Microcare originated out of a desire to find more effective ways to provide low-income communities with access to better quality healthcare. Pre-paid healthcare offered an opportunity to accumulate and channel resources so that poor people would get cashless access to healthcare services and service providers would benefit from better cash flows. Microinsurance Paper #24 examines the factors that contributed to the rise and fall of Microcare as a provider of low-cost health insurance. It seeks to draw lessons from Microcare’s experience that will further the development of a more successful business model for health microinsurance.