BENEFITS-COPILOT
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Making healthcare accessible and understandable through artificial intelligence
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INTRODUCING BENEFITS COPILOT
Your AI Benefits Coordinator
Millions of Americans struggle with health insurance every single day—from choosing the right plan during the stressful open enrollment period to understanding their benefits and coverage throughout the entire year. The complexity of insurance documents, confusing terminology, and endless hold times create barriers that prevent people from making informed healthcare decisions.
Benefits Copilot solves this.
Think of it as your personal AI-powered benefits coordinator, available 24/7 to help you navigate the healthcare system with confidence. Whether you're comparing plans, checking coverage, or estimating costs, Benefits Copilot provides instant, accurate answers drawn directly from your insurance documents.
Choose the Best Plan
Get expert guidance during open enrollment to select the insurance plan that truly fits your needs and budget
Understand Coverage
Instantly know what's covered, what's not, and exactly how your benefits work—no more guessing
Know Costs Upfront
See your out-of-pocket costs before seeking care, so you can plan and budget with confidence
Maximize Benefits
Discover overlooked benefits and savings opportunities to get the most value from your health plan
Three Ways to Get Started
01
Upload Your Documents
Securely upload your insurance cards, policy documents, and benefit summaries for personalized guidance
02
Search Our Database
Browse our comprehensive library of pre-loaded insurance plans from major carriers nationwide
03
Connect Your Portal
Link directly to your insurance company's member portal for seamless, real-time access to your benefits
THE PROBLEM WE'RE SOLVING
70+ Million Americans
face this frustrating reality every single year
During Open Enrollment
Employees and beneficiaries spend hours comparing confusing plan documents filled with jargon and fine print. Overwhelmed by complexity, most people simply click whatever plan looks familiar or choose based on premium alone. This rushed decision leads to wasting $2,000+ per year on the wrong coverage that doesn't meet their actual healthcare needs.
Year-Round Confusion
Throughout the year, simple questions like "Is this procedure covered?" or "What will this cost?" require navigating a maze of frustration. Members face 40-minute hold times with customer service, struggle through 200-page policy documents written in impenetrable legalese, and still end up confused about their coverage. It's a system designed to obscure rather than clarify.
The Devastating Result
  • Frustrated members who feel abandoned by their health plans
  • Overwhelmed HR teams drowning in repetitive benefits questions
  • Poor satisfaction scores that damage organizational reputation
  • Declining Star Ratings costing Medicare Advantage plans millions in CMS bonuses
This broken system hurts everyone—from individual consumers making costly mistakes to healthcare organizations struggling with operational burden and regulatory compliance. The healthcare industry desperately needs a better solution.
WHO WE SERVE
Medicare Advantage Plans
Improve Star Ratings + Reduce Costs
Medicare Advantage plans face intense pressure to deliver exceptional member experiences while managing operational costs. Benefits Copilot transforms your member services by providing instant, accurate answers to routine benefits questions—dramatically reducing call center volume while simultaneously improving member satisfaction scores.
The impact is immediate and measurable. Plans implementing Benefits Copilot see routine benefits calls drop by 60-70%, freeing customer service representatives to handle complex cases that truly require human expertise. For a plan with 50,000 members, this translates to $2.6M to $5.25M in annual savings from reduced call center costs alone.
But the real value comes from Star Ratings improvement. Better member experiences lead to dramatically improved CAHPS scores, particularly in crucial measures like "Getting Needed Care" and "Customer Service." Even a modest 0.5 Star Rating increase can generate $50M to $100M in additional CMS bonus payments—making Benefits Copilot one of the highest ROI investments available to Medicare Advantage plans.
60-70%
Call Reduction
Fewer routine benefits inquiries to customer service
$2.6M+
Annual Savings
Operational cost reduction for 50K member plan
0.5
Star Rating Gain
Improved CAHPS scores from better member experience
$50M+
CMS Bonuses
Additional revenue from Star Rating improvement
Self-Insured Employers
Reduce HR Burden + Increase Employee Satisfaction
Human Resources teams at self-insured employers face an avalanche of repetitive benefits questions, especially during open enrollment and when employees need care. These inquiries consume hundreds of hours annually—time that could be spent on strategic initiatives rather than answering "Is my prescription covered?" for the hundredth time.
Benefits Copilot acts as a tireless, knowledgeable benefits assistant for your entire workforce. Employees get instant answers to their insurance questions 24/7, without waiting for HR office hours or navigating complex plan documents. This immediate access to information dramatically improves the employee experience while freeing your HR team to focus on high-value activities like talent development and strategic planning.
Eliminate Operational Burden
  • Remove hundreds of repetitive benefits questions from HR's plate every month
  • Replace expensive benefits consultant fees that often exceed $50,000 annually
  • Provide consistent, accurate answers across your entire employee population
  • Scale effortlessly as your organization grows without adding headcount
Enhance Your Brand
  • White-label the platform with your company branding and colors
  • Position your organization as a forward-thinking, employee-centric employer
  • Improve benefits satisfaction scores in employee engagement surveys
  • All for just $2-5 per employee per year—a fraction of traditional solutions
Individual Marketplace
Make Insurance Actually Understandable
Navigating the individual health insurance marketplace can feel like solving a puzzle while blindfolded. With dozens of plans, confusing terminology, and no guidance, freelancers, gig workers, early retirees, and self-employed professionals often feel completely lost when choosing coverage.
Benefits Copilot brings clarity to the chaos. Unlike traditional insurance brokers who may have conflicts of interest, our AI provides objective guidance focused solely on finding the right plan for your unique situation—your health needs, your budget, your doctors, your prescriptions.
Compare ALL Plans
See every available plan in your area, not just the ones that pay the highest broker commissions. Get a complete, unbiased view of your options.
See Exact Costs
Input your specific medications, doctors, and anticipated healthcare needs. Benefits Copilot calculates your total expected costs—premiums, deductibles, copays, and all—for an apples-to-apples comparison.
Expert Guidance
Get sophisticated analysis and recommendations without paying broker fees or subscription costs. Our AI considers hundreds of factors to identify your optimal plan.
Perfect For Everyone
Whether you're a freelance designer, Uber driver, early retiree, or running your own business—Benefits Copilot helps you navigate the individual marketplace with confidence.
VALIDATED RESULTS
Real Users. Real Savings.
These aren't hypothetical projections or marketing promises. These are real people who used Benefits Copilot to make better healthcare decisions and achieved documented, validated savings. Each case represents someone who avoided costly mistakes and found coverage that truly worked for their needs.
$2,200
Medicare Beneficiary
A 67-year-old Medicare beneficiary was paying over $200/month for a Medicare Advantage plan because they didn't realize better options existed. Benefits Copilot analyzed their healthcare needs, prescription medications, and preferred doctors, then identified a comprehensive $0 premium plan that actually provided better coverage. Annual savings: $2,200.
$2,280
Corporate Employee
An employee at a large corporation was choosing between a high-premium PPO and a high-deductible health plan with an HSA. Benefits Copilot analyzed their family's expected healthcare usage and showed how maximizing HSA contributions with employer match would save them money even after accounting for higher out-of-pocket costs. Annual savings: $2,280.
$4,480
Total Validated
Combined documented savings from real Benefits Copilot users who made more informed insurance decisions. As we expand our user base, we're tracking and validating every success story to demonstrate the tangible value our platform delivers to individuals and families navigating complex healthcare choices.
The average American family spends over $22,000 annually on healthcare costs. Even small optimizations in plan selection and benefits utilization can generate savings that compound year after year. Benefits Copilot helps you find those opportunities.
HOW IT WORKS
Benefits Copilot makes understanding your health insurance simple and intuitive. Our AI-powered platform works in four straightforward steps, transforming confusion into clarity in seconds.
Access Your Plan
Start by giving Benefits Copilot access to your insurance information. You can securely upload your policy documents and insurance cards, search our comprehensive database of pre-loaded plans from major carriers, or connect directly to your insurance company's member portal for real-time integration. The setup takes just minutes.
Ask Anything
Once your plan is loaded, simply ask questions in plain English, just like you'd ask a knowledgeable benefits coordinator. "Which plan is best for me and my family?" "Is physical therapy covered?" "How much will this MRI cost with my insurance?" "What's my deductible?" No special keywords or technical jargon required—just ask naturally.
Get Instant Answers
Our advanced AI reads your entire insurance policy, locates the relevant information, and provides clear, accurate answers in seconds—not the 40-minute hold times you're used to. Every answer includes citations showing exactly where in your policy documents the information comes from, so you can verify and trust what you're seeing.
Make Better Decisions
Armed with clear, accurate information, you can confidently compare plans during open enrollment, understand your true out-of-pocket costs before seeking care, maximize underutilized benefits you're already paying for, and ultimately save money on healthcare. Knowledge is power—and savings.
Available 24/7 via web, mobile, or embedded directly in your insurance portal—Benefits Copilot is always there when you need answers, whether you're at home planning your healthcare, in the doctor's office making treatment decisions, or on the go managing your family's health.
WHY NOW
Perfect Market Timing
The convergence of technological capability, market demand, regulatory support, and proven business models creates an unprecedented opportunity for Benefits Copilot to transform healthcare benefits navigation. Every indicator points to this being the right solution at the right time.
AI Finally Ready
Large language models (LLMs) have reached the sophistication needed to accurately understand and interpret complex insurance documents. What seemed impossible just two years ago is now reliably achievable—AI can read a 200-page policy document, extract relevant information, and explain it in plain language with human-level comprehension.
Open Enrollment Now
We're launching during peak pain season. Medicare open enrollment (October 15 - December 7) and employer open enrollment (typically November-December) create acute awareness of insurance complexity. Decision-makers and consumers are actively seeking solutions right now—the timing couldn't be better for market adoption.
Government Support
The Department of Health and Human Services (HHS) is actively exploring AI solutions to help Americans navigate healthcare benefits. We're in discussions about potential partnerships that could bring Benefits Copilot to 13.5 million federal beneficiaries. Government validation would accelerate adoption across the entire industry.
Integration Proven
Our successful pilot with Humana, one of the nation's largest Medicare Advantage insurers, demonstrates that portal integration works seamlessly and delivers measurable results. We've proven the technology, validated the user experience, and established the implementation playbook—now it's time to scale.
Market Validation
Healthcare benefits navigation tools command strong pricing power in the market, with established vendors charging $3-8 per member per month (PMPM). This proven willingness to pay demonstrates that organizations recognize the value of benefits support and have budget allocated for solutions that deliver ROI through improved experience and reduced costs.
ABOUT AITHREON HEALTH
Our Mission
Transform healthcare accessibility through artificial intelligence. We believe everyone deserves to understand their healthcare options and make informed decisions about their health and financial well-being. Healthcare is too important—and too complex—to navigate alone.
Our Approach
Build AI-powered solutions that make complex healthcare systems simple, transparent, and accessible to everyone. We're not just applying technology for technology's sake—we're thoughtfully designing tools that solve real problems faced by real people every day. Every feature we build starts with a frustration we're determined to eliminate.
Healthcare Veterans
Our founding team brings deep expertise from MDLive, where we built and scaled one of the nation's leading telehealth platforms. We understand healthcare operations, insurance complexities, regulatory requirements, and what it takes to earn trust in this critical industry. This isn't our first healthcare rodeo.
AI/ML Expertise
Combining healthcare domain knowledge with cutting-edge artificial intelligence and machine learning capabilities, we're uniquely positioned to build solutions that work in the real world. We understand both the clinical and technical challenges—and how to bridge them effectively.
Long-Term Vision
Benefits Copilot is our first product, but it's just the beginning. We're building a comprehensive suite of AI-powered healthcare solutions designed to make every touchpoint in the healthcare journey clearer, easier, and more accessible. More innovations are coming soon.
We're not a faceless tech company trying to "disrupt" healthcare from the outside. We're healthcare insiders who've experienced these problems firsthand and are committed to solving them thoughtfully, responsibly, and effectively. Our team has been in your shoes—we understand the challenges you face because we've faced them ourselves.
GET STARTED TODAY
Ready to transform how your organization or you personally navigate healthcare benefits? We've designed flexible engagement models for every type of customer—from large Medicare Advantage plans to individual consumers. Choose the path that fits your needs.
Medicare Advantage Plans
Prove ROI Before Scaling
Start with a 60-90 day pilot program with a subset of your membership. We'll work closely with your team to measure call volume reduction, member satisfaction improvement, and operational cost savings. Once ROI is proven—and it will be—we'll create a rollout plan to scale Benefits Copilot across your entire organization.
Pilot programs typically include:
  • 5,000-10,000 member pilot group
  • Full integration with your member portal
  • Weekly performance reporting
  • Dedicated implementation support
Employers (1,000+ employees)
Free Pilot for Open Enrollment
For qualified employers with 1,000+ employees, we're offering free pilot programs for your upcoming open enrollment period. Let your employees experience Benefits Copilot when they need it most—during the critical plan selection window. Measure the reduction in HR benefits questions, the improvement in employee satisfaction, and the peace of mind that comes from empowering your workforce.
Free pilot includes:
  • Full platform access for all employees
  • Custom branding with your company colors and logo
  • Integration with your HRIS/benefits systems
  • Post-enrollment impact analysis and ROI report
Individuals
Try Benefits Copilot Free
If you're navigating the individual marketplace, Medicare, or just trying to understand your current coverage, we want to help. Try Benefits Copilot free during the open enrollment period and experience firsthand how AI can simplify your healthcare decisions. No credit card required, no strings attached—just helpful guidance when you need it most.
Free access includes:
  • Plan comparison tools for your area
  • Coverage questions answered 24/7
  • Cost estimation for your specific situation
  • Personalized plan recommendations
Not sure which path is right for you? Schedule a consultation call and we'll help you determine the best way to get started. We're here to make this easy—after all, that's what we do.