What MedAmerica does

MedAmerica is a privately held, Pennsylvania-based insurance company that has specialized exclusively in long term care (LTC) insurance since its founding in 1987. The company issues LTC policies directly to individuals and families seeking financial protection against the cost of long term care, and also provides third-party policy administration services — including claims processing and policy management — for other insurance carriers. MedAmerica is structured as three separately domiciled entities: MedAmerica Insurance Company (home office in Pittsburgh, PA), MedAmerica Insurance Company of New York (home office in Rochester, NY, which also serves as the LTC operations center), and MedAmerica Insurance Company of Florida (home office in Orlando, FL).

The company's core technology is a long term care policy administration platform, supplemented by a Secure Document Upload portal for policyholders and a dedicated Agent Portal for licensed insurance producers. These digital tools handle routine workflows — claims submission, administrative changes, provider plans of care, and HIPAA-authorized PHI disclosure requests. There are no disclosed API offerings, AI/ML capabilities, or proprietary underwriting models.

MedAmerica makes money through recurring insurance premiums on LTC policies and, on the administration side, through service fees from carrier clients. Pricing is quote-based, varying by individual risk factors and coverage terms, and is not publicly disclosed. Distribution is handled entirely through a network of licensed insurance agents supported by dedicated phone lines, rather than direct-to-consumer channels. The company reports operational metrics including claims paid in days rather than weeks and customer satisfaction ratings above 90%.

Name

MedAmerica

Legal name

MedAmerica Insurance Company

Website

https://medamericaltc.com

Company type

Private

Founded year

1987

Operating status

Operating

Headcount range

251–500 employees

Short description

MedAmerica is a privately held, Pennsylvania-based long term care insurance carrier founded in 1987 that issues LTC policies to individuals and families and provides policy administration services for other insurance carriers, distributed through licensed agents.

Ownership category

akta.pro rank

Product category

Long Term Care Insurance

NAICS

Direct Life, Health, and Medical Insurance Carriers (52411), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Insurance Agencies and Brokerages (52421)

SIC

Accident & Health Insurance (6321), Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Medicare Plan Administration & Third-Party Services (TPA/BPO, Enrollment, Billing) (FSAIAGAI)

akta.pro secondary industry

Medicare Plan Distribution & Brokerage (Captive, Independent, FMOs) (FSAIAGAH)

Keywords

• Long term care insurance
• Insurance policy administration
• Agent-based insurance sales
• Specialty monoline insurance
• Caregiver support services

Headquarters

HQ city

Rochester

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Long Term Care Insurance Premiums: MedAmerica generates revenue through insurance premiums collected from policyholders for long term care coverage. In addition to MedAmerica-issued coverage, the company also provides policy administration services for other carriers, which may include administrative fees or service charges.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels1 record

Core offering

MedAmerica underwrites and services individual long term care insurance policies providing financial protection and care support for families facing a long term care event. In parallel, the company administers long term care insurance policies on behalf of other insurance carriers, handling underwriting support, claims, and ongoing policy servicing as a third-party administrator.

Product overview

MedAmerica operates as a long term care insurance company offering two main product lines: (1) proprietary long term care insurance policies providing direct financial protection to families, and (2) policy administration services for other carriers. The company also provides supplementary digital services including a Secure Document Upload Portal for policyholders and an Agent Portal for insurance agents. The core LTC insurance product is available across multiple states through affiliated companies (MedAmerica Insurance Company, MedAmerica Insurance Company of New York, and MedAmerica Insurance Company of Florida), while policy administration extends coverage to policies issued by partner insurance carriers.

Differentiator

Problem solved

Functional benefit

Products and services

• MedAmerica Long Term Care Insurance Individual long term care insurance policies providing financial protection and comprehensive support services for families navigating a long term care event, with claims reported to be paid in days rather than weeks; sold to individual consumers and families through a network of licensed insurance agents.
• Long Term Care Policy Administration Services Third-party administration of long term care insurance policies for other insurance carriers, handling policy servicing and claims processing for partner-issued LTC coverage; offered on a contract basis to other insurance carriers.

Quantifiable outcome

• Over 90% customer satisfaction rating
• +1 more outcomes

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators2 records

Recent moves5 records

Expansion highlights2 records

Broad incumbents

• Brighthouse Financial: Brighthouse assumed a portion of MetLife's LTC block and is active in LTC reinsurance and run-off management; relevant as a broader incumbent with LTC exposure and adjacent strategic activity.
• Prudential Financial: Prudential has an LTC insurance offering and broad life and retirement capabilities; relevant as a broad incumbent with overlapping LTC product and distribution.
• Lincoln Financial Group: Lincoln Financial writes individual LTC insurance through advisor and agent channels; comparable as a multi-line incumbent with a substantial LTC product offering.

Direct peers

• Genworth Financial: Genworth is the largest standalone long term care insurance carrier in the U.S. and MedAmerica's most direct competitor, sharing the same LTC-only underwriting focus and a multi-state licensed entity structure.
• Mutual of Omaha: Mutual of Omaha is a major LTC insurance writer with deep agent distribution and claims operations, directly comparable to MedAmerica's product line and distribution motion.
• New York Life Insurance Company: New York Life is a top-five U.S. LTC carrier with significant in-force block and agent-channel distribution; directly comparable in product offering and customer base.
• Massachusetts Mutual Life Insurance Company (MassMutual): MassMutual is a large mutual carrier with a meaningful individual LTC block and career agent distribution, structurally analogous to MedAmerica's LTC carrier-plus-distribution model.
• Northwestern Mutual: Northwestern Mutual is a leading individual LTC provider sold primarily through career agents, comparable to MedAmerica's agent-led LTC distribution model and product specialization.
• Unum Group: Unum is a major employee benefits and LTC carrier with significant LTC experience and a focus on disability and long term care products; a relevant peer for product mix and claims administration scale.
• The Long Term Care Group (LTCG): LTCG is a specialist third-party administrator and care management firm for long term care insurance — directly comparable to MedAmerica's policy administration services line for other carriers.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

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 MedAmerica