Medical cover,
on the move.
Planned crypto-native medical cover for unexpected hospital events during an active coverage window. Two plans. Reserve-gated caps. Clear claims flow.
Contents.
- 01 What it is
- 02 The two launch plans
- 03 Payouts by tier
- 04 What's actually covered
- 05 Eligibility & controls
- 06 How to enroll & claim
- 07 What to submit with a claim
- 08 Decision timeline
- 09 Claim lifecycle
- 10 Trust & review roadmap
- 11 Reserve & capital model
- 12 Outside scope in v1
- 13 Non-goals for v1
- 14 Sponsors & cohorts
- 15 Full FAQ
- 16 Surfaces & resources
Information current as of 2026. Current public Founder reservations are refundable holds, not active cover today. Terms vary by series and cohort. This document is informational — refer to plan documentation for binding terms. Not medical advice.
What it is.
OmegaX Protect is crypto-native medical cover for unexpected hospital events during an active coverage window — not ongoing care, not chronic treatment, not lifestyle medicine.
Members use the OmegaX app to enroll, verify eligibility, submit claims, upload evidence, and track status. The protocol handles the economically important state — reserves, claim status, obligations, payouts — while sensitive medical documents stay offchain.
The result is a simpler, more transparent cover layer for travelers and wallet-native teams. It is intentionally narrow in v1: one clear emergency-travel story, one visible claims flow, one reserve truth model.
Current public access is a refundable Founder reservation for planned 7-day event cover or the first 100-seat 30-day travel cohort. Event cover targets reserve-indexed benefits up to 50,000 USDC and travel cover targets reserve-indexed benefits up to 250,000 USDC only if the posted claims-paying reserve/backstop threshold is met before activation. It does not provide active cover today; claims open only after launch activation, when exact cap and terms lock.
The two launch plans.
One tuned for short event and offsite weeks. One tuned for longer travel and cohort programs.
7-day event cover
Short-window protection for conference weeks, hackathons, and team offsites.
- First 100 event Founder spots
- Exact payout limit set when cover starts
- One claim per cover window
- Reserve-backed before launch
30-day travel cover
Founder access for nomads, residencies, and extended travel.
- First 100 travel Founder spots
- Exact payout limit set when cover starts
- One claim per cover window
- Reserve-backed before launch
Founder access pricing and reserve-indexed target caps shown are non-binding V1 targets. Exact activation pricing, caps, availability, eligibility, and final terms vary by series and cohort.
Payouts by tier.
Three tiers based on what actually happened to you. Each active plan pays a fixed benefit from the active reserve waterfall on an approved claim. The exact active cap is locked at activation from posted reserve/backstop proof; the 30-day travel cover can also reimburse extra documented costs above the fixed benefit.
- Tier 1 150 USDC Verified ER or urgent hospital evaluation
- Tier 2 500 USDC Verified overnight hospital admission
- Tier 3 3,000 USDC Verified surgery, ICU, or extended admission
- Tier 1 250 USDC Verified ER or urgent hospital evaluation
- Tier 2 1,000 USDC Verified overnight hospital admission
- Tier 3 2,500 USDC Verified surgery, ICU, or extended admission
Tier is determined by the actual medical event as validated from the discharge summary, physician note, and invoice. Only one primary claim case is supported per active coverage window in v1.
What's actually covered.
A narrow, well-scoped surface: the things that actually send a traveler to a hospital without warning.
- Fracture or dislocation
- Appendicitis
- Severe dehydration or gastroenteritis requiring ER
- Acute infection requiring hospital treatment
- Sudden respiratory events requiring urgent care
Eligibility & controls.
OmegaX Protect is built to stay honest. Waiting periods, a short health attestation, and identity-bound membership keep pricing fair and reserves healthy — so the people who actually need cover get paid.
Enroll before the window starts
Coverage must be active before the trip, event, or cohort period begins. No backdated enrollment.
24-hour accident waiting period
Accident cover activates 24 hours after enrollment to prevent instant adverse selection.
7-day illness waiting period
Illness cover activates after a 7-day waiting period. Pre-approved sponsor cohorts can waive.
One primary claim per window
Each active coverage window supports one primary claim case per member in v1.
Identity-bound member position
One wallet identity and one legal identity per covered member. No shared enrollment.
Eligibility self-attestation
At purchase, member confirms they are not currently hospitalized and not seeking coverage for an already-known live event.
How to enroll & claim.
From enrollment to payout, every step runs through OmegaX. The protocol tracks settlement state underneath.
Reserve or activate cover in OmegaX before the trip, event, or cohort window begins. Founder reservations keep your place; cover opens at launch.
When cover opens, activate in OmegaX Health. Accident cover starts after 24 hours; illness cover starts after 7 days.
File a claim in OmegaX with the required evidence — invoice, discharge summary, physician note, and proof of payment where needed.
Claims move through review, approval, and payout states. Status is visible to the member throughout.
What to submit with a claim.
Clear evidence makes fast payouts possible. Upload documents once in the app — the protocol records only references, never raw medical data.
- 01 Proof of enrollment. Confirmation that coverage was active at the time of the covered event.
- 02 Identity match. Wallet and legal identity linked to the member position on the protocol.
- 03 Proof of covered location & dates. Evidence that the event occurred inside the active coverage window.
- 04 Hospital or clinic invoice. Itemized invoice from the treating facility, with dates and services.
- 05 Discharge summary or physician note. Clinical document describing the acute event and treatment performed.
- 06 Diagnostics or prescription records. Imaging, labs, or prescribed medications tied to the covered event (where relevant).
- 07 Proof of payment. Required when claiming reviewed reimbursement top-up above the fixed benefit.
Decision timeline.
Targets for acknowledgment, review, payout, and appeal. Members see status updates in OmegaX at every step.
Timelines assume evidence is complete. Incomplete submissions re-enter review once the missing items are provided. Complex or cross-border claims may require additional review time.
Claim lifecycle.
Every claim moves through a defined set of states. Status is visible to the member throughout and anchored to the protocol for settlement.
Member files the claim in OmegaX with structured evidence.
Evidence is reviewed against plan rules, with human review for edge cases.
The decision and audit proof are recorded for transparency.
Approved payouts create an explicit obligation on the plan reserve.
USDC is paid to the member’s payout destination. Obligation is closed.
Claim record finalized. Appeal window remains open for 7 days.
Every approved claim is set aside in the reserve before payout. Paying you out clears that hold. Denied claims release the hold back into the reserve.
Trust & review roadmap.
The app handles the human journey. The protocol handles the money. Review moves from concierge-assisted, to AI-led with human override, to decentralized operators.
OmegaX app handles the member journey
Onboarding, eligibility checks, claim intake, evidence upload, and status updates all happen in the app.
Transparent settlement state
Funding, claim status, obligations, and approved payouts are recorded transparently.
Guided claim review
Evidence is checked against plan rules before approval, with clear status updates for the member.
Medical details stay private
Raw medical records and personal health data stay out of public settlement data.
Assisted review
OmegaX Health handles guided claim review through the app, with decisions recorded for transparency.
AI-assisted review
AI support helps detect claim tiers, evidence gaps, and fraud signals, with human review for edge cases.
Decentralized review network
Independent reviewers, oracle sets, and governance-visible disputes create an auditable pathway.
Your medical records never go onchain. The protocol only sees claim status, what's reserved, and what gets paid out. Full technical model in the protocol docs.
Reserve & capital model.
Payouts come from explicit, posted capital. One reserve kernel with visible lanes. No hidden liabilities, no blending of app SaaS with claims economics.
OmegaX app membership
Monthly or annual consumer subscription covering the AI health agent, data sync, voice accountability, and premium app features. Separate from claims reserves.
Protection premium
Paid per active coverage window or funded by a sponsor on behalf of a cohort. Activates protection eligibility. Can auto-renew for continuing travelers.
Member premiums
Retail and cohort premiums flow directly into the plan reserve for the active series.
Sponsor backstop
Sponsor-funded capital deposited explicitly to cover a cohort. Reserve attribution stays visible per program.
LP allocation capital
Senior open class provides stable-yield reserve. Junior first-loss class absorbs early impairment with a higher fee share. Class separation is part of the core capital design.
Protocol or ecosystem backstop
Optional catalytic reserve funded by the protocol or ecosystem partners. Used only when explicitly posted as claims-paying capital.
Outside scope in v1.
OmegaX Protect is intentionally bounded — built for unexpected hospital events during a defined coverage window, not general health insurance.
- 01 Chronic or pre-existing conditions
- 02 Ongoing cancer treatment, dialysis, transplant follow-up, unstable major cardiac disease
- 03 Pregnancy, maternity, fertility, or neonatal care
- 04 Routine outpatient visits
- 05 Scheduled or elective procedures
- 06 Preventive care and normal medication refills
- 07 Dental, optical, and hearing services
- 08 Ongoing mental health treatment
- 09 Evacuation, repatriation, baggage, or trip cancellation
- 10 Fraud, criminal acts, self-harm, and substance-driven events
- 11 War, sanctions, and epidemic-wide exclusions where required by policy
Non-goals for v1.
What we are explicitly not building in v1. Each of these belongs to a separate, later product path — not to this launch.
- 01 Broad annual medical insurance
- 02 Chronic-care or long-condition management
- 03 Maternity, fertility, or routine outpatient plans
- 04 Yield optimization or treasury products layered on reserves
- 05 Event-risk betting or prediction-market framing of coverage
- 06 Uncapped issuance or backdated enrollment
Keeping v1 narrow is a deliberate choice. It protects reserve integrity, keeps public language aligned with operational truth, and leaves room for broader products once claims data and capital depth support them.
Sponsors & cohorts.
Offer OmegaX Protect as a cohort benefit — conferences, team offsites, residency programs, accelerator cohorts, sponsor-backed communities.
Cohort-based enrollment
Onboard an entire cohort, team, or event community through a single sponsor-funded flow.
Sponsor-funded or subsidized
Fund protection fully or subsidize member access as a cohort benefit. Program-specific sponsor pricing is scoped with the business team.
Reserve & claim reporting
Clearer view of what was funded, what was reserved, and what has been settled against the cohort.
Transparent settlement reporting
See what was funded, what was approved, and what has been paid without a black-box report.
Launch a sponsor-backed cohort.
Talk to us about cohort pricing, subsidized enrollment, waived waiting periods, and program-specific terms. We will scope the series, cohort size, reserve floor, and activation window with you.
Business: business.omegax.health
Web app: app.omegax.health
Full FAQ.
Reference answers. For program-specific terms or sponsor cohort questions, contact the business team.
Do I need the OmegaX app?
Individuals use OmegaX to enroll, purchase protection, submit claims, and track status. Sponsor-backed cohorts can also be activated on behalf of their members.
When does coverage actually start?
Founder reservations are not active cover today. Cover begins after launch, enrollment, and the applicable waiting period. Accident cover starts after 24 hours. Illness cover starts after 7 days, unless a sponsor-configured cohort has different rules.
How many claims can I file in one window?
Each active coverage window supports one primary claim case per member in v1.
What documents will I need to submit?
Claims may require proof of enrollment, identity match, active coverage proof, hospital or clinic invoice, discharge summary or physician note, diagnostics or prescription records where relevant, and proof of payment for reimbursement top-up.
How long does a claim take?
Target decision SLAs are 24 hours for acknowledgment, 72 hours for initial review after complete evidence, and 72 hours for payout after approval. Appeals can be filed within 7 days of a decision.
Who reviews the claim?
In the current phase, OmegaX Health acts as the first claims-oracle surface with an AI claim processor producing the first-pass recommendation and a human operator backstop. The roadmap moves toward decentralized claims operators with a governance-visible dispute pathway.
What currency do payouts use?
Payouts are settled in USDC on Solana to the member’s connected wallet or payout destination.
Can a sponsor cover a team or cohort?
Yes. Sponsor-backed cohorts can enroll members, fund the reserve, and receive reporting on claim settlement. Program-specific terms and pricing are scoped with the business team.
Is it available everywhere?
Availability depends on the series, cohort structure, supported evidence formats, and launch geography. Specific regions and cohorts are announced at the time of series activation.
Is this insurance?
Protect is travel health protection with a clearly bounded scope and a fixed payout per covered event. Final program classification, licensing posture, and legal framing vary by series and jurisdiction.
What's not covered?
Protect doesn't pay for: chronic or pre-existing conditions; ongoing cancer treatment, dialysis, transplant follow-up, or unstable major cardiac disease; pregnancy, maternity, fertility, or neonatal care; routine outpatient visits; scheduled or elective procedures; preventive care and normal medication refills; dental, optical, and hearing services; ongoing mental health treatment; evacuation, repatriation, baggage, or trip cancellation; fraud, criminal acts, self-harm, and substance-driven events; and war, sanctions, or epidemic-wide exclusions where required by policy.
Surfaces & resources.
Canonical places to go for enrollment, cohort onboarding, protocol state, and developer docs.
- → Web app — Founder reservation now; enrollment, purchase, and claims after activation · app.omegax.health
- → Business — sponsor cohort intake · business.omegax.health
- → Protocol — reserve & settlement state · protocol.omegax.health
- → Docs — technical reference · docs.omegax.health
This document is informational. Founder reservations are refundable holds, not active cover today. Plan classification, licensing posture, and legal framing vary by series and jurisdiction. Refer to plan documentation for binding terms. Not medical advice.