Passport Health Plan
Passport by Molina Healthcare is a Kentucky-based managed care organization administering Medicaid, Medicare Advantage, and ACA Marketplace health plans for state residents. Founded in 1997 and acquired by Molina Healthcare (NYSE: MOH) in 2021, it operates as a regional brand within a publicly traded parent.
- Company typePublic
- Founded1997
- HeadquartersLouisville, United States
- Headcount501–1,000
- GTM typeB2C
- OfferingServices
What Passport Health Plan does
Passport Health Plan is a Kentucky-based managed care organization founded in 1997, originally structured as a local nonprofit administering Medicaid benefits. In 2021 the company was acquired by Molina Healthcare, Inc. (NYSE: MOH) and now operates as the regional brand "Passport by Molina Healthcare." Its core business is administering government-sponsored health insurance products for Kentucky residents, with a portfolio that includes Medicaid managed care, Medicare Advantage (Passport Medicare), and Affordable Care Act Marketplace plans. The customer base comprises individual Medicaid and Medicare beneficiaries in Kentucky, the healthcare providers who serve them, and to a lesser extent ACA Marketplace enrollees.
The company's product and technology stack is anchored by a member-facing digital ecosystem (the MyMolina mobile app and a secure member portal) and a provider-facing administrative portal powered by Availity. Passport integrates a layered set of third-party services to deliver its benefits: MedImpact for pharmacy benefit management and claims processing, Teladoc for virtual behavioral health and therapy, Sapphire Three Sixty Five for provider directory/search, PsychHub for behavioral health education content, TruConnect for free smartphones and wireless service under the FCC Lifeline program, Vidizmo for member education video, and an internally branded Molina Help Finder community resource directory. The architecture is essentially a managed care administrative platform with digital member engagement layers rather than a proprietary technology product.
Revenue is generated through capitated premiums paid by the Kentucky state Medicaid agency, Medicare Advantage premiums from CMS, and ACA Marketplace premiums, all on subscription/recurring monthly billing cycles. Pricing is regulated by federal and state program rules, with Medicaid members typically paying $0 premiums based on income eligibility. Go-to-market is direct-to-consumer: Kentucky residents enroll through the Passport/Molina website, member services phone lines, the Inside Passport Advocates broker/advocate channel, and provider referrals. Healthcare professionals are reached separately through the Availity provider portal for credentialing, claims submission, prior authorizations, and care coordination. The firm employs 501-1,000 people and is headquartered in Louisville, Kentucky.
Passport Health Plan firmographics
Firmographics- Name
- Passport Health Plan
- Legal name
- Molina Healthcare, Inc.
- Website
- https://passporthealthplan.com
- Company type
- Public
- Founded year
- 1997
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- Passport by Molina Healthcare is a Kentucky-based managed care organization administering Medicaid, Medicare Advantage, and ACA Marketplace health plans for state residents. Founded in 1997 and acquired by Molina Healthcare (NYSE: MOH) in 2021, it operates as a regional brand within a publicly traded parent.
- Ownership category
- akta.pro rank
Where Passport Health Plan is headquartered
LocationHeadquarters
- HQ city
- Louisville
- HQ country
- United States
- HQ region
- North America
Markets served
Passport Health Plan business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Medicaid Premiums: Capitated premiums received from state government for managing Medicaid member healthcare coverage
- Medicare Premiums: Premiums from Medicare Advantage plans for Medicare-eligible members in Kentucky
- Marketplace/Exchange Premiums: Premium revenue from Affordable Care Act marketplace plan enrollments
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Medicaid plans with $0 premiums for eligible low-income members |
| Subscription | Monthly | Medicare Advantage plans with potential $0 premiums |
| Subscription | Monthly | Marketplace ACA plans with subsidized premiums |
Go-to-market motion1 record
Distribution channels5 records
Marketing channels8 records
Passport Health Plan product offering
Product offeringCore offering
Passport by Molina Healthcare administers government-sponsored health insurance plans for Kentucky residents, including Medicaid managed care, Medicare Advantage, and ACA Marketplace plans. The company delivers coordinated medical, behavioral health, pharmacy, and community support services through a network of in-state providers, complemented by digital self-service tools. It operates as a regional brand under publicly-traded Molina Healthcare, Inc.
Product overview
Passport by Molina Healthcare operates as a multi-product health insurance company offering Medicaid, Medicare, and Marketplace health plans exclusively in Kentucky. The company provides a unified portfolio anchored by its core Medicaid managed care plan and Passport Medicare Advantage plan, supplemented by ACA marketplace offerings. Digital member engagement is facilitated through the MyMolina mobile app and secure member portal, while healthcare providers access administrative functions through the Availity provider portal. The product ecosystem includes integrated pharmacy benefit management through MedImpact, telehealth services via Teladoc, community resource assistance through Molina Help Finder, and behavioral health support including crisis lines and PsychHub educational content. The overall architecture combines traditional health insurance products with digital-first service delivery to serve Medicaid recipients, Medicare beneficiaries, and Marketplace enrollees across Kentucky.
Differentiator
Problem solved
Functional benefit
Brands
- My Molina: Mobile application for members to access their health plan benefits, view health records, change doctors, and request ID cards.
- Passport Medicare
- Molina Help Finder
Products and services
- Passport Medicaid Plan Kentucky Medicaid managed care plan providing comprehensive health coverage for eligible low-income individuals and families, including doctor visits, hospital care, and preventive services.
- Passport Medicare Plan Medicare Advantage plan offering additional benefits beyond Original Medicare, including enhanced coverage, prescription drugs, and wellness programs for Kentucky seniors and eligible individuals.
- Marketplace Health Plans Affordable Care Act marketplace health insurance plans available through Molina Marketplace, providing coverage options for individuals and families not qualifying for Medicaid or Medicare.
- MyMolina Mobile App Mobile application enabling members to access health records, manage benefits, find providers, request ID cards, and connect with customer service on the go.
- Member Portal Secure online portal allowing members to view coverage details, check claims, access health records, change primary care providers, and manage account settings.
- Provider Portal (Availity) Provider-facing portal enabling health care professionals to verify member eligibility, submit prior authorizations, check claims status, and coordinate patient care.
- Molina Help Finder Community resource directory helping members find low- and no-cost social services, community programs, and support resources in their local area.
- Telehealth Services (Teladoc) Virtual healthcare consultation services connecting members with doctors and therapists via video or phone for non-emergency medical concerns and behavioral health support.
Companies that use Passport Health Plan
Customer profileSegments4 records
Ideal customer profiles4 records
Passport Health Plan technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration8 records
Feature3 records
Passport Health Plan partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered core and supporting.
- TruConnectcoreTruConnect provides free Android smartphones and wireless service to eligible Passport members through the FCC Lifeline program. This partnership addresses social determinants of health by ensuring members have connectivity for telehealth visits, pharmacy access, and emergency services.
- MedImpactcoreMedImpact provides pharmacy benefit management services including the MedImpact Rx portal and mobile app. Handles pharmacy claims processing, prior authorizations for medications, and diabetic supply management for Passport members.
- PsychHubsupportingPsychHub provides an online library of behavioral health educational videos for Passport members. Topics include addiction, anxiety, eating disorders, and insomnia, complementing the Teladoc therapy services.
- Sapphire Three Sixty FivesupportingProvider search platform enabling members to find doctors, hospitals, and pharmacies within the Passport provider network at passport.sapphirethreesixtyfive.com.
- AvailitycoreAvaility provides the provider portal for health care professionals to verify member eligibility, submit claims, check prior authorization status, and manage administrative tasks.
- Teladoc HealthsupportingTeladoc provides virtual behavioral health therapy services allowing members to connect with licensed therapists remotely via video or phone consultations.
Recent moves6 records
Expansion highlights4 records
Passport Health Plan competitors and assessment
Company assessmentBroad incumbents
- Molina Healthcare: Parent company of Passport; operates Medicaid, Medicare, and Marketplace plans across 20+ states. The parent organization itself competes with other national MCOs and provides the operational backbone and capital for Passport.
- Centene Corporation: Largest US Medicaid managed care company by membership. Competes with Molina/Passport across multiple states with comparable government-sponsored insurance focus and scale advantages.
- Elevance Health (formerly Anthem): National managed care conglomerate operating Blue Cross Blue Shield plans across multiple states including Kentucky. A broader incumbent offering Medicaid, Medicare, and commercial products at national scale.
- HCSC (Health Care Service Corporation): Large nonprofit Blue Cross Blue Shield plan operator with expanding government programs business. Comparable to Molina in its diversification across Medicaid, Medicare, and individual market plans.
Direct peers
- Aetna Better Health of Kentucky: CVS Health-owned Medicaid MCO operating in Kentucky with similar government-sponsored plan portfolio (Medicaid focus). Competes directly for Kentucky Medicaid procurement contracts and members.
- WellCare of Kentucky: Centene-owned Medicaid health plan operating in Kentucky, providing directly comparable government-sponsored insurance products and competing for state contracts.
- UnitedHealthcare Community Plan of Kentucky: UnitedHealthcare's Medicaid managed care plan in Kentucky directly competes with Passport across Medicaid, Medicare Advantage, and Dual Special Needs Plans in the same geography.
- Anthem Blue Cross and Blue Shield Kentucky: A major competitor in the Kentucky Medicaid managed care market through its Anthem Kentucky Medicaid plan. Offers comparable Medicaid, Medicare Advantage, and individual coverage in Kentucky, competing head-to-head for state contracts and members.
- Humana Healthy Horizons in Kentucky: Humana's Kentucky Medicaid managed care plan directly competes with Passport for state Medicaid contracts and members. Strong Medicare Advantage overlap makes it a multi-product competitor in the same Kentucky geography.
- CareSource Kentucky: Nonprofit managed care plan with Kentucky Medicaid operations, directly competing for the same government contracts and member populations as Passport.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
Passport Health Plan social profiles
Digital presencePassport Health Plan financial estimates
Financial estimateRevenue estimate
Valuation estimate
Passport Health Plan leadership team
Management profileNumber of profiles
Passport Health Plan funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Passport 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 Passport Health Plan
What does Passport Health Plan do?
Passport by Molina Healthcare administers government-sponsored health insurance plans for Kentucky residents, including Medicaid managed care, Medicare Advantage, and ACA Marketplace plans. The company delivers coordinated medical, behavioral health, pharmacy, and community support services through a network of in-state providers, complemented by digital self-service tools. It operates as a regional brand under publicly-traded Molina Healthcare, Inc.
Is Passport Health Plan a public or private company?
Passport Health Plan is a public company. It is classified as corporate owned and is currently operating.
When was Passport Health Plan founded?
Passport Health Plan was founded in 1997. It employs 501 to 1,000 people.
Where is Passport Health Plan based?
Passport Health Plan is headquartered in Louisville, United States, in the North America region.
How does Passport Health Plan make money?
Three revenue lines are on record. Medicaid Premiums are the primary driver. The others are medicare Premiums and marketplace/Exchange Premiums.
Who are Passport Health Plan's main competitors?
Broad incumbents on record are Molina Healthcare, Centene Corporation, Elevance Health (formerly Anthem) and HCSC (Health Care Service Corporation). Direct peers are Aetna Better Health of Kentucky, WellCare of Kentucky, UnitedHealthcare Community Plan of Kentucky, Anthem Blue Cross and Blue Shield Kentucky, Humana Healthy Horizons in Kentucky and CareSource Kentucky.
Does Passport Health Plan have an API?
No public API is recorded for Passport Health Plan.