Insular Health Care

What Insular Health Care does

Insular Health Care, doing business as iCare, is a Philippine health maintenance organization founded in 1991 and headquartered in Makati City. The company underwrites and administers a portfolio of seven HMO plans — Corporate (5-1,000+ employees), SME (5-99 employees), Fee for Service, Individual, Family, and Premium (Php 5,000,000 annual hospitalization benefit) — plus a Prepaid HMO card for consumers without annual commitment. Pricing is quote-based, with annual recurring subscription revenue dominating and a usage-based Fee for Service tier. iCare sells primarily through direct enterprise sales, accredited agents and brokers, and self-service digital channels for individual and family plans.

The operational backbone combines a nationwide accredited network of 2,000+ hospitals and clinics and 50,000+ doctors with a member-facing digital platform that includes the iCare Mobile App (LOA requests, reimbursement filing, medicine reminders, wellness tracking) and Telemed7, a 7-minute doctor consultation telemedicine service. Value-added wellness programs — Sleep Better, Better You (chronic disease for diabetes, hypertension, heart health), Better Days (mental health counseling), and Women's Health She Cares — are layered onto core HMO contracts to deepen engagement.

Revenue is generated through recurring employer-paid and individual-paid premium subscriptions with cross-sell into wellness services. The customer base spans IT-BPM/BPO, FMCG, retail, logistics, banking and finance, manufacturing, hospitality, healthcare, and education, with named enterprise customers including Carelon Global Solutions Philippines, a Universal Bank, a Global Healthcare Company, and a Multinational Electronics Company. Leadership is anchored by President and CEO Noemi Azura. The company holds Data Protection Officer accreditation valid through October 2026 and operates exclusively in the Philippines with a Singapore cross-border partnership for its Premium tier.

Name

Insular Health Care

Legal name

Insular Health Care

Website

https://insularhealthcare.com.ph

Company type

Private

Founded year

1991

Operating status

Operating

Headcount range

51–100 employees

Short description

Insular Health Care (iCare) is a Philippine HMO founded in 1991 offering seven subscription-based health plans for corporate, SME, individual, family, and prepaid members, supported by a 2,000+ hospital and 50,000+ doctor network and a mobile app with telemedicine.

Ownership category

akta.pro rank

Product category

Health Maintenance Organization (HMO)

NAICS

Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411)

SIC

Accident & Health Insurance (6321), Services-Health Services (8000)

akta.pro primary industry

Individual Health Insurance Administration (TPA/ASO) (FSAIAEAK)

akta.pro secondary industries

Membership/Subscription Concierge Virtual Care (HLALAAAH), Virtual Urgent Care & On-Demand Teletriage Services (HLAFADAJ)

Keywords

• Health maintenance organization
• HMO health plans
• Corporate health insurance
• Wellness programs
• Telemedicine services

Headquarters

HQ city

Makati

HQ country

Philippines

HQ region

Asia

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Corporate HMO Plans: Subscription-based HMO membership fees charged to employers for employee health coverage. Plans include Corporate Plan (5-1000+ employees), SME Plan (5-99 employees), and Fee for Service (flexible medical fund-based plan). Revenue generated through recurring annual or multi-year premium payments.
2. Individual and Family HMO Plans: Individual and family subscription plans offering self-employed professionals and families comprehensive health coverage with annual hospitalization benefits up to Php 5,000,000 for Premium Plan.
3. Prepaid HMO Plans: Pay-as-you-go prepaid health plans offering accessible entry point for those seeking basic coverage without annual commitment.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

Insular Health Care (iCare) is a Health Maintenance Organization that sells health insurance and managed-care plans directly to corporate clients, SMEs, individuals, families, and prepaid customers in the Philippines. Its core offering consists of seven structured plan lines — Corporate, SME, Fee for Service, Individual, Family, Premium, and Prepaid — bundled with wellness programs and supported by a digital layer that includes the iCare Mobile App and the Telemed7 telemedicine service.

Product overview

Insular Health Care (iCare) operates as a Health Maintenance Organization (HMO) offering a portfolio of seven core health insurance products: Corporate Plan (for 5-1000+ employees), SME Plan (for small businesses with 5-99 employees), Fee for Service Plan (pay-per-use model), Individual Plan (for self-employed professionals), Family Plan (comprehensive family coverage), Premium Plan (high-coverage with Php 5M annual benefits and Singapore partnership), and Prepaid HMO (flexible prepaid cards). The products are supported by digital services including an iCare Mobile App (LOA requests, reimbursements, medicine reminders, wellness tracking) and Telemed7 (7-minute doctor consultations). Supplementary wellness programs include Sleep Better Program, Better You Program (chronic disease management), Better Days Program (mental health), Women's Health: She Cares, and Better Together (health education partnership with Mu Sigma Phi).

Differentiator

Problem solved

Functional benefit

Products and services

• Corporate Plan
• SME Plan HMO plan tailored for small and medium enterprises, providing group health coverage sized and priced for smaller workforces.
• Fee for Service Plan HMO plan under which members pay per use/encounter for healthcare services rendered, rather than a flat recurring premium.
• Individual Plan HMO plan designed for individual consumers seeking personal health coverage including preventive, outpatient, and inpatient benefits.
• Family Plan HMO plan that extends coverage to multiple family members under a single subscription, providing healthcare benefits for the household.
• Premium Plan Premium-tier HMO plan offering enhanced benefits and coverage levels for individual or family subscribers seeking higher limits and richer benefits.
• Prepaid HMO Plan Prepaid HMO plan that allows members to access healthcare benefits through a prepaid card format, suitable for users who want flexible, pay-in-advance coverage.

Quantifiable outcome

• Php 46,000 dengue hospitalization bill reduced to Php 3,472 out-of-pocket expense (92% coverage) for prepaid plan member
• +2 more outcomes

Named customers5 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

13 partnerships are on record, tiered core and minor.

• St. Luke's Medical Center (BGC and QC)coreOthersPremier accredited hospital partner providing high-quality medical services to iCare members at both Bonifacio Global City and Quezon City locations.
• The Medical CitycoreOthersTop-tier accredited hospital providing comprehensive healthcare services to iCare members.
• Asian Hospital and Medical CentercoreOthersAccredited hospital partner offering quality medical care to iCare members.
• Cardinal Santos Medical CentercoreOthersAccredited hospital providing healthcare services to iCare members.
• Carelon Global Solutions PhilippinescoreStrategic or Co-development PartnerWellness Program partnership featuring Sleep Better Program for BPO night shift workers. Collaborative initiative addressing health and wellness needs of Carelon employees.
• Mu Sigma PhiminorStrategic or Co-development PartnerBetter Together program collaboration promoting better health through education, literacy campaigns, and projects like Project H20 and health-focused films.
• 2,000+ Partner Hospitals and Clinics NationwidecoreOthersExtensive network of accredited hospitals and clinics providing nationwide coverage for iCare members across the Philippines.
• 50,000+ Accredited Doctors and Medical PractitionerscoreOthersLarge network of accredited doctors and medical practitioners providing comprehensive healthcare access for iCare members.
• Accredited Dental NetworkscoreOthersNetwork of accredited dental providers for member dental care coverage.
• Accredited Animal Bite CentersminorOthersSpecialized network of animal bite treatment centers for rabies prevention and treatment.
• Wellness Partners (Lifestyle Partners)minorStrategic or Co-development PartnerCollaboration with wellness partners providing lifestyle and health-related benefits to iCare members.
• Singapore Top Health Institution (Premium Plan Partnership)coreStrategic or Co-development PartnerPartnership with a leading Singapore health institution for Premium Plan members, providing access to international healthcare standards and expertise.
• Janine Gutierrez (Brand Ambassador)minorGTM or Marketing PartnerBrand partnership with actress Janine Gutierrez symbolizing hope, dignity, and courage to say yes to better health.

Scale indicators3 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• AIA Philippines: Pan-Asian insurance group with health, life, and wellness products distributed in the Philippines. Competes with iCare for group benefits and individual health riders at the upper-end tier.
• Cocolife: Filipino insurance and HMO provider offering life, accident, and health coverage across individual and group segments. Broader portfolio than iCare but overlaps in health-plan distribution.
• Etiqa Life and General Assurance Philippines: Philippine insurer offering group and individual health and accident plans. Overlaps with iCare's corporate and individual HMO distribution, though broader in life products.
• Sun Life Philippines: Large Philippine insurer offering group health, accident, and life benefits to corporate clients. Comparable to iCare's Corporate Plan business but operates as a broad financial-services incumbent.

Direct peers

• Medicard Philippines: Major Philippine HMO with corporate and individual plans plus a strong network of accredited hospitals and clinics. Comparable to iCare in customer segmentation and product structure.
• Maxicare Healthcare Corporation: Largest HMO in the Philippines offering corporate, SME, individual, and family plans with a wide accredited hospital network. Directly comparable to iCare across product tiers, target segments, and distribution model.
• PhilHealthCare (PhilCare): Established Philippine HMO providing individual, family, and corporate plans with telemedicine and wellness services. Overlaps directly with iCare on plan tiers and digital health capabilities.
• Intellicare (Avega Group): Philippine HMO serving corporate and individual segments with accredited provider network and digital member tools. Competes head-to-head with iCare for enterprise accounts.

Emerging players

• mWell (Metro Pacific Health): Philippine digital health platform offering telemedicine, wellness, and online doctor consultations. Emerging competitor to iCare's Telemed7 service on the consumer virtual-care side.
• HealthNow Philippines: Manila-based digital health and telemedicine provider offering consultations and pharmacy delivery. Competes with iCare on virtual care convenience and consumer digital engagement.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/insularhealthph
• Facebookfacebook.com/insularhealthcareph

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Insular Health Care