About
Included Health AI Navigate is a comprehensive, AI-powered healthcare navigation and virtual care solution built for employers, health plans, public sector organizations, and labor unions. The platform acts as a single point of contact for all healthcare needs — from routine primary care and urgent visits to mental health support, expert second opinions, and insurance billing disputes. Members access the service through a single mobile app or web portal, where they can connect with board-certified clinicians 24/7 via virtual visits or schedule in-person appointments with local providers. A dedicated Care Team provides around-the-clock support to answer healthcare questions, coordinate follow-ups, and connect members to high-quality specialists from a network of over 4,000 leading physicians nationwide — all without requiring additional exams, appointments, or out-of-pocket costs. The platform's AI Navigate capability intelligently routes members to the right benefits and care pathways based on their unique health profile and employer-sponsored coverage, eliminating confusion and reducing unnecessary spend. Billing advocacy tools allow the team to work directly with insurers and providers to resolve unexpected claims on a member's behalf. Included Health is ideal for HR leaders and benefits consultants looking to improve healthcare ROI, reduce absenteeism, and boost employee satisfaction by offering a genuinely integrated care experience — covering mind, body, and financial health in one unified solution.
Key Features
- AI Healthcare Navigation: Intelligently guides members to the right care and benefits based on their individual health profile and employer-specific coverage, reducing confusion and unnecessary costs.
- Virtual Care Clinic: Provides 24/7 access to board-certified clinicians for primary care, urgent care, and behavioral health — available via virtual visit or in-person appointment with local providers.
- Billing & Insurance Advocacy: A dedicated advocacy team works directly with doctors and insurers on behalf of members to resolve unexpected bills, coverage disputes, and claims issues.
- Expert Medical Second Opinions: Members can get their diagnosis or treatment plan reviewed by one of 4,000+ leading national specialists — no exams, appointments, or extra bills required.
- 24/7 On-Call Care Team: Round-the-clock access to insurance, benefits, and billing experts who can answer questions, coordinate care, and follow up before and after doctor visits.
Use Cases
- An employee receives an unexpected medical bill after a hospital visit and uses Included Health's billing advocacy team to dispute and resolve the charge with their insurer.
- A benefits manager at a mid-size company deploys Included Health to reduce HR call volume by giving employees a self-service app for benefits navigation and care coordination.
- A member recently diagnosed with a chronic condition requests a second medical opinion from a top national specialist through the platform, gaining confidence in their treatment plan at no additional cost.
- A remote worker experiencing anxiety uses the app at midnight to connect with a licensed therapist via virtual visit, avoiding the wait for an in-office appointment.
- A health plan administrator integrates Included Health to direct members toward high-value care pathways, reducing overall claims costs and improving member satisfaction scores.
Pros
- All-in-one healthcare experience: Covers medical care, mental health, billing, and benefits navigation in a single app, reducing the friction of managing multiple tools or vendors.
- 24/7 expert availability: Members can reach board-certified clinicians and care advocates at any hour, making it suitable for urgent needs and different time zones.
- Access to top specialists: The network of 4,000+ leading specialists for second opinions gives members confidence in complex diagnoses without additional out-of-pocket expense.
- Reduces administrative burden: Billing advocacy and benefits navigation remove the burden of paperwork and insurance disputes from employees, improving satisfaction and reducing HR inquiries.
Cons
- Employer or health plan dependent: The platform is not available as a direct consumer product — members can only access it if their employer or health plan subscribes, limiting individual adoption.
- No public self-serve pricing: Pricing details are not publicly listed and require scheduling a demo, making it difficult for smaller organizations to evaluate cost upfront.
- US-focused availability: The provider network and clinical services appear to be primarily designed for US-based employees and members, limiting utility for global organizations.
Frequently Asked Questions
How do I get access to Included Health AI Navigate?
Access is provided through your employer or health plan. Once enrolled, you can activate your account in just a few steps and download the app to get started immediately.
What types of care can I get through Included Health?
You can access primary care, urgent care, mental and behavioral health, expert second opinions, and 24/7 care team support — all through a single app, either virtually or with an in-person provider.
What is AI Navigate and how does it work?
AI Navigate is the platform's intelligent routing and guidance feature. It analyzes your health situation and employer benefits to connect you with the most appropriate care or resource, minimizing delays and unnecessary costs.
Can Included Health help me with a medical bill dispute?
Yes. The billing advocacy team can work directly with your insurance company and healthcare providers to review, dispute, and resolve unexpected bills or coverage questions on your behalf.
Is Included Health suitable for large enterprises?
Yes. Included Health is purpose-built for employers, health plans, public sector organizations, and labor unions of all sizes, with dedicated solutions and case study proof points for large-scale deployments.
