Plan de Salud Menonita

What Plan de Salud Menonita does

Plan de Salud Menonita is a nonprofit health insurance organization headquartered in Caguas, Puerto Rico, founded in 1979 and operating under the Sistema de Salud Menonita (Mennonite Health System). It administers health coverage to over 200,000 members across Puerto Rico through a network of more than 12,000 in-network providers and nine physical service centers spanning municipalities including Aibonito, Caguas, Cayey, Cidra, Coamo, Fajardo, Guayama, Humacao, and Ponce. The company reported 99% member satisfaction on the 2024 CAHPS survey.

The company's product portfolio is organized into four main plan lines. Menonita Directo serves individuals, students, and dependents with Platinum and Gold tier plans priced from approximately $80 to $165 per month. Menonita Gobierno addresses government employees, retirees, municipalities, and retiree organizations under Puerto Rico Laws 95, 63, and 117, with Rubi, Plata, and Mandatoria tiers ranging from $213 to over $2,400 per month depending on coverage level and family composition. Menonita Grupal covers employer groups including PYMES (2-50 employees), larger groups (51+), and Centro Unido de Detallistas (CUD) retail sector members, with per-employee pricing starting at approximately $75. A separate Menonita Vital brand operates on its own domain. Supporting capabilities include the Salud 360 chronic disease management program, an online provider directory, a mobile application for plan management, and the ezpaycenters digital payment platform.

The business model is subscription-based, generating revenue primarily through monthly recurring premiums from individual, government, employer-group, and retiree-organization contracts. Distribution combines direct sales to employer groups, inside sales through a call center (1-866-952-6735), self-service digital channels (website and mobile app), and in-person enrollment at service centers. Customer segments span individuals and families, government employees and retirees under statutory frameworks, small and medium businesses, large corporations, and retail association members. The company reinvests revenue into community services under its nonprofit charter rather than distributing profits, and there is no public listing or external private equity/venture capital ownership evident from available disclosures.

Name

Plan de Salud Menonita

Legal name

Plan de Salud Menonita

Website

https://planmenonita.org

Company type

Private

Founded year

1979

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Plan de Salud Menonita is a nonprofit Puerto Rico health insurer founded in 1979, serving over 200,000 members via four plan lines (individual, government, employer group, retailer) across a 12,000+ provider network and nine service centers.

Ownership category

akta.pro rank

Product category

Health Insurance

NAICS

Direct Life, Health, and Medical Insurance Carriers (52411), Health and Welfare Funds (525120)

SIC

Accident & Health Insurance (6321), Hospital & Medical Service Plans (6324)

akta.pro primary industry

MA Chronic Condition Management & Supplemental Benefits (SSBCI) (HLAEACAI)

akta.pro secondary industry

Taft-Hartley / Union Multiemployer Group Health Plans (FSAIAFAG)

Keywords

• Health insurance plans
• Group health coverage
• Individual health insurance
• Chronic disease management
• Provider network services

Headquarters

HQ city

Caguas

HQ country

Puerto Rico

HQ region

Latin America

Offices10 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Health Insurance Premiums: Monthly premium payments from individual subscribers (Menonita Directo), government employees (Ley 95), municipalities (Ley 63), retiree organizations (Ley 117), and employer groups (PYMES, Grupal, CUD). Premiums are paid on monthly or per-subscriber basis with tiered rates for individual, couple, and family coverage.
2. Optional Add-on Benefits: Additional revenue from optional dental plans ($10 individual, $20 couple, $22 family per month for extended dental), optional life insurance, and other supplementary coverage options purchased alongside core health plans.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels6 records

Core offering

Plan de Salud Menonita is a nonprofit health insurance organization that administers and sells health coverage plans to individuals, families, government employees, municipalities, retiree organizations, and employer groups across Puerto Rico. It also operates a chronic disease management program (Salud 360), an online provider directory, a mobile app, and digital premium payment services backed by a network of 12,000+ affiliated providers.

Product overview

Plan de Salud Menonita is a nonprofit health insurance organization rooted in the Mennonite Health System, operating since 1979 with over 200,000 members across Puerto Rico. The company's product portfolio consists of four main health plan lines: Menonita Directo (individual plans with Platino/Gold tiers), Menonita Gobierno (government employee plans under Laws 95/63/117 with Rubi/Plata/Mandatoria options), Menonita Grupal (employer group plans including PYMES and CUD options), and Menonita Vital (separate plan variant). Supporting services include an online provider directory, a mobile app for plan management, online payment processing, the Salud 360 chronic disease management program, and a Wellness Zone with health education resources.

Differentiator

Problem solved

Functional benefit

Brands

• Menonita Directo: Individual health insurance plan for self-employed individuals, students, and dependents including those over 26 years old no longer eligible for parental coverage. Offers essential medical services, hospitalization, pharmacy, dental, vision, and preventive care.
• Menonita Gobierno
• Menonita Grupal
• Salud 360

Products and services

• Menonita Directo Individual health insurance plans (Platino, Gold 1, Gold 2, Gold 3 tiers) for self-employed individuals, students, and dependents, covering medical, hospital, pharmacy, dental, vision, and preventive care.
• Menonita Gobierno Health coverage for government employees and retirees of Puerto Rico under Law 95, municipalities under Law 63, and retiree organizations under Law 117, with Rubi, Plata, and Mandatoria tier options.
• Menonita Grupal Employer group health plans including PYMES (2-50 employees), Menonita Grupal (51+ employees), and Centro Unido de Detallistas (CUD) options, covering medical, pharmacy, dental, vision, and preventive programs with optional life insurance and Employee Assistance Program.
• Salud 360 Chronic disease management program providing multidisciplinary team support for diabetes, hypertension, asthma, congestive heart failure (CHF), and COPD with care coordination, personalized care plans, and health education through follow-up calls and digital communications.
• Directorio de Proveedores (Online Provider Directory) Online searchable directory for affiliated providers, specialists, and healthcare facilities accessible from any device.

Quantifiable outcome

• 99% of members reported satisfaction in the 2024 CAHPS survey
• +2 more outcomes

Segments7 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

One partnership is on record.

• Mennonite Health SystemcoreStrategic or Co-development Partner · 1 January 1979Plan de Salud Menonita is rooted in the Mennonite Health System and its philosophy of serving with compassion and Christian love. The health plan emanates from this system, providing integrated and excellent services in an environment filled with human warmth without discrimination.

Scale indicators5 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• MMM Healthcare: Puerto Rico Medicare Advantage-focused carrier operating under the same regulatory regime as Plan de Salud Menonita, with overlapping provider networks and competing for government-employee and retiree populations.
• Triple-S Advantage (Medicare Advantage): Medicare Advantage arm of Triple-S operating under the same Puerto Rico regulatory structure as Plan de Salud Menonita, competing for the retiree and over-65 populations with chronic-condition supplemental benefits.
• Triple-S Management (BlueCross BlueShield of Puerto Rico): Largest health insurer in Puerto Rico with comparable commercial, government-employee, and Medicare Advantage lines; the closest head-to-head competitor to Plan de Salud Menonita on the same island footprint.
• MCS (Medical Card System): Puerto Rico health plan offering commercial and government-employee coverage with island-wide provider networks, directly competing with Plan de Salud Menonita's Menonita Directo and Menonita Gobierno lines.
• First Medical Health Plan: Puerto Rico-based HMO focused on commercial and Medicaid populations with overlapping service-center and provider-network models directly competing for similar member segments.

Broad incumbents

• Humana (Puerto Rico operations): National health insurer with significant Medicare Advantage presence in Puerto Rico, representing a larger incumbent scaling chronic-care and value-based capabilities that PSM's Salud 360 aims to differentiate against.
• UnitedHealth Group (Puerto Rico operations): National payer operating across commercial, Medicare, and Medicaid lines in Puerto Rico, applying scale advantages in provider contracting and digital tooling that pressure regional carriers like Plan de Salud Menonita.
• Cigna (Puerto Rico operations): Global health services company with Puerto Rico commercial and stop-loss offerings, representing a broader incumbent with deeper reinsurance and employer-services capabilities competing for the PYMES segment.

Others

• Sistema de Salud Menonita (Mennonite Health System): Parent provider/healthcare system that Plan de Salud Menonita emanates from; comparable as the integrated care counterpart enabling PSM's clinical-management programs like Salud 360.

Regional players

• Auna (formerly Grupo ProMedica): Latin American integrated healthcare provider with insurance components; comparable in offering integrated payer-provider-anchored care models, though operating outside Puerto Rico.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/plansaludmenonita

Revenue estimate

Valuation estimate

Number of profiles

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 Plan de Salud Menonita