Portal do Governo Brasileiro

Sector Data


Private health insurance and plans beneficiaries, by healthcare coverage (Brazil: 2003 – 2012)

The number of beneficiaries by health insurance coverage and the coverage rate for private heath insurance are presented in the following tables:

 
 
Year Private medical aid plan beneficiaries with or without dental care Private dental-only plan beneficiaries
Dec/2003 32.074.667 4.325.568
Dec/2004 33.840.716 5.312.915
Dec/2005 35.441.349 6.204.404
Dec/2006 37.248.388 7.349.643
Dec/2007 39.316.313 9.164.386
Dec/2008 41.247.802 10.711.471
Dec/2009 42.421.531 12.839.738
Dec/2010 45.327.432 14.470.793
Dec/2011 46.974.170 16.919.583
Dec/2012 47.943.091 18.606.149
 
 

Source: Beneficiary Information System /ANS/MS – 12/2012


 

Private Health Insurance Beneficiaries by Time of Association, Type of Coverage and Type of Insurance Contract (Brazil: December 2012)

In terms of the time for signing up with plans, an expanding market share is noted for newer plans. Significant numbers of beneficiaries are linked to group private health insurance (table below), mostly through companies with which they have employment or statutory links (employer-based health insurance), while others are associated through professional, class or sector entities (private health insurance by association). Entering the labor market stands out as an important factor for signing up with a private health insurance plan, especially through formal labor links. In addition to regular income earned through the job, this factor opens up the possibility of signing up with an employer-based private health insurance plan for workers and their dependants.

 
 
Healthcare Coverage and Plan Contract Type Total New Old
Medical insurance with or without dental care 47.943.091 40.891.431 7.051.660
Individual or Family 9.887.283 8.416.778 1.470.505
Employer-based group 30.482.056 27.747.235 2.734.821
Group by association 6.549.250 4.696.809 1.852.441
Group not identified 30.609 30.609 -
Not stated 993.893 - 993.893
Dental only 18.606.149 18.134.565 471.584
Individual or Family 3.187.775 3.163.755 24.020
Employer-based group 12.769.182 12.495.116 274.066
Group by association 2.391.968 2.317.116 74.852
Group not identified 158.578 158.578 -
Not stated 98.646 - 98.646
 
 

Source: Beneficiary Information System /ANS/MS - 12/2012


 

Growth Rate (%) by number of beneficiaries compared to December the previous year (Brazil: 2003 – 2012)

 
 
Year Private medical aid plan beneficiaries with or without dental care Private dental-only plan beneficiaries
Dec/2003 1,8 17,6
Dec/2004 5,5 22,8
Dec/2005 4,7 16,8
Dec/2006 5,1 18,5
Dec/2007 5,6 24,7
Dec/2008 4,9 16,9
Dec/2009 2,8 19,9
Dec/2010 6,9 12,7
Dec/2011 3,6 16,9
Dec/2012 2,1 10,0
 
 

Source: Beneficiary Information System, ANS/MS - 12/2012


 

Coverage Rate (%) for private health plans (Brazil: 2003 – 2012)

 
 
Year Private medical aid plan beneficiaries with or without dental care Private dental-only plan beneficiaries
Dec/2003 18,1 2,4
Dec/2004 18,9 3,0
Dec/2005 19,2 3,4
Dec/2006 19,9 3,9
Dec/2007 20,8 4,8
Dec/2008 21,8 5,6
Dec/2009 22,2 6,7
Dec/2010 23,8 7,6
Dec/2011 24,4 8,8
Dec/2012 24,7 9,6
 
 

Source: Beneficiary Information System, ANS/MS - 12/2012


 

Private health insurers in action with beneficiaries (Brazil: 2003 - 2012)

 
 
Year Revenues: Medical and Hospital Private health insurers Revenues: Dental-only Private health insurers Total Revenues for the Sector
Dec/2003 1.345 469 1.814
Dec/2004 1.302 449 1.751
Dec/2005 1.242 415 1.657
Dec/2006 1.197 413 1.610
Dec/2007 1.168 408 1.576
Dec/2008 1.118 404 1.522
Dec/2009 1.088 391 1.479
Dec/2010 1.045 366 1.411
Dec/2011 1.005 363 1.368
Dec/2012 963 360 1.323
 
 

Source: Document with Periodic Information on Private Healthcare Plan Private health insurers, ANS/MS – 12/2012; Beneficiary Information System, ANS/MS - 12/2012.


 

Insurer Revenues through Premiums (R$) (Brazil: 2003-2012)

 
 
Year Revenues
Medical / Hospital Insurers
Revenues
Solely Dental Insurers
Total
Sector Revenues
2003 28.242.917.411 500.433.270 28.743.350.681
2004 32.026.254.326 599.029.419 32.625.283.745
2005 28.242.917.411 500.433.270 28.743.350.681
2006 32.030.434.177 599.029.419 32.629.463.596
2007 36.526.946.141 743.352.483 37.270.298.624
2008 41.716.015.955 910.286.013 42.626.301.968
2009 51.121.556.961 1.082.411.861 52.203.968.822
2010 59.507.063.653 1.177.460.502 60.684.524.155
2011 64.468.880.292 1.341.386.794 65.810.267.086
2012 72.912.193.535 1.678.993.273 74.591.186.808
 
 

Source: Periodic Report of Financial and Economic Information /ANS/MS – Apr 8, 2013 and FIP - December 2006.
Notes:

  • Entities operating as self health insurers were obliged to forward notification of their revenues and expenditures from 2010 onwards. Human resource managed health insurance entities are not obliged to forward financial data.
  • From 2011 onwards, dental group plans with less than 20,000 (twenty thousand) beneficiaries, are exempt from the obligation to submit quarterly information.

 

Revenues from Premiums and Expenditures of Private Health Insurers, by insurer type (Brazil: 2012)

 
 
Insurer type Revenues brought in
through premiums for the sector
(R$)
Healthcare Expenditures for the sector (R$) Claims Rate (%) Average monthly Revenues (R$)
Total 94.952.230.683 79.892.527.383 84,1 122,02
Self health insured 10.527.281.049 9.882.055.212 93,9 244,52
Medical Group 33.840.956.784 27.969.664.894 82,7 157,82
Nonprofit health insurer 2.116.394.864 1.746.015.584 82,5 110,24
Group Medicine 27.546.631.438 22.380.801.863 81,2 113,50
Private health insurer 18.672.474.532 16.815.708.353 90,1 231,51
Dental Cooperative 517.961.551 335.622.263 64,8 15,29
Dental Group 1.730.530.465 677.961.363 44,1 11,99
 
 

Sources: DIOPS/ANS/MS - Apr 08, 2013 and SIB/ANS/MS – 12/2012
Notes:

  • Preliminary data, subject to review.
  • Does not include revenues, expenditures and the beneficiaries of human resource managed health insurance that are not obliged to submit financial data.

 

Coverage Rate for Medical Aid Plans by State (Brazil: December 2012)

Coverage Rate for Medical Aid Plans by State (Brazil: December 2012)

Sources: Beneficiary Information System/ANS/MS - 12/2012 and Population - IBGE/Datasus/2012


 

Coverage Rate for Dental-Only Plans by State (Brazil: December 2012)

Sources: Beneficiary Information System/ANS/MS - 12/2012 and Population - IBGE/Datasus/2012