Your All-in-One Advantage Across Every Market
Running a health plan is complex. Softheon makes it easy. Manage ACA, ICHRA, Medicare Advantage, Small Group, Dental, and Vision on one scalable software platform.
One Platform. Fewer Headaches. Better Outcomes
National Plans
Scaling across FFM and SBM demands technology that handles millions of enrollments and payments with compliance and flexibility built in. You need a partner that makes entering new markets simple.
Provider-Sponsored & Community Plans
Strong communities start with strong coverage. Focus on member-first programs that keep people enrolled, cared for, and supported year after year.
ICHRA Innovators
Expanding with ICHRA means turning complexity into opportunity, empowering brokers, and finding a growth partner ready to build for the future.
Every Enrollment Type. Every Deadline. We’re Ready
Connecting Every Step of the Member Journey
From the first quote to the final payment, every part of the member journey is connected. With one software solution, health plans can automate operations, reduce costs, and deliver the seamless experiences members expect.
Streamline enrollment, billing, payments, and more on one scalable platform.
APIs, integrations, and BPaaS connect seamlessly to reduce workload.
Supporting ACA, Medicare Advantage, ICHRA, Small Group, Dental, Vision.
You’ve Met Vendors. Now Meet a Partner
ACA
Large Group
VARIES
See How it All Comes Together — For You and Your Members
See the full journey in action. From the first shopping experience to the final payment, every step is connected in one seamless flow. Enrollment, billing, payments, and communications work together to reduce administrative complexity, improve compliance, and cut costs.
Just as importantly, members experience continuity of coverage, timely reminders, and easier ways to stay enrolled. Learn how Softheon’s platform simplifies your operations while creating the kind of experience that builds lasting loyalty.
Trusted by Health Plans Like Yours
Community First Health Plans piloted a provider-sponsored payment program to expand coverage in Bexar County, delivering significant financial returns while improving access for their most vulnerable members.
Increased access and reduced uninsured rates across high-need populations
Delivered a 2.2X ROI in year one
Trusted by Health Plans Like Yours
UCare partnered with Softheon to streamline operations and strengthen member experience from shopping to billing, improving outcomes On-Exchange and launching Off-Exchange coverage.
1.5% and 2% improvement in effectuation and retention
3,000 Off-Exchange members in year one
Trusted by Health Plans Like Yours
A national health plan partnered with Softheon to scale ACA operations across multiple states, allowing for rapid growth, low operational costs, and an exceptional member experience.
Membership increased 2,455% between Open Enrollment periods
Insights You Can Act On
Going from Over 10K to Nearly 1M Members
Third-Party Payment Program Generates Annualized 2.2X ROI
UCare faced significant challenges due to manual processes in shopping, enrollment, and billing, which…
