Twin for unions
A health benefit your members and their families will actually use – and one you can confidently stand behind
Get a fund-specific savings estimate
When members stay healthy, everyone benefits, from their families to fellow union members.
Twin helps members improve, reverse, and prevent cardiometabolic disease at no out-of-pocket cost to them. We serve members and families whose lives don't fit a nine-to-five care model.
Whether it’s through Taft-Hartley funds, existing health plans, or employer benefits, we make it easy to deliver a benefit members value while protecting the long-term health of your fund.
With Twin, everyone’s health improves – your members, and the people that matter most to them. Healthcare savings follow.
2.1x
ROI In Year One
$9,047
Savings Per Member In Year One
One platform. Every stage of cardiometabolic health.
Prediabetes, diabetes, obesity and hypertension are often treated as separate problems. Twin treats the person, not the diagnosis so improvements can happen together.
01
See
A clearer picture of health
Twin continuously captures signals across food, movement, sleep, medications, labs, and smart devices.
02
Guide
In-the-moment guidance
The AI Digital Twin connects those signals into one evolving model to identify patterns and give personalized guidance.
03
Act
Know your unique next steps
Twin’s Care Team uses those in-the-moment insights for unique next steps that help achieve health goals.
Why unions choose Twin
Member health data is protected
Twin is HIPAA compliant, with safeguards designed to protect every member’s personal health information.
Zero cost to members
Covered through the existing benefit, no new premiums or fees.
Care, built for your members
Twin is built for members wherever work and life take them. No work email required. Nationwide lab and pharmacy access. Support designed around changing schedules, night shifts, and life on the road.
Protect what matters most
Better long-term health helps the Fund make the most of its healthcare dollars and sustain strong benefits for members and their families.
Paid on outcomes, not utilization.
Funds don’t pay until their members improve. Twin bills on performance-based metrics, specifically:
Improvement in A1C
Improvement in BMI
Medication elimination when clinically appropriate
All milestones that signify a meaningful health improvement for your members. No more PMPM billing, regardless of health outcomes.
Improved health outcomes
71%
of eligible members reversed type 2 diabetes at 12 months
82%
eliminated high-cost diabetes medications – because they no longer need them.
85%
of eligible members discontinued GLP-1 therapy while maintaining outcomes.
27lbs
average weight loss
From a randomized controlled trial conducted by the Cleveland Clinic and published in NEJM Catalyst.
Lower healthcare costs
$9,047
first-year savings per enrolled member.*
2.1×
first-year ROI.
*Published in Value in Health (ISPOR 2026, abstract EE221)
Continuously engaged members
86%
still engaged daily at 12 months
87%
NPS
97%
still engaged daily 5 days a week
Published in NEJM Catalyst (Cleveland Clinic randomized controlled trial, 2025)
Trusted by unions
.avif)
It’s my job to help my employees live better, healthier lives, and I was blown away by Twin. People came to us telling us of their successes on Twin
Kelley Daviss
CHRO, Lendmark Financial Services
The highlight for us has been the flexibility....but more importantly the clinical integrity of your product and services.”
Chief Clinical Officer,
Global Investment Firm
Frequently asked
questions
How does Twin fit alongside our existing health benefits?
Twin works alongside your existing health plan, not in place of it. Members keep the coverage they've earned, while Twin provides continuously personalized care to help improve cardiometabolic health. You don’t need to redesign your entire benefits structure around Twin.
How is Twin priced?
Twin's outcomes-based pricing aligns our success with yours. Rather than paying for participation alone, your fund pays when members achieve meaningful health outcomes. We're glad to work directly with your fund's consultant or actuary to independently validate these numbers before you commit to anything. It's a partnership built on shared accountability – because your fund shouldn't pay for a program that doesn't deliver measurable results.
Will our members actually use the program?
Real-world data shows 86% of Twin members were still active in the program at 12 months so we're inclined to say yes. The reason for that: Twin provides constant, in-the-moment guidance that’s relevant to each member. This interactive design encourages the member to engage with their health, rather than leaving them feeling alone with just another app. If members don’t use it, or don’t improve on Twin, there is no risk or cost to the fund.
What makes Twin different from other chronic disease programs?
Most programs manage chronic conditions with standardized coaching or solutions that silo metabolic diseases. Twin improves, reverses, and prevents cardiometabolic disease through guidance tailored to each member's real life, including a personalized virtual menu that shows them how to enjoy the foods and restaurants they want to visit. There’s no generic list of restrictions. That's what makes it possible to improve multiple health issues at once, through one experience built around the person, not the diagnosis.
How much work is this for our fund office?
Twin is built to run without adding to your team's workload. We handle enrollment, eligibility updates, and day-to-day member support directly, so your staff isn't fielding questions or chasing paperwork. Eligibility files sync automatically, even across multiple contributing employers, so coverage stays current without manual updates on your end. Your fund office gets simple reporting, not a new administrative burden.
Do we need to replace our existing vendors to use Twin?
No. Many funds run more than one program at once because different tools cover different needs well. Twin is designed to sit alongside what you already have, filling in the connective tissue between conditions that are usually treated separately. If something you're using today is working, there's no need to remove it to bring Twin on board.
Schedule a call with Twin today
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