvMed funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
AvMed 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 AvMed
What does AvMed do?
AvMed is a Florida-based not-for-profit health insurance company that sells Individual & Family Plans (Entrust HMO, Engage HMO, Empower POS, Entrust Plus POS) and Employer Group Plans segmented by size (Elect/Flex/Elite for small groups, Achieve/Aim/Choice for large groups, plus ASO self-funded options). The company also offers Medicare Advantage plans, pharmacy benefits, wellness programs (WELLfluent, MyLife MyPlan, HealthyWorks), case and disease management, virtual visits, HSA/HRA accounts, and member/employer/agent self-service portals.
Is AvMed a public or private company?
AvMed is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was AvMed founded?
AvMed was founded in 1969. It employs 501 to 1,000 people.
Where is AvMed based?
AvMed is headquartered in Miami, United States, in the North America region.
How does AvMed make money?
One revenue line is on record: health Insurance Premiums.
Who are AvMed's main competitors?
Broad incumbents on record are Cigna, Aetna (CVS Health), Centene Corporation and UnitedHealthcare (UnitedHealth Group). Direct peers are Molina Healthcare, Florida Blue and Humana. Emerging players are Clover Health, Oscar Health and Alignment Healthcare.
Does AvMed have an API?
Yes. AvMed offers a public API ecosystem for interoperability compliance with CMS-9115-F. Includes Patient Access API (claims, encounter, and clinical data), Provider Directory Search API (capability statement and metadata), and Formulary Drug API. All data published in machine-readable JSON format for provider network and prescription formulary content per ACA requirements. Supports third-party app developers with sandbox and production environments. Compliance with Federal Interoperability and Patient Access final rule for AvMed Entrust and Medicare members. Developer documentation is at myfhir.avmed.org/provider/metadata.
What industry is AvMed in?
AvMed's product category is Health Insurance. Its primary akta.pro industry code is FSAIAFAK, Group HMO Plans, with a secondary code of HLAEAMAH, Medicare Advantage HMOs (HMO/HMO-POS). Its NAICS code is 524114 and its SIC code is 6321.