AdvanceCare
AdvanceCare is a Portuguese third-party health insurance administrator managing a 50,000+ provider network across Portugal and Spain for insurance companies, health subsystems, and corporate clients. Since 2020 it has operated as part of the Generali Group.
- Company typePrivate
- Founded1998
- HeadquartersLisbon, Portugal
- Headcount251–500
- GTM typeB2B
- OfferingServices
What AdvanceCare does
AdvanceCare – Gestão de Serviços de Saúde S.A. is a Portuguese third-party health services administrator founded in 1998 and headquartered in Lisbon, operating as an outsourced operations layer for health insurance products. The company manages a curated network of over 50,000 clinical healthcare providers across Portugal and Spain (160,000 providers across 129 specialties when including USA-based providers), comprising 138 hospitals, 16,000+ doctors, 223 emergency services, 1,173 optical stores, and 610 physiotherapy centers. AdvanceCare's primary customers are insurance companies (Generali/Tranquilidade, BUPA, MGEN, Zurich, Santander Totta Seguros, Mudum, Lusitania, Açoreana, BNP Paribas Cardif, and others), complementary health subsystems (SAMS, Serviços Sociais da CGD, União das Misericórdias), and corporate enterprises; it also serves end consumers through the myAdvanceCare portal and mobile application. Since 2020 the company has been integrated into the Generali Group, one of the world's largest insurance conglomerates (50+ countries, ~71,000 employees, 61 million clients).
The technology platform centers on myAdvanceCare, a customer-facing web portal and mobile application (iOS/Android) that enables policyholders to manage insurance plans, submit reimbursement claims, access digital insurance cards, and book online doctor consultations via the Médico Online service launched in 2017. Supporting products include Dentinet (dental provider network), Redion (occupational health and safety, formerly Esumédica acquired in 2016), Care & Go (online health services marketplace), Avaliador de Sintomas (symptom self-assessment tool), and Biblioteca de Saúde (a curated health content library reviewed by an in-house Scientific Council led by Clinical Director Dr. Bernardo Paes de Vasconcelos). The platform also includes an Electronic Pre-Authorization System for clinical procedures, an AI-augmented claims processing capability delivered through a technology partnership with Sprout.ai, and real-time provider search across the 160,000-provider directory. AdvanceCare holds ISO 9001 (since 2009) and ISO 10002 (since 2013) certifications, the first health services management entity in Portugal to obtain either.
AdvanceCare operates a sales-led B2B go-to-market motion, distributing its services primarily through 20+ insurance company channels and complementary health subsystems, with end-consumer reach driven through these partner relationships. Revenue is generated principally through managed services fees charged to insurance partners for claims administration, provider network management, customer support, and clinical risk assessment, supplemented by professional services revenue from occupational health (Redion) and transactional revenue from the Care & Go e-commerce platform. The company's headquarters are at Torre Oriente, Av. Colégio Militar, 37 F in Lisbon, and the wholly-owned Esumédica subsidiary operates from a separate Lisbon location under the Redion brand. Headcount is reported as 251–500 employees, and the company maintains active social and content marketing channels (LinkedIn, Facebook, Instagram, an email newsletter, and the health content library) for top-of-funnel engagement.
AdvanceCare firmographics
Firmographics- Name
- AdvanceCare
- Legal name
- AdvanceCare – Gestão de Serviços de Saúde S.A.
- Website
- https://advancecare.pt
- Company type
- Private
- Founded year
- 1998
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- AdvanceCare is a Portuguese third-party health insurance administrator managing a 50,000+ provider network across Portugal and Spain for insurance companies, health subsystems, and corporate clients. Since 2020 it has operated as part of the Generali Group.
- Ownership category
- akta.pro rank
AdvanceCare industry classification
Industry- Product category
- Managed Health Services
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Other Insurance Related Activities (52429), Agencies, Brokerages, and Other Insurance Related Activities (5242), Insurance Agencies and Brokerages (52421)
- SIC
- Insurance Agents, Brokers & Service (6411), Services-Health Services (8000), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Self-Funded (ASO) Group Health Plans & Stop-Loss (FSAIAFAB)
- akta.pro secondary industries
- Medicare Quality, Risk Adjustment & Stars Analytics/Services (FSAIAGAJ), Small Group Health Insurance (2–50/100) (FSAIAFAD)
Keywords
Where AdvanceCare is headquartered
LocationHeadquarters
- HQ city
- Lisbon
- HQ country
- Portugal
- HQ region
- Europe
Offices1 record
Markets served
AdvanceCare business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Health Insurance Management Services: AdvanceCare charges insurance companies and partners for managing their health insurance plans and provider networks. This includes claims processing, provider network management, customer support, and administrative services.
- Risk Assessment Services: Clinical analysis and risk evaluation services for health and life insurance underwriting, provided to insurance companies.
- Corporate Damage Management: Management of bodily injury claims and victim follow-up services for insurance companies.
- Occupational Health Services: Work safety and health services provided through Esumédica/Redion brand for companies, including curative medicine, training, and equipment sales.
- Care & Go Online Store: E-commerce platform selling health services not covered by insurance plans, targeting both existing customers and non-customers.
Go-to-market motion2 records
Distribution channels5 records
Marketing channels7 records
AdvanceCare product offering
Product offeringCore offering
AdvanceCare manages end-to-end health insurance operations on behalf of insurance companies, health subsystems, and corporate enterprises in Portugal and Spain. The company runs a 50,000+ provider network, processes insurance claims and pre-authorizations, and provides digital customer self-service through the myAdvanceCare portal and mobile app. It also offers occupational health services through its Redion brand and direct-to-consumer health services via the Care & Go online shop.
Product overview
AdvanceCare operates as a health insurance and services management platform with a modular product portfolio. The core offering includes AdvanceCare Saúde, the company's own health insurance brand, supported by myAdvanceCare as the digital customer portal for policy management. Members access care through Rede Médica (a network of 50,000+ providers) and Dentinet for dental services. The platform provides remote care via Médico Online and self-service tools like Avaliador de Sintomas and Biblioteca de Saúde. Additional services include Redion for occupational health and Care & Go as an online health marketplace.
Differentiator
Problem solved
Functional benefit
Brands
- Dentinet: A brand of AdvanceCare specialized in managing dental health services, offering access to dental consultations and treatments through a selected network of providers in Portugal and Spain.
- Redion
- myAdvanceCare
Products and services
- AdvanceCare Saúde
- myAdvanceCare Portal and App
- Médico Online
- Rede Médica (Provider Network)
- Dentinet
- Redion Occupational Health
- Care & Go Online Shop
- Avaliador de Sintomas (Symptom Evaluator)
- Risk Assessment Services
- Bodily Injury Management
Quantifiable outcome
- More than 50,000 clinical providers in network
- +3 more outcomes
Companies that use AdvanceCare
Customer profileNamed customers13 records
Segments4 records
Ideal customer profiles4 records
AdvanceCare technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature6 records
AdvanceCare partnerships and signals
Strategic signalPartnerships
Nine partnerships are on record, tiered core, flagship and minor.
- Dentycard, S.A.corePartnership with Dentycard S.A., manager of the Dentyred network, to provide access to 2,000+ dental specialists and 1,600 clinics in Spain and Andorra through the Dentinet network.
- Generali/TranquilidadeflagshipMajor insurance partner distributing health insurance products managed by AdvanceCare. Also parent company since 2020 integration into Generali Group with presence in 50+ countries.
- BUPAcoreInternational health insurance company with 75+ years of experience, serving 50 million+ clients globally, offering health insurance through AdvanceCare network.
- SAMS SBSI (Sindicato da Banca, Seguros e Tecnologias)coreComplementary health system for banking, insurance and technology sector workers, providing access to AdvanceCare's provider network.
- MGENcoreLargest mutual health insurer in France with 3.8 million members, founded in 1946, offering mutual health protection through AdvanceCare network.
- KeepWells (MC/Continente)coreHealth insurance brand of MC (Sonae) in partnership with AdvanceCare, democratizing health access in Portugal with quality network and Continente card benefits.
- Serviços Sociais da Caixa Geral de DepósitoscoreComplementary health system for CGD employees and retirees, providing access to AdvanceCare's healthcare provider network.
- União das Misericórdias PortuguesasminorPartnership with UMP providing access to Misericórdias social healthcare network.
- ADVAngolacorePartnership with ADVAngola enabling cross-border health insurance services for Angolan market, including partnerships with Tranquilidade Angola, Ensa, Nossa, Trevo, BIC, Global, and Sol Seguros.
Scale indicators7 records
Recent moves8 records
Expansion highlights5 records
AdvanceCare competitors and assessment
Company assessmentDirect peers
- Médis: Portuguese health insurer and health services management company, part of the Ageas group, operating a provider network and offering health insurance products in direct competition with AdvanceCare's B2B services and AdvanceCare Saúde brand.
- Multicare: Portuguese health insurance brand operated by Fidelidade, providing health insurance with integrated provider network management — overlapping directly with AdvanceCare's core B2B health insurance administration and provider directory services.
- CUF Health: Largest private healthcare provider group in Portugal operating its own hospitals, clinics, and provider network, with growing health insurance partnerships. Comparable to AdvanceCare in offering integrated provider access for health plan members.
- Lusíadas Saúde: Major Portuguese private hospital and healthcare provider network, part of the United Health Group / Amil-style integrated care model, with insurance partnerships overlapping with AdvanceCare's provider network and care delivery model.
- MGEN: Largest mutual health insurer in France (3.8M members), both a customer of AdvanceCare and a comparable European mutual health organization with overlapping provider network management needs.
- Sanitas (BUPA Spain): Spanish health insurance and provider network operator owned by BUPA, competing directly with AdvanceCare in the Spanish market and leveraging comparable integrated health plan and provider services.
Broad incumbents
- BUPA: International health insurance and healthcare group with 50M+ customers globally; both a customer of AdvanceCare and a direct competitor in international health insurance markets where AdvanceCare aims to expand.
- Allianz Care: International health insurance division of Allianz, providing health plans and provider networks globally — overlapping with AdvanceCare's TPA-style services and Generali's broader competitive positioning.
- Cigna International: Global health insurer serving multinational employers and individuals with international health plans and provider networks — comparable business model targeting overlapping customer segments.
- Sedgwick: Global claims management and loss adjuster providing TPA-style services to insurers — overlapping with AdvanceCare's claims processing and corporate damage management business lines.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
AdvanceCare social profiles
Digital presenceAdvanceCare compliance and trust
Trust signalCompliance3 records
AdvanceCare financial estimates
Financial estimateRevenue estimate
Valuation estimate
AdvanceCare leadership team
Management profileNumber of profiles
Profiles1 record
AdvanceCare subsidiaries and ownership
Company hierarchySubsidiaries1 record
AdvanceCare funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
AdvanceCare M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about AdvanceCare
What does AdvanceCare do?
AdvanceCare manages end-to-end health insurance operations on behalf of insurance companies, health subsystems, and corporate enterprises in Portugal and Spain. The company runs a 50,000+ provider network, processes insurance claims and pre-authorizations, and provides digital customer self-service through the myAdvanceCare portal and mobile app. It also offers occupational health services through its Redion brand and direct-to-consumer health services via the Care & Go online shop.
Is AdvanceCare a public or private company?
AdvanceCare is a private company. It is classified as corporate owned and is currently operating.
When was AdvanceCare founded?
AdvanceCare was founded in 1998. It employs 251 to 500 people.
Where is AdvanceCare based?
AdvanceCare is headquartered in Lisbon, Portugal, in the Europe region.
How does AdvanceCare make money?
Five revenue lines are on record. Health Insurance Management Services are the primary driver. The others are risk Assessment Services, corporate Damage Management, occupational Health Services and care & Go Online Store.
Who are AdvanceCare's main competitors?
Direct peers on record are Médis, Multicare, CUF Health, Lusíadas Saúde, MGEN and Sanitas (BUPA Spain). Broad incumbents are BUPA, Allianz Care, Cigna International and Sedgwick.
Does AdvanceCare have an API?
No public API is recorded for AdvanceCare.
What industry is AdvanceCare in?
AdvanceCare's product category is Managed Health Services. Its primary akta.pro industry code is FSAIAFAB, Self-Funded (ASO) Group Health Plans & Stop-Loss, with a secondary code of FSAIAGAJ, Medicare Quality, Risk Adjustment & Stars Analytics/Services. Its NAICS code is 524292 and its SIC code is 6411.