Reply from Sidecar HealthJul 8, 2026
Sidecar Health isn't a single high-deductible plan. Employers choose the plan design, including whether there's a deductible and how much, and high deductible HSA-eligible plans follow the same IRS rules as any other HSA plan.
There's also no network — members can see any licensed provider. Benefit Amounts are set to the typical local cost for a service, not by provider, and at least half of providers in any given area charge at or below that amount.
Members shop in the app before booking and see a guaranteed cost or earnings upfront. Any cost above the Benefit Amount is visible before care is received, so choosing a higher-cost provider is always a fully informed decision, never a surprise.
Members are responsible for their deductible costs, same as any plan, but Sidecar Health is unique in giving members the chance to earn money back on top. Over 80% of claims come in at or below the Benefit Amount, earning an average of $41 back per claim, and a family of four earns about $1,000 back a year on average.
Coverage is never cut off for an outstanding balance, and payment plans are available through our partner Paytient.
On the ER point: a copay on a legacy plan usually covers only the facility fee. Physician, imaging, lab, or any other additional services are are billed separately through deductible and coinsurance, so a "$250 ER copay" can still leave members owing much more.
Comparing prices before making a purchase isn't something Sidecar Health invented — it's how people shop for almost everything else in life. Sidecar Health brings that same transparency to healthcare, at a time when legacy health plans still leave people paying whatever they're billed with no visibility into cost beforehand. That lack of transparency is a big part of why healthcare costs keep rising, and it's exactly the problem Sidecar Health was built to fix — all while putting members in complete control of their care.