Prescience, Inc.

Prescience is a health benefits platform for employers that replaces PEO arrangements and fully insured plans with plans designed by an in-house medical team. It addresses the administrative burden and layered costs of traditional coverage by handling plan design, employee enrollment, claims, filings, and HSA funding, while using predictive models to route employees toward lower-cost care options.

The platform includes custom plan design delivered by an MD-led team, two-click employee onboarding with branded cash pay cards and virtual insurance cards, and automated operations covering ACA 1094/1095 filings, Form 5500, COBRA notices, payroll sync (including Gusto), plan reserves, real-time claims adjudication, and HSA contributions. A foundation model predicts health events and routes patients to alternative care paths, and members have access to a 24/7 AI Care Companion. The Diamond plan includes just-in-time HSA funding, GLP-1s, a wearable, gene screening, and same-day care.

Prescience serves employers across startups, SMBs, PE portfolios, VC firms, brokers, and HR platforms, with solutions for members and providers as well. Pricing is provided through an instant quote and a 30-minute call rather than published rates, and the Diamond plan is included for all employees.