AdvanceCare

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.

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

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

• Health insurance management
• Provider network services
• Claims processing services
• Occupational health services
• Dental care network

Headquarters

HQ city

Lisbon

HQ country

Portugal

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. 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.
2. Risk Assessment Services: Clinical analysis and risk evaluation services for health and life insurance underwriting, provided to insurance companies.
3. Corporate Damage Management: Management of bodily injury claims and victim follow-up services for insurance companies.
4. Occupational Health Services: Work safety and health services provided through Esumédica/Redion brand for companies, including curative medicine, training, and equipment sales.
5. 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

Core 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

Named customers13 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Nine partnerships are on record, tiered core, flagship and minor.

• Dentycard, S.A.coreTechnology or IntegrationPartnership 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/TranquilidadeflagshipChannel Partner/ Reseller/ DistributorMajor insurance partner distributing health insurance products managed by AdvanceCare. Also parent company since 2020 integration into Generali Group with presence in 50+ countries.
• BUPAcoreChannel Partner/ Reseller/ DistributorInternational 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)coreChannel Partner/ Reseller/ DistributorComplementary health system for banking, insurance and technology sector workers, providing access to AdvanceCare's provider network.
• MGENcoreChannel Partner/ Reseller/ DistributorLargest mutual health insurer in France with 3.8 million members, founded in 1946, offering mutual health protection through AdvanceCare network.
• KeepWells (MC/Continente)coreChannel Partner/ Reseller/ DistributorHealth 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 DepósitoscoreChannel Partner/ Reseller/ DistributorComplementary health system for CGD employees and retirees, providing access to AdvanceCare's healthcare provider network.
• União das Misericórdias PortuguesasminorChannel Partner/ Reseller/ DistributorPartnership with UMP providing access to Misericórdias social healthcare network.
• ADVAngolacoreStrategic or Co-development PartnerPartnership 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

Direct 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

• Facebookfacebook.com/byAdvanceCare
• LinkedInlinkedin.com/company/advancecare-s.a.
• Instagraminstagram.com/advancecare.pt

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about AdvanceCare