MediExcel Health Plan
MediExcel Health Plan is a California-licensed HMO providing cross-border health benefits to employers in San Diego and Imperial County, delivering primary, specialty, dental, and vision care through its Excel Hospital and MediExcel Medical Group network in Mexico at roughly one-third the cost of traditional HMOs.
- Company typePrivate
- Founded1993
- HeadquartersChula Vista, United States
- Headcount251–500
- GTM typeB2B
- OfferingServices
What MediExcel Health Plan does
MediExcel Health Plan, operating as MEDI-EXCEL S.A. de C.V., is a California-licensed, ACA-compliant HMO that sells cross-border health benefits to employers in San Diego and Imperial County, with primary, specialty, dental, and vision care delivered through a wholly-owned and partnered provider network in Mexico. The core technology is a cross-border care coordination platform that links US emergency and urgent care networks (San Diego and Imperial County, including the largest US urgent care network in the region) with primary and specialty care delivery at Excel Hospital in Tijuana and MediExcel Medical Group facilities in Mexicali, supplemented by member, provider, broker, and client access portals and EDI feed capabilities. The product portfolio comprises Platinum and Gold tier small-group HMO plans (P5, P10, Platinum 90, Gold 80), large-group HMO plans (VP5, VP10, VP20, MEP, QEP), dental plans (D100, D200) with $0 preventive copays and no annual maximum, and a vision plan (V100), all available as standalone coverage or wrapped alongside any existing US HMO carrier.
The business model is subscription recurring premium revenue billed monthly to employers, with pricing positioned at roughly one-third the cost of traditional HMOs and quotes generated on a per-employer basis. Go-to-market is hybrid: 300+ appointed brokers drive the majority of distribution supported by a dedicated broker portal, complemented by an in-house direct sales team, inside sales for small and large group quotes, a self-serve Client Access Portal, and walk-in service at the Chula Vista office. MediExcel serves over 1,200 employer clients and 16,000 members across small (under 100 employees) and large (101+) group segments, with named customers spanning environmental services, hospitality, and logistics industries. The company is privately held with no disclosed external funding, is licensed by the California Department of Managed Health Care, and has held the lowest-complaint ranking among California health plans for seven consecutive years (2016-2023).
MediExcel Health Plan firmographics
Firmographics- Name
- MediExcel Health Plan
- Legal name
- MEDI-EXCEL S.A. de C.V.
- Website
- https://mediexcel.com
- Company type
- Private
- Founded year
- 1993
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- MediExcel Health Plan is a California-licensed HMO providing cross-border health benefits to employers in San Diego and Imperial County, delivering primary, specialty, dental, and vision care through its Excel Hospital and MediExcel Medical Group network in Mexico at roughly one-third the cost of traditional HMOs.
- Ownership category
- akta.pro rank
Where MediExcel Health Plan is headquartered
LocationHeadquarters
- HQ city
- Chula Vista
- HQ country
- United States
- HQ region
- North America
Offices5 records
Markets served
MediExcel Health Plan business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Employer Health Plan Premiums: MediExcel generates revenue through employer premium payments for medical, dental, and vision plans. Plans are offered as small group (under 100 employees) and large group (101+ employees) with Platinum and Gold tier options. Plans can be offered alongside existing U.S. carriers or as standalone coverage.
- Voluntary Benefits: Voluntary medical, dental, and vision options for small and large groups where employee contributions fund additional coverage beyond employer-sponsored plans.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Small Group Platinum HMO Plans - P5, P10, Platinum 90 |
| Subscription | Monthly | Small Group Gold HMO Plans - Gold 80 |
| Subscription | Monthly | Large Group HMO Plans - VP5, VP10, VP20, MEP, QEP |
| Subscription | Monthly | Dental Plans - D100, D200 |
| Subscription | Monthly | Vision Plan - V100 |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels8 records
MediExcel Health Plan product offering
Product offeringCore offering
MediExcel Health Plan sells cross-border HMO health benefits to employers in San Diego and Imperial County, with primary and specialty care delivered in Mexico through Excel Hospital in Tijuana and MediExcel Medical Group in Mexicali. The portfolio includes Platinum and Gold tier medical plans for small and large groups, voluntary dental and vision plans, plus urgent and emergency care coverage on both sides of the border. Plans can be offered alongside an existing U.S. carrier or as standalone coverage and are distributed primarily through a 300+ broker channel.
Product overview
MediExcel Health Plan is a California-licensed, ACA-compliant HMO specializing in cross-border healthcare for companies in San Diego and Imperial County, with care delivery in Mexico. The product portfolio consists of Medical plans (Platinum and Gold tier HMOs), Dental plans (D100 and D200), and Vision plans (V100). Medical plans are structured into Small Group Plans (P5, P10, Platinum 90, Gold 80 for companies under 100 employees) and Large Group Plans (VP5, VP10, VP20, MEP, QEP for 101+ employees). Plans are offered as standalone or alongside existing U.S. carriers, with voluntary options available. Core delivery is at Excel Hospital in Tijuana and MediExcel Medical Group in Mexicali, with emergency/urgent care coverage extending to San Diego, Imperial County, and worldwide.
Differentiator
Problem solved
Functional benefit
Products and services
- P5 Platinum HMO Plan
Quantifiable outcome
- One-third the cost of traditional HMOs
- +3 more outcomes
Companies that use MediExcel Health Plan
Customer profileNamed customers3 records
Segments4 records
Ideal customer profiles3 records
MediExcel Health Plan technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
Feature5 records
MediExcel Health Plan partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Excel HospitalcoreExcel Hospital is the center of MediExcel's provider network, established in 1993 as the first Heart Center in Tijuana and first to perform open-heart surgery in Baja California. It is a full-service, 24-hour medical center certified by the Mexican General Health Council with 60 beds across six floors.
Scale indicators9 records
Recent moves6 records
Expansion highlights6 records
MediExcel Health Plan competitors and assessment
Company assessmentBroad incumbents
- Aetna: Aetna (a CVS Health company) is a major national health insurer offering employer-sponsored HMO and PPO plans in California. It competes indirectly with MediExcel for national accounts with cross-border workforces and benefits from CVS Health's broader care delivery footprint.
- Blue Shield of California: Blue Shield of California is a major California health insurer offering HMO, PPO, and other products to employer groups throughout the state. It serves as a broad incumbent competing for the same San Diego/Imperial County employer market with substantially larger network and brand recognition.
- Kaiser Permanente: Kaiser Permanente is the largest integrated HMO in California with millions of members, offering employer-sponsored plans across the state. It represents the dominant broad incumbent that MediExcel competes against indirectly for large employer group business and for the same San Diego workforce pool.
- Health Net: Health Net is a California-based health plan offering HMO and other products to employer groups across the state. It is a broad incumbent competing for small and large group business in MediExcel's geographic market with established provider networks on the U.S. side.
- Anthem Blue Cross: Anthem Blue Cross is one of California's largest health insurers, offering HMO and other products to employer groups statewide. It competes for the same large employer customers as MediExcel but with broader national network coverage and significantly greater brand recognition among enterprise benefits buyers.
- UnitedHealthcare: UnitedHealthcare is the largest U.S. health insurer with significant California presence and employer-sponsored HMO products. It represents the most significant competitive threat if it were to launch dedicated cross-border HMO products targeting the binational workforce.
Direct peers
- Sharp Health Plan: Sharp Health Plan is a San Diego-based HMO serving commercial employer groups in the same geographic market as MediExcel. It competes for the same small and large group employer customers in San Diego and Imperial County, though without MediExcel's cross-border Mexico-based cost advantage or vertically integrated hospital.
- SIMNSA: SIMNSA is a cross-border HMO operating in the San Diego/Tijuana border region, providing health plans to U.S. employers with Mexican workforces and operating its own hospital network in Tijuana. It is the most direct competitor to MediExcel, offering a near-identical binational healthcare delivery model targeting the same employer customer segment.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
MediExcel Health Plan social profiles
Digital presenceMediExcel Health Plan compliance and trust
Trust signalCompliance2 records
MediExcel Health Plan financial estimates
Financial estimateRevenue estimate
Valuation estimate
MediExcel Health Plan leadership team
Management profileNumber of profiles
Profiles7 records
MediExcel Health Plan subsidiaries and ownership
Company hierarchySubsidiaries1 record
MediExcel Health Plan funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
MediExcel Health Plan 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 MediExcel Health Plan
What does MediExcel Health Plan do?
MediExcel Health Plan sells cross-border HMO health benefits to employers in San Diego and Imperial County, with primary and specialty care delivered in Mexico through Excel Hospital in Tijuana and MediExcel Medical Group in Mexicali. The portfolio includes Platinum and Gold tier medical plans for small and large groups, voluntary dental and vision plans, plus urgent and emergency care coverage on both sides of the border. Plans can be offered alongside an existing U.S. carrier or as standalone coverage and are distributed primarily through a 300+ broker channel.
Is MediExcel Health Plan a public or private company?
MediExcel Health Plan is a private company. It is classified as unknown and is currently operating.
When was MediExcel Health Plan founded?
MediExcel Health Plan was founded in 1993. It employs 251 to 500 people.
Where is MediExcel Health Plan based?
MediExcel Health Plan is headquartered in Chula Vista, United States, in the North America region.
How does MediExcel Health Plan make money?
Two revenue lines are on record. Employer Health Plan Premiums are the primary driver. The others are voluntary Benefits.
Who are MediExcel Health Plan's main competitors?
Broad incumbents on record are Aetna, Blue Shield of California, Kaiser Permanente, Health Net, Anthem Blue Cross and UnitedHealthcare. Direct peers are Sharp Health Plan and SIMNSA.
Does MediExcel Health Plan have an API?
No public API is recorded for MediExcel Health Plan.