Products / Cost Containment & Care Navigation
Included Health
Public factsVirtual care and navigation
Employer and health-plan virtual care plus navigation: Care Advocates, claims help, expert medical opinions, and primary, urgent, and mental health care in one app.
Overview
Included Health partners with employers, health plans, and other organizations to deliver virtual and in-person care with navigation and advocacy. Public pages describe a single app for medical, financial, and administrative questions; 24/7 Care Team support; claims and billing advocacy; expert medical opinions from 4,000 specialists; and primary, urgent, and behavioral health care. Employer modules include All-Included Care, Alternative Plan Design (copay-only, PCP-led), Included Navigation, and Included Care Clinic. Vendor-reported figures include a 4.9/5 member rating, >4% reduction in healthcare trend in year one, 24/7 on-demand care in under 10 minutes, primary care in 3–5 days, mental health first appointments in under 3 days, 66% of expert opinions leading to a treatment change, and $3.5M annual member savings through claims advocacy.
Why it matters It is one of the few national brands that publicly combines a full virtual-care clinic with Care Advocate navigation and expert opinion, which matters when a group wants a front door that can also deliver care.
- Target buyer
- Employers, health plans, public-sector groups, labor/trusts, and benefit consultants that want combined virtual care, navigation, and advocacy rather than a navigation-only layer.
- Pricing model
- Not published; sales-assisted / quote-based, modular packages
- No PEPM or implementation fees appear on includedhealth.com. Expert opinions are described as without member bills. Employer cost is quote-based.
- Availability
- National
- Research
- Last researched 2026-08-23
- Agent-strong category
Key features
- Included Navigation: AI-powered insights, Care Advocates, and a digital experience for benefits and high-quality care
- All-Included Care: connected access, answers, and advocacy
- Included Care Clinic: urgent, primary, specialty, and behavioral health, virtual and in-person
- 24/7 Care Team for insurance, benefits, billing, and care coordination
- Unbiased insurance and claims support, including work with doctors and insurers on bills
- Expert medical opinion from 4,000+ specialists without extra exams or member bills (vendor description)
- Virtual primary, urgent, and mental health care, including therapists for kids and teens
- Alternative Plan Design: copay-only, AI-native, PCP-led plans
- AI+EQ positioning: AI used to enhance, not replace, human support
Integrations
- Employer-sponsored medical plan eligibility (member FAQ)
- Health plans, public sector, labor and trusts, and benefit consultants (named buyer segments)
- In-person local providers alongside virtual clinicians
- Named employer case studies: Salesforce, lululemon, AT&T
Overview
Included Health’s consumer homepage describes personalized virtual care and navigation sold through employers and health plans. Members start in one app for medical, financial, or administrative questions. The company says it can see the member’s health picture and unique benefits. Insurance and claims support includes working directly with doctors and insurers on coverage and unexpected bills.
The Care Team is available around the clock. Care Advocates are the people members reach by phone or in-app message for plan questions, in-network doctor search, and related issues. Clinical services include primary, urgent, and mental health care with board-certified clinicians virtually or in-person local providers, including therapists for kids and teens. Expert medical opinion is described as access to 4,000 of the nation’s leading specialists to review current care without exams, appointments, or bills.
The member site reports a 4.9 out of 5 star rating. Employer pages claim more Healthy Days per month and greater than 4% reduction in healthcare trend in year one, plus access times (on-demand care in under 10 minutes, primary care in 3–5 days, mental health first available appointments in under 3 days), more than 75% of interactions starting with administrative or financial needs, 66% of expert medical opinions leading to a treatment change, and $3.5 million annual member savings through claims advocacy. Those figures are vendor-reported.
Public company/about URLs timed out or 404 in this pass; founding history and headquarters were not captured from a live about page.
Key Capabilities
- Included Navigation — clinically guided, personalized access to benefits and care via AI-powered insights, Care Advocates, and a digital experience.
- All-Included Care — combined access, answers, and advocacy.
- Included Care Clinic / Care Clinic — urgent, primary, specialty, and behavioral health on a flexible platform; virtual primary care; everyday and urgent virtual care; virtual therapy and psychiatry.
- Expert Medical Opinion — 4,000+ specialists with wraparound support for complicated diagnoses.
- Alternative Plan Design — copay-only plans described as AI-native and PCP-led.
- Claims, billing, and insurance advocacy, including follow-up before and after visits.
- 24/7 on-call support for healthcare questions and provider connections.
- Member activation via the Included Health app (Google Play / App Store).
Integrations & Ecosystem
Services are available to members and qualifying dependents enrolled in the employer-sponsored medical plan. Buyer segments listed on solutions pages are employers, health plans, public sector, labor and trusts, and benefit consultants. Case studies name Salesforce (navigation for a distributed workforce), lululemon (U.S. employees and families), and AT&T (primary-care access story). A complete EHR, TPA, or point-solution integration list was not published on the pages captured here.
Pricing
No public list prices. Packaging is modular (navigation, clinic, all-included, alternative plan design). Expert opinion is marketed as no member bills. Employer and health-plan fees require a sales conversation.
Notes & Limitations
- Outcome, access-time, and savings statistics are vendor-reported and not independently audited here.
- An
/aboutpage was not retrieved; corporate history (including the Grand Rounds / Doctor On Demand combination often cited in industry coverage) was not confirmed on a live official about page in this pass and is not stated as a fact here. - “National” follows the site’s “individuals and families nationwide” language; a state-by-state clinic or licensure grid was not found.
- Not every employer buys every module; eligibility is plan-specific.
Sources
Tags: virtual care · care navigation · advocacy · expert medical opinion · primary care · behavioral health · employer health