MediGold
MediGold operates Trinity Health Plan New York, a $0 premium Medicare Advantage HMO serving Medicare-eligible beneficiaries in select New York counties via brokers, phone advisors, seminars, and an online plan shopping portal.
- Company typePrivate
- Founded1997
- HeadquartersColumbus, United States
- Headcount251–500
- GTM typeB2C
- OfferingServices
What MediGold does
MediGold operates Trinity Health Plan New York, a Medicare Advantage HMO offered to Medicare-eligible beneficiaries in select counties of New York State. The legal entity is Trinity Health Plan New York, headquartered at 3100 Easton Square Place, Suite 300, Columbus, Ohio, doing business as MediGold. The core product is a $0 premium Medicare Advantage plan designed by physicians that bundles hospital, medical, and Part D prescription drug coverage into a single plan, supplemented by member, provider, and broker portals, a formulary/pharmacy network, and billing and financial assistance tooling.
The company is a privately held Medicare Advantage organization operating under a CMS Medicare contract, with HIPAA-regulated operations and compliance obligations tied to contract renewal. Its distribution model is multi-channel: licensed insurance brokers (supported by a dedicated broker site), inside-sales Medicare advisors reachable 1-800-964-4525 from 8 a.m. to 8 p.m. seven days a week, community Medicare seminars, and a self-service online plan shopping portal (destinationrx.com) for plan year 2026. Patient and provider customer service lines, Spanish-language assistance, and an appeals and grievances function indicate a fully operational carrier infrastructure.
Revenue mechanics are consistent with a standard Medicare Advantage HMO: capitation payments from CMS, with no member premium on the base plan ($0), and per-member, per-month economics that depend on enrollment volume, risk-adjustment accuracy, and medical loss ratio. The organization positions itself as mission-driven and locally rooted, leveraging the Trinity Health brand and a contracted network of local hospitals and physicians as primary differentiators, alongside multilingual and seven-day customer service.
MediGold firmographics
Firmographics- Name
- MediGold
- Legal name
- Trinity Health Plan New York
- Website
- https://medigold.com
- Company type
- Private
- Founded year
- 1997
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- MediGold operates Trinity Health Plan New York, a $0 premium Medicare Advantage HMO serving Medicare-eligible beneficiaries in select New York counties via brokers, phone advisors, seminars, and an online plan shopping portal.
- Ownership category
- akta.pro rank
MediGold industry classification
Industry- Product category
- Medicare Advantage Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114)
- SIC
- Accident & Health Insurance (6321)
- akta.pro primary industry
- Medicare Advantage HMOs (HMO/HMO-POS) (HLAEAMAH)
- akta.pro secondary industries
- Medicare Advantage (MA) Plans (FSAIAGAA), MA Prescription Drug Plans (MA-PD) (HLAEACAF), MA Provider-Sponsored/Payvider MA Plans (HLAEACAJ)
Keywords
Where MediGold is headquartered
LocationHeadquarters
- HQ city
- Columbus
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
MediGold business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Others
Revenue model
- Medicare Advantage Premiums: The company generates revenue through Medicare Advantage plan premiums paid by beneficiaries, with plans designed as all-in-one Medicare Advantage offerings including hospital, medical, and prescription drug coverage.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | $0 premium Medicare Advantage plan |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels5 records
MediGold product offering
Product offeringCore offering
MediGold operates Trinity Health Plan New York (HMO), a $0-premium Medicare Advantage plan that bundles hospital, medical, and Part D prescription drug coverage into a single all-in-one product for Medicare-eligible beneficiaries in select New York counties. The plan is built around a contracted local network of hospitals and physicians and is sold and serviced via phone advisors, licensed insurance brokers, an online plan shopping site, and community Medicare seminars.
Product overview
MediGold operates Trinity Health Plan New York, a Medicare Advantage HMO plan offering a $0 premium, all-in-one Medicare coverage designed by doctors. The product portfolio centers on the core Trinity Health Plan New York (HMO) product, supplemented by member-facing services including a Member Portal for coverage management, Prescription Drug Benefits with formulary and pharmacy network access, and Billing and Financial Assistance tools. Provider-facing offerings include a Provider Portal for care coordination. Additionally, Broker Services support insurance brokers in comparing and enrolling clients. The plan emphasizes comprehensive coverage through a local network of hospitals and physicians, with compassionate, locally-based customer service.
Differentiator
Problem solved
Functional benefit
Products and services
- Trinity Health Plan New York (HMO) A $0 premium Medicare Advantage HMO plan designed by doctors, providing all-in-one coverage including hospital, medical, and prescription drug benefits through a network of local hospitals and physicians for Medicare-eligible beneficiaries in select New York counties.
Companies that use MediGold
Customer profileSegments3 records
Ideal customer profiles3 records
MediGold technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
MediGold partnerships and signals
Strategic signalScale indicators1 record
Recent moves5 records
Expansion highlights4 records
MediGold competitors and assessment
Company assessmentBroad incumbents
- Cigna Group: Sells Medicare Advantage plans through its Evernorth health services arm, including HMO products in select geographies. Competes with MediGold in overlapping NY markets and shares a focus on integrated medical and pharmacy benefits.
- Molina Healthcare: Government-focused managed care company offering Medicare Advantage HMO plans in select states. Comparable to MediGold as a mission-driven, low-overhead health plan with a focus on Medicare and Medicaid dual-eligible populations.
- Centene Corporation: Operates WellCare Medicare Advantage plans nationally, including in NY. Targets value-conscious seniors similar to MediGold's positioning, with comparable benefit designs and broker-led distribution.
- Humana: Second-largest US Medicare Advantage insurer with strong primary care physician partnership orientation ("CenterWell"). Competes with MediGold in NY for MA beneficiaries, with deeper provider integration capabilities and stronger broker relationships.
- Elevance Health (Anthem Blue Cross Blue Shield): Operates Blue Cross Blue Shield plans in NY offering Medicare Advantage products. Highly comparable to MediGold as a multi-state MA carrier with strong provider network affiliations and established broker channels.
- Aetna (CVS Health): National MA carrier leveraging CVS retail footprint and integrated pharmacy benefits. Directly competes with MediGold in NY markets and offers HMO/PPO products with embedded Part D, similar in core benefit structure to Trinity Health Plan New York.
- UnitedHealthcare (Medicare & Retirement): Largest US Medicare Advantage carrier with national footprint, offering HMO, PPO, and SNP products. Operates in NY alongside MediGold and competes for the same Medicare-eligible beneficiaries, but at vastly greater scale and with broader plan portfolios.
Direct peers
- Healthfirst: NY-based not-for-profit Medicare Advantage and Medicaid managed care plan serving New York City and surrounding counties. Directly comparable to MediGold as a regional mission-driven HMO competing for the same NY Medicare beneficiaries via broker and community channels.
- EmblemHealth: NY-based not-for-profit health insurer offering Medicare Advantage HMO and PPO plans. Closest direct competitor to MediGold given overlapping NY geography, mission-driven positioning, and similar broker-led distribution strategy.
Regional players
- Independent Health: Western New York-based not-for-profit health plan offering Medicare Advantage HMO products. Comparable to MediGold as a regionally focused, mission-driven MA plan with strong provider network affiliations, though operating in a different NY geography.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
MediGold social profiles
Digital presenceMediGold compliance and trust
Trust signalCompliance2 records
MediGold financial estimates
Financial estimateRevenue estimate
Valuation estimate
MediGold leadership team
Management profileNumber of profiles
MediGold funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
MediGold 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 MediGold
What does MediGold do?
MediGold operates Trinity Health Plan New York (HMO), a $0-premium Medicare Advantage plan that bundles hospital, medical, and Part D prescription drug coverage into a single all-in-one product for Medicare-eligible beneficiaries in select New York counties. The plan is built around a contracted local network of hospitals and physicians and is sold and serviced via phone advisors, licensed insurance brokers, an online plan shopping site, and community Medicare seminars.
Is MediGold a public or private company?
MediGold is a private company. It is classified as unknown and is currently operating.
When was MediGold founded?
MediGold was founded in 1997. It employs 251 to 500 people.
Where is MediGold based?
MediGold is headquartered in Columbus, United States, in the North America region.
How does MediGold make money?
One revenue line is on record: medicare Advantage Premiums.
Who are MediGold's main competitors?
Broad incumbents on record are Cigna Group, Molina Healthcare, Centene Corporation, Humana, Elevance Health (Anthem Blue Cross Blue Shield), Aetna (CVS Health) and UnitedHealthcare (Medicare & Retirement). Direct peers are Healthfirst and EmblemHealth. Independent Health is listed as a regional player.
Does MediGold have an API?
No public API is recorded for MediGold.
What industry is MediGold in?
MediGold's product category is Medicare Advantage Insurance. Its primary akta.pro industry code is HLAEAMAH, Medicare Advantage HMOs (HMO/HMO-POS), with a secondary code of FSAIAGAA, Medicare Advantage (MA) Plans. Its NAICS code is 524114 and its SIC code is 6321.