Sermecoop

What Sermecoop does

Sermecoop is a Chilean non-profit health services cooperative founded in 1967 and headquartered in Santiago (with operational roots in Concepción, Biobío region). The cooperative operates a reimbursement-based health plan model, the Sistema de Reembolso de Gastos en Salud, under which individual and collective members pay monthly subscriptions and are reimbursed for qualifying medical expenses across consultations, hospitalizations, laboratories, imaging, dental, pharmacy, and procedures. Key product differentiators include acceptance of pre-existing conditions from day one, no age limit for enrollment, no health declaration, copago $0 on many services, and pricing denominated in Chilean pesos rather than UF to insulate members from inflation volatility. The cooperative serves 90,000+ active beneficiaries through 300+ member companies (collective plans) and, since May 2024, individual members via the Plan Individual channel.

Sermecoop monetizes through three primary streams: recurring monthly subscriptions on collective and individual health reimbursement plans, partnership/convenio fees negotiated with a network of 100+ healthcare providers across six service categories, and direct pharmaceutical sales through its wholly owned retail pharmacies, Farmacia Sermecoop Concepción (opened January 2023) and Farmacia Sermecoop Providencia (opened November 2024 inside Centro Médico Sanasalud). The cooperative supplements these with adjacent member benefits such as telemedicine, vaccination campaigns with 100% reimbursement, and an English-learning subscription (América Bilingüe) offered through a partnership with Ascoop and the NYC English platform.

Distribution combines an enterprise field-sales motion for collective plans with a digital self-service motion for individual plans (planindividual.sermecoop.cl) and member account management via the Sucursal Virtual portal (misucursal.sermecoop.cl). The cooperative is supervised by Chile's Ministry of Economy through DAES, is a member of the International Cooperative Alliance since August 2023, and operates with 101-250 employees, of which 81% are women and 68% of leadership positions are held by women. Technology is rules-based rather than AI-driven, and revenue is not publicly disclosed.

Name

Sermecoop

Legal name

Sermecoop

Website

https://sermecoop.cl

Company type

Private

Founded year

1967

Operating status

Operating

Headcount range

101–250 employees

Short description

Sermecoop is a Chilean non-profit health services cooperative founded in 1967 that offers reimbursement-based health plans to 90,000+ beneficiaries across 300+ member companies and individuals, supported by 100+ provider agreements and two owned pharmacies.

Ownership category

akta.pro rank

Product category

Complementary Health Insurance

NAICS

Professional Employer Organizations (561330)

SIC

Services-Health Services (8000)

akta.pro primary industry

Association & PEO Group Health Plans (AHP/PEO-Sponsored) (FSAIAFAH)

akta.pro secondary industry

Professional Employer Organization (PEO) / Co-Employment Services (BPACAHAB)

Keywords

• Health reimbursement plans
• Cooperative health insurance
• Complementary health coverage
• Employee health benefits
• Retail pharmacy services

Headquarters

HQ city

Santiago

HQ country

Chile

HQ region

Latin America

Offices3 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Health Plan Subscriptions (Planes de Reembolso): Monthly subscription fees from individual and collective health reimbursement plans. Members pay monthly premiums and receive reimbursement for medical expenses. Collective plans are offered to companies with 300+ member enterprises; individual plans start from $8,990 CLP per month.
2. Convenio/Partnership Fees: Partnership agreements with healthcare providers (hospitals, laboratories, pharmacies, dental clinics) that provide services to members at negotiated rates.
3. Pharmacy Operations: Own pharmacy operations (Farmacia Sermecoop) in Concepción and Providencia, generating revenue from pharmaceutical product sales to members and the general public.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels5 records

Core offering

Sermecoop is a non-profit Chilean health services cooperative that provides complementary health reimbursement plans to workers and their families through its proprietary Sistema de Reembolso de Gastos en Salud. It offers collective plans to 300+ member companies and individual plans (launched May 2024) to self-employed individuals and families, both providing up to 80% coverage with no age limit, no pre-existing condition exclusions, and no health declaration required. The cooperative supplements its plans with a network of 100+ healthcare provider agreements across six categories, telemedicine services, and two owned pharmacies in Concepción and Providencia.

Differentiator

Problem solved

Functional benefit

Brands

• Plan Individual Sermecoop: Individual health reimbursement plan launched in 2024, offering health coverage to individuals without employer group plans, with no pre-existing condition exclusions, no deductibles, and no age limits.
• Farmacia Sermecoop
• América Bilingüe

Products and services

• Collective Health Reimbursement Plans (Planes Colectivos) Subscription-based collective health reimbursement plans designed for companies (300+ member enterprises) to provide employee health benefits. Includes Sistema de Reembolso de Gastos en Salud covering consultations, hospitalizations, laboratories, imaging, dental, pharmacy, and procedures. Available with and without deductibles, copago $0 on many services.
• Plan Individual de Salud (Individual Health Plan) Individual health reimbursement plan offered to self-employed individuals, freelancers, and families outside of company group plans. Provides coverage from day one, accepts pre-existing conditions, has no age limit, no health declaration, no waiting period, and predictable CLP-denominated pricing. Plans start from $8,990 CLP per month with up to 80% coverage.
• Farmacia Sermecoop Concepción Retail pharmacy branch in Concepción (Biobío region) at Chacabuco 153, 1B, providing pharmaceutical products at reasonable prices with personalized attention to members and the general public. Operating hours 09:00–18:00 hrs.
• Farmacia Sermecoop Providencia Second Sermecoop pharmacy location, opened inside Centro Médico Sanasalud at Av. Pedro de Valdivia 195, Providencia, Santiago. Provides pharmaceutical products to members and the general public, operating Monday–Thursday 09:00–18:00 hrs and Friday 09:00–17:00 hrs.
• Vaccination Campaign Coverage Seasonal annual vaccination campaign offering 100% reimbursement with a 0.4 UF cap per beneficiary (approximately $15,465 CLP for 2025). Campaign typically runs March to June each year, bundled with member health plans.
• América Bilingüe English Learning Subscription Online English language learning subscription service offered to members and the community through partnership with Ascoop using the NYC English platform. Part of Sermecoop's associative benefits program.

Quantifiable outcome

• Reduce employee absenteeism by 25% average through preventive health coverage
• +2 more outcomes

Named customers2 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature3 records

Partnerships

Twelve partnerships are on record, tiered core and minor.

• Centro Médico SanasaludcoreChannel Partner/ Reseller/ Distributor · 1 November 2024Medical center in Providencia, Santiago where Farmacia Sermecoop opened its second location on November 21, 2024. Serves 10,000+ monthly patients who gain access to pharmacy services.
• AscoopminorChannel Partner/ Reseller/ Distributor · 1 July 2024Cooperative services platform through which Sermecoop offers the América Bilingüe English learning subscription service to members and the community using the NYC English platform.
• International Health Cooperative Organizations (IHCO)coreStrategic or Co-development Partner · 1 November 2022International organization representing health cooperatives globally. Sermecoop featured in IHCO/PromoCoop report on cooperatives and SDG3 contribution. Participation in International Seminar with international cooperative health leaders.
• Coomeva (Colombia)minorStrategic or Co-development Partner · 1 November 2022Colombian health cooperative whose President María Eugenia Pérez participated in Sermecoop's International Seminar 'El futuro de la salud es cooperativo'.
• RedDentis (Uruguay)minorStrategic or Co-development Partner · 1 November 2022Uruguayan dental cooperative whose President Rosana Perdomo participated in Sermecoop's International Seminar on cooperative health.
• DKMSminorStrategic or Co-development Partner · 1 October 2022International non-profit foundation dedicated to registering potential stem cell donors to give a second chance at life to blood cancer patients. Sermecoop partnered with DKMS in late 2022 to conduct informational sessions and register collaborators as potential donors. The partnership includes 3 educational talks organized for employees.
• Fundación MapochocoreStrategic or Co-development Partner · 1 October 2022Foundation focused on accelerating transformations toward a more sustainable world through collaborative strategies. Partnered with Sermecoop for the webinar series 'Nuevas formas de protección en salud' and the 'Cooperar para proteger' event in Concepción in October 2023.
• Cuídame.onlineminorStrategic or Co-development Partner · 1 October 2022Care benefit platform offered to Sermecoop members as an example of associative advantages for people with common needs. Featured in the webinar 'Cooperativas de cuidados: asociarse para solucionar una necesidad común'.
• Suara (Spain)minorStrategic or Co-development Partner · 1 October 2022Spanish care cooperative that improves quality of life and autonomy of members through services including childcare, elder care, and social services. Featured in Sermecoop's webinar series to share international cooperative care models.
• SalusCoopminorStrategic or Co-development Partner · 1 October 2022Citizen data cooperative that accelerates research and innovation in the health sector through associative data analysis. Featured in the webinar on patient associativity and health research.
• Panamédica (Mexico)minorStrategic or Co-development Partner · 1 October 2022Mexican health cooperative that delivers healthcare services and works with the community to improve access to medications. Featured in the webinar on cooperative pharmacies.
• Healthcare Provider Network (100+ providers)coreChannel Partner/ Reseller/ Distributor · 1 January 2022Network of 100+ healthcare agreements across 6 categories: consultations, laboratory/imaging, dental, hospital, pharmacy, and procedures. Includes providers such as Clini, Medicenter, Cima Salud for mammographies.

Scale indicators7 records

Recent moves10 records

Expansion highlights6 records

Direct peers

• Coomeva: Colombian health cooperative that provides healthcare services and insurance to members. Directly comparable to Sermecoop as both operate under the Latin American cooperative health model serving employed populations; Coomeva's president participated in Sermecoop's 2022 international seminar.
• RedDentis: Uruguayan dental services cooperative operating in the cooperative health model. Comparable to Sermecoop as a regional cooperative peer; its president participated in Sermecoop's 2022 international seminar, indicating shared cooperative health philosophy and member-services approach.
• Suara Cooperativa: Spanish care cooperative providing childcare, elder care, and social services to members. Comparable to Sermecoop as a fellow international cooperative delivering member-centric health and care services; featured in Sermecoop's webinar series on cooperative care models.
• Panamédica: Mexican health cooperative that delivers healthcare services and improves community access to medications. Comparable to Sermecoop as a fellow Latin American health cooperative operating pharmacy and care services under a member-owned structure.

Broad incumbents

• Vida Tres: Chilean Isapre focused on individual and family health plans. Competes with Sermecoop's newly launched Plan Individual for the same Chilean individual consumer segment, though as a more established profit-driven insurer with broader provider access.
• Consalud: Major Chilean Isapre (health insurer) providing prepaid health plans to individuals and companies. Comparable to Sermecoop as a competitor in the Chilean employer-sponsored health plan market, though Consalud operates as a profit-driven incumbent with broader plan offerings and more capital.
• Banmédica: One of Chile's largest Isapres offering health plans, dental, and travel insurance with extensive provider networks. Comparable to Sermecoop as a Chilean health plan incumbent competing for the same enterprise collective-plan customers, but with substantially larger scale and corporate backing.
• Caja de Compensación Los Andes: Chilean compensation entity (caja de compensación) providing social benefits including health coverage to affiliated workers. Comparable to Sermecoop as a member-based organization offering employer-sponsored health and welfare benefits in Chile under a regulated non-profit framework.
• Cruz Blanca: Chilean Isapre offering individual and collective health plans through a national provider network. Competes with Sermecoop in the same employer-sponsored health coverage segment in Chile, though as a for-profit insurer with different underwriting and capital structures.

Emerging players

• SalusCoop: Citizen data health cooperative that accelerates research and innovation through associative data analysis. Comparable to Sermecoop as a fellow cooperative health entity; featured in Sermecoop's webinar on patient associativity and represents an emerging peer leveraging the cooperative model for health data rather than direct care delivery.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/SermecoopChile

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries2 records

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 Sermecoop