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HealthSherpa

Unbiased ACA health insurance marketplace platform

Overview

Company Does Not Provide H-1B Sponsorship

HealthSherpa helps individuals and families find and enroll in Affordable Care Act (ACA) health insurance plans through a free online platform. Users can quickly check if they qualify for savings, receive personalized plan recommendations, and compare plan features such as doctor networks, prescription coverage, and total costs. The platform is designed to be unbiased: commissions paid by insurers on enrollments do not influence which plans are shown or recommended. The service operates year-round and provides additional support to help users understand and use their chosen plans. HealthSherpa's goal is to make affordable ACA coverage easy to find and enroll in, with clear comparisons and guidance.

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About HealthSherpa

Simplify's Rating
Why HealthSherpa is rated
C+
Rated B on Competitive Edge
Rated B on Growth Potential
Rated D+ on Differentiation

Industries

Data & AnalyticsConsumer SoftwareHealthcare

Company Size

201-500

Company Stage

Series A

Total Funding

$9.7M

Headquarters

Sacramento, CA

Founded

2012

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Simplify's take

What believers are saying

  • HealthSherpa shipped Medicaid lookup, Medicare CRM sync, and carrier enrollment updates in 2026.
  • The September 23, 2026 AmeriHealth Caritas expansion deepens revenue beyond quoting into operations.
  • The August 2026 AgencyBloc integration broadens distribution through agencies before 2027 open enrollment.

What critics are saying

  • CMS now requires agent authorization on every agent-driven ACA enrollment since October 12, 2026.
  • CMS cut FFM inactivity to 30 minutes on August 4, 2026, increasing session failures and churn.
  • HealthSherpa depends on CMS EDE rules; a program change can disable core enrollment overnight.

What makes HealthSherpa unique

  • HealthSherpa remains the CMS-certified EDE backbone for FFM agent enrollments in 2026.
  • AmeriHealth Caritas expanded HealthSherpa into billing, reconciliation, and premium collection on September 23, 2026.
  • AgencyBloc and HealthSherpa launched two-way Medicare integration on August 4, 2026.

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Funding

Total Funding

$9.7M

Below

Industry Average

Funded Over

3 Rounds

Series A funding typically happens when a startup has a product and some customers, and now needs funding to scale. This money is usually used to grow the team, expand marketing, and improve the product. Venture capital firms are frequently the main investors here.
Series A Funding Comparison
Below Average

Industry standards

$15M
$6.6M
$8.2M
$15M
$30M

Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Disability Insurance
  • 401(k) Retirement Plan
  • 401(k) Company Match
  • Paid Vacation
  • Parental Leave
  • Phone/Internet Stipend
  • Home Office Stipend
  • Mental Health Support

Growth & Insights and Company News

6 month growth

0%

1 year growth

2%

2 year growth

4%
PR Newswire
Sep 23rd, 2026
AmeriHealth Caritas expands HealthSherpa partnership to include enrollment, billing and reconciliation

AmeriHealth Caritas has expanded its partnership with HealthSherpa to include Marketplace Operations, a solution for enrollment, premium billing, and reconciliation of individual and family health plans. The companies announced the expansion on 23 September. AmeriHealth Caritas will use HealthSherpa to process and reconcile enrollments with the Health Insurance Marketplace, collect subsidies and member premiums, and resolve discrepancies before they affect members' bills or coverage. The two companies previously collaborated on streamlining enrollment and agent distribution for AmeriHealth Caritas' Health Insurance Marketplace plans. HealthSherpa, founded in 2013, operates the country's largest ACA quoting and enrollment platform and has helped more than 25 million people enroll in ACA coverage.

Associated Press
Aug 4th, 2026
AgencyBloc and HealthSherpa launch Medicare integration to streamline quoting and enrollment workflows

AgencyBloc, a leading agency management system for health, senior and benefits insurance agencies, has launched an integration with HealthSherpa, a quoting and enrollment platform. The integration connects Medicare quoting, enrollment and client management workflows, enabling two-way data flow between HealthSherpa for Medicare and AMS+. The integration aims to reduce duplicate data entry and keep client information centralised. Agencies can manage quoting and enrollment through HealthSherpa whilst maintaining client and policy data within AMS+ for reporting and operations. The HealthSherpa for Medicare integration is available now. AgencyBloc plans to expand the integration to support Individual ACA workflows in future.

AgencyBloc
Aug 4th, 2026
AgencyBloc and HealthSherpa launch Medicare integration to connect quoting, enrollment, and client management.

AgencyBloc and HealthSherpa launch Medicare integration to connect quoting, enrollment, and client management. New integration streamlines Medicare workflows while keeping client data centralized in AMS+ CEDAR FALLS, Iowa, August 4, 2026 - AgencyBloc, the leading agency management system for health, senior and benefits insurance agencies, today announced the launch of its integration with HealthSherpa (opens in a new window), one of the industry's most widely used quoting and enrollment platforms. The new integration connects Medicare quoting, enrollment, and client management workflows, helping agencies reduce duplicate data entry, improve data flow, and keep client information centralized within AMS+. The integration enables a two-way flow of data between HealthSherpa for Medicare and AMS+, creating a more connected experience from prospect to policy to ongoing client management. "AMS+ is designed to be the operational hub for agencies, and that means connecting with the technology they already depend on," said J. Scott Sanchez, Chief Product Officer at AgencyBloc (opens in a new window). "Our partnership with HealthSherpa strengthens that vision by bringing Medicare quoting and enrollment into a more connected workflow. Agencies can spend less time moving data between systems and more time servicing their clients and growing their business." The integration supports how agencies actually get work done every day, reducing manual work and improving the flow of information across systems. Agencies can manage quoting and enrollment through HealthSherpa while keeping client and policy data connected within AMS+ for reporting, operations and ongoing client management. "Our goal has always been to simplify the Medicare enrollment experience," said Korey Ashton, Vice President of Medicare at HealthSherpa (opens in a new window). "Working with AgencyBloc allows us to extend that experience beyond enrollment by connecting with the system agencies use to manage their business every day. Together, we're helping agencies operate more efficiently without changing the way they work." The HealthSherpa for Medicare integration is available today. AgencyBloc plans to expand the integration to support Individual ACA workflows in the future. Existing AgencyBloc clients can contact their client success manager for more details. Agencies interested in AMS+ can request a demo at agencybloc.com/schedule-demo. About AgencyBloc AgencyBloc is the #1 Recommended Insurance Industry Growth Platform that serves the health, senior, and benefits industry with a suite of solutions to support operational and growth needs of independent insurance agencies, GAs, and IMO/FMOs. To learn more about AgencyBloc, visit www.agencybloc.com. About HealthSherpa HealthSherpa is the largest and fastest-growing ACA, Medicare, and ICHRA exchange in the United States, simplifying access to health plans from both federal and state marketplaces. Its secure, integrated technology platform empowers insurance agents, agencies, platforms, and carriers to quickly and accurately serve and support individuals as they select and use quality, affordable health plans. Learn more at www.healthsherpa.com (opens in a new window). Posted on Tuesday, August 4, 2026 in About Us

PR Newswire
Aug 5th, 2025
HealthSherpa Launches Industry's First ICHRA Policy Status API

HealthSherpa launches industry's first ICHRA Policy Status API.

HR Tech Trend
Oct 9th, 2024
HealthSherpa Launches ICHRA Marketplace to Streamline Access to Individual Health Coverage

HealthSherpa launches ICHRA Marketplace to streamline Access to individual health coverage.

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