Companies

Understood Care

understoodcare.com

Virtual AI-enabled platform matches Medicare patients with dedicated advocates for coordinated, low-cost healthcare support.

HQNew York, New York, United States
Employees1-50
3 active roles
Jobs checked 6h ago
Healthcare AIB2C

About

Understood Care is a virtual patient advocacy platform using AI and healthcare expertise to support Medicare patients with care coordination, paperwork, claims, appointments, transportation, and medication needs. It differentiates itself by combining dedicated human advocates with virtual delivery and remaining independent of hospitals and insurers, while usually costing Medicare patients nothing out of pocket.

Market

Understood Care competes in the Medicare-focused virtual patient advocacy and healthcare-navigation market. It positions itself as an AI-native, human-in-the-loop service that combines dedicated advocates with AI automation and search, while delivering remote support across the United States and operating independently of hospitals. Its primary differentiation is the combination of Medicare-specific advocacy, low or no patient cost for eligible members, and an AI co-pilot, whereas several competitors provide broader employer-sponsored or general healthcare-navigation services.

Target Customers

Individual Medicare beneficiaries—especially seniors and families needing help with healthcare navigation, claims, appointments, benefits, applications, or appeals. The service accepts Medicare Part B and many Medicare Advantage plans and is offered at little to no cost for most eligible patients.

At a Glance

Problem

Understood Care addresses the complexity and administrative burden of navigating U.S. healthcare, especially for Medicare beneficiaries managing multiple diagnoses, medications, appointments, coverage rules, and social needs. The pain is both practical and economic: barriers involving technology, finances, transportation, and health literacy can prevent people from accessing care, worsen outcomes, and increase system costs. The addressable problem is large, encompassing roughly 68 million Medicare patients today and a projected 80 million by 2030.

The core use case is a Medicare patient who cannot independently overcome an access barrier: for example, someone who can no longer drive to appointments, cannot afford medications or nutritious food, or has received a confusing diagnosis and needs help coordinating specialists and next steps. Understood Care’s model is designed to make this assistance affordable because Medicare coverage means most patients pay nothing out of pocket.

Product / Service

Understood Care is a virtual patient-advocacy and care-navigation service that matches Medicare patients with a dedicated human advocate. Patients sign up online or by phone, complete an insurance and clinical intake, and are matched with an advocate who helps schedule appointments, coordinate clinicians, complete applications, find transportation and community resources, manage paperwork and claims, pursue medication savings, and address other barriers to care. The service is delivered remotely by phone and video rather than through in-person visits.

The delivery model combines human support from advocates with doctors, nurse practitioners, nurses, and other healthcare professionals, plus AI automation behind the scenes. Its AI co-pilot helps surface relevant benefits and resources and reduces administrative work, allowing an advocate to handle more patients while maintaining one-to-one support. The benefit is a persistent healthcare guide who understands the patient’s situation, follows up on unresolved issues, and can improve access, affordability, coordination, and confidence in care decisions.

Market

Understood Care competes in patient advocacy, healthcare navigation, care coordination, and Medicare-supported community-health services. It positions itself against traditional case management, standalone Medicare brokers, and generic helplines by offering a dedicated advocate from intake through resolution. Solace is a named comparable patient-advocacy provider in the evidence, while conventional care-navigation and benefits-navigation organizations are adjacent alternatives rather than exact matches. Understood Care differentiates through a Medicare-focused, virtual, AI-supported model and by billing through CMS-recognized advocacy codes.

The company is operating commercially rather than appearing pre-launch. It launched patient care in March 2025, expanded across all 50 states within eight months, and was reported in 2026 to be serving more than 5,000 patients, with patients and advocates engaging frequently and relationships established with three of the largest Medicare Advantage plans. It raised $8.4 million in total funding, including a $5 million seed round and $3.4 million in pre-seed financing, and was targeting more than 10,000 new patients in 2026. The available evidence does not disclose revenue, but the Medicare reimbursement model, nationwide operations, payer relationships, and patient volume indicate early commercialization rather than a pre-revenue concept.

Founders & Leadership

Samantha WuFounder
Co-founder and CEO
Kevin BaileyFounder
Co-founder and CTO

Funding History

2025-03
Pre-seed$3.4M

1984 Ventures

2026-03
Seed$5M

Rethink Education, Zeal Capital Partners

Recent News

2026-03-16funding
Understood Care Raises $8.4M to Scale AI-Native Infrastructure Layer for Patient Advocacy

Understood Care announced $8.4 million in funding, comprising a $5 million seed round led by Rethink Education and a $3.4 million pre-seed round led by 1984 Ventures, with participation from Y Combinator. The capital will support development of its Ava AI co-pilot and expansion of relationships with providers, payers, and community organizations.

2025-08-20product
Launch YC: Understood Care: AI Powered Patient Advocacy

Understood Care launched publicly through Y Combinator as a virtual patient advocacy platform for Medicare patients. Its advocates help with transportation, appointments, financial aid, and other care-navigation needs, using AI tools to support service delivery at scale.

Active Roles

3
Remote/Other/33d ago
Remote/Other/33d ago
Irvine, California/Finance/33d ago

Business Model

Understood Care is generally reimbursed through Medicare Part B and Medicare Advantage plans using CMS-recognized patient-advocacy billing codes, so most eligible patients pay nothing out of pocket. It serves patients directly through virtual advocacy and care-coordination services rather than charging typical consumer subscription fees.

Products

Virtual patient-advocacy service with dedicated Patient AdvocatesMedicare benefits, insurance, and application navigationCare coordination and appointment schedulingClaims, paperwork, bill-review, EOB, and appeals supportAI-assisted healthcare search and resource discovery

Customers

UnitedHealthcareBlueCross BlueShieldHumanaAetnaWellpointMedicare

Tech Stack

AI-powered automationAI co-pilotAI-powered searchVirtual phone and video care-delivery infrastructure

Competitors

Solace
Included Health
Accolade
Transcarent
Quantum Health