MediXall Group operates through its subsidiary Health Karma, a telehealth and virtual healthcare platform focused on what it calls "1st Moment" care — intervening at the earliest point of a health event rather than after a patient has already navigated the traditional healthcare system. Health Karma's core offerings include 24/7 on-demand access to behavioral health clinicians for mental health concerns like anxiety, depression, and addiction; nurse triage for workplace injuries to prevent minor incidents from becoming formal workers' comp claims; specialty programs for first responders and students; and virtual primary and urgent care with licensed MDs. Health Karma sells primarily to employers, associations, and municipalities — not directly to consumers — with a focus on small and medium-sized businesses that it views as underserved by traditional health insurance. The company operates on a per-member-per-month subscription model, with 12-month contracts and revenue driven by active memberships and product add-ons. Health Karma distributes heavily through insurance brokers, TPAs, and resellers rather than a direct sales force, keeping its own headcount lean. The company does not bear insurance risk and outsources its clinical network management to third parties. Health Karma is a very early-stage business with just 7 full-time employees as of year-end 2023.