98point6 (Transcarent) vs MDLive (Cigna/Evernorth): Which Is Better for Telehealth?

Last updated: 2026-03-11

MDLive is the broader virtual care solution with multi-specialty coverage and Cigna/Evernorth's massive distribution network. 98point6 brings more innovative AI triage technology but within a narrower scope. Both are now primarily available through their parent company ecosystems rather than as standalone platforms.

Key Takeaways

  • Both 98point6 and MDLive are now parts of larger health companies (Transcarent and Cigna respectively)
  • MDLive offers broader multi-specialty virtual care; 98point6 is focused on AI triage
  • Cigna's distribution gives MDLive access to millions of insured members automatically
  • 98point6's AI triage technology is more innovative but narrower in application
  • For most independent evaluations, neither is available as a standalone product
Verdictmoderate confidence

MDLive (Cigna/Evernorth) wins

MDLive offers broader virtual care capabilities backed by Cigna's distribution

Feature Comparison

Feature98point6 (Transcarent)MDLive (Cigna/Evernorth)Winner
Virtual Care ScopeAI text-based triageFull virtual care with multiple specialtiesMDLive (Cigna/Evernorth)
AI InnovationAI-first text-based triage modelTraditional telehealth platform98point6 (Transcarent)
Parent CompanyTranscarent (healthcare navigation)Cigna/Evernorth (major insurer)MDLive (Cigna/Evernorth)
Specialty CoveragePrimary care triagePrimary care, dermatology, psychiatry, moreMDLive (Cigna/Evernorth)
DistributionThrough Transcarent enterprise salesBuilt into Cigna health plansMDLive (Cigna/Evernorth)

98point6 (Transcarent)

Best for: Organizations using Transcarent's platform seeking AI-powered triage capabilities

Strengths

  • +Pioneered AI-powered text-based triage in telehealth
  • +Efficient handling of simple acute care through AI
  • +Transcarent integration adds healthcare navigation context

Limitations

  • -Limited standalone availability post-acquisition
  • -Narrow scope focused on text-based triage only
  • -Smaller distribution reach than insurer-backed platforms

MDLive (Cigna/Evernorth)

Best for: Cigna/Evernorth members or organizations within the Cigna ecosystem seeking integrated virtual care

Strengths

  • +Multi-specialty virtual care including psychiatry and dermatology
  • +Massive distribution through Cigna health plans
  • +Established platform since 2009 with strong track record
  • +Seamless insurance billing for Cigna members

Limitations

  • -Cigna ownership may limit appeal to competing insurers
  • -Less AI-innovative than newer platforms
  • -Innovation pace may slow under corporate ownership

Detailed Analysis

Platform BreadthMDLive (Cigna/Evernorth)

MDLive offers full multi-specialty virtual care. 98point6 offers AI triage for primary care. For a complete virtual care solution, MDLive is significantly broader.

AI Innovation98point6 (Transcarent)

98point6's text-based AI triage is genuinely innovative. MDLive uses standard telehealth technology. For AI advancement in virtual care, 98point6 leads.

Market AccessMDLive (Cigna/Evernorth)

MDLive is embedded in Cigna plans reaching tens of millions. 98point6 is part of Transcarent's smaller enterprise footprint. MDLive has vastly greater market reach.

Bottom Line

For Cigna-insured populations, MDLive is the natural choice with seamless integration. For organizations using Transcarent, 98point6's AI triage adds value within that ecosystem. As standalone platform choices, neither is typically available independently of their parent companies anymore.

Frequently Asked Questions

Can I use MDLive without Cigna insurance?

MDLive was historically available independently, but its integration into Cigna/Evernorth has shifted its focus toward Cigna members. Availability outside the Cigna ecosystem may be limited.

Is 98point6 still available independently?

98point6's technology has been integrated into Transcarent's platform. Standalone availability is limited; it's primarily accessible through Transcarent enterprise deployments.

Which handles more conditions?

MDLive covers more specialties including dermatology and psychiatry. 98point6 focuses on primary care triage. For specialty breadth, MDLive wins clearly.

Which is better for self-insured employers?

Self-insured employers not using Cigna should evaluate both through their respective parent platforms. MDLive via Evernorth or 98point6 via Transcarent, depending on which ecosystem better fits their needs.