October 21, 2026 Newswires

Antidote Health Expands into Texas and Georgia, Bringing Affordable Coverage and $0 Virtual Care to New ACA Shoppers

Business Wire

For Plan Year 2027, digital health insurer adds on-exchange individual coverage in 18 Texas counties and 28 Georgia counties, which employers can fund through CHOICE arrangements, along with small group plans for Texas employers with 2-50 employees.

NEW YORK--(BUSINESS WIRE)--
Antidote Health, an Affordable Care Act (ACA) health insurer, announced today that its affiliated health plans, Antidote Health Insurance Company of Texas, Inc. and Antidote Health Plan of Georgia, Inc., will offer coverage in Texas and Georgia for Plan Year 2027. The expansion brings Antidote Health’s integrated health coverage and virtual primary care model to help new communities get the care they need early and stay healthier.

Antidote Health will offer on-exchange individual and family health insurance plans (IFP) in 18 Texas counties and 28 Georgia counties. In Texas, the company will also launch small group coverage for employers with 2 to 50 employees, providing small businesses with an affordable option to offer meaningful health benefits while giving employees access to Antidote Health's integrated care model. The individual plans will also be available to employees through CHOICE Arrangements, the name the Centers for Medicare & Medicaid Services (CMS) and the U.S. Small Business Administration adopted in September 2026 for Individual Coverage Health Reimbursement Arrangements (ICHRAs). With a CHOICE Arrangement, an employer of any size sets a tax-free contribution, and each employee selects the individual Antidote plan that best meets their needs while the employer helps fund the coverage.

“Employers want to offer meaningful health benefits without the cost unpredictability of a one-size-fits-all group plan,” said Jike Chong, General Manager. “A CHOICE Arrangement lets an employer set its budget and lets each employee choose the plan that fits them. For smaller businesses that prefer a group plan, our small group coverage brings the same model to teams of 2 to 50. Either way, employees get coverage that is easier to use and connected to everyday care.”

“People shouldn’t have to choose between seeing a doctor and paying their bills,” said Avihai Sodri, Co-Founder and CEO of Antidote Health. “For too many families, this is still a reality. We believe the most effective way to make health coverage affordable is to help people stay healthy. When seeing a doctor is easy and $0, people get care sooner; chronic conditions are managed before they become emergencies, and avoidable costs come down. We've built that model in Ohio and Arizona, and we're bringing it to communities across Texas and Georgia.”

Antidote Health is also introducing new plan options designed for members managing diabetes and hypertension, two of the most common and costly chronic conditions in the U.S. These plans include condition-specific benefits, including additional $0 medications (subject to formulary requirements), to help make ongoing care more affordable. The new offerings complement Antidote Health’s existing integrated health programs available across all four states.

Many of Antidote Health's expansion communities, including the Rio Grande Valley, Laredo, and El Paso, are home to large Spanish-speaking populations. Antidote Health operations are built to serve members in their preferred language through bilingual Member Services agents, Spanish-speaking virtual providers and Spanish-language plan materials. These capabilities ensure members can access care and support in the language they’re most comfortable using.

Open Enrollment for Plan Year 2027 begins November 1, 2026. Ohio, Arizona, Texas, and Georgia residents and employers can learn more about plans, pricing, and eligibility at www.antidotehealth.com.

In Texas, Antidote Health's on-exchange plans will be available in: El Paso, Medina, Williamson, Hays, Kendall, Bandera, Bexar, Wilson, Guadalupe, Maverick, Webb, Jim Wells, Nueces, Kleberg, Starr, Hidalgo, Cameron, and Willacy counties.

In Georgia, Antidote Health's on-exchange plans will be available in: Barrow, Bibb, Bulloch, Carroll, Chatham, Chattahoochee, Cherokee, Clarke, Dodge, Effingham, Forsyth, Harris, Heard, Houston, Jackson, Jones, Liberty, Lowndes, Madison, Marion, Monroe, Muscogee, Oconee, Peach, Putnam, Talbot, Twiggs, and Upson counties.

About Antidote Health

Antidote Health was built on a simple idea: healthcare should be easy for everyone. As an Insurer, Provider, and Innovator, Antidote Health is on a mission to make healthcare easy, accessible, and more affordable for its members. Antidote Health's health plans are designed around one goal: making it easy for members to get the care they need, when they need it. Nearly every plan includes unlimited $0 visits with an Antidote virtual Primary Care Provider (PCP), available day and night, plus the Antidote Member Portal, giving members an easier way to manage their health, their coverage, and their care all in one place. Antidote Health currently offers ACA health plans in Ohio and Arizona, with ACA plans available in Georgia and Texas for Plan Year 2027. To learn more, visit www.antidotehealth.com.