Qualisaúde

What Qualisaúde does

Qualisaúde (legal name: QUALISAUDE ADMINISTRADORA DE BENEFÍCIOS S/A) is a Brazilian privately held, ANS-regulated benefits administrator founded in 2016 and headquartered in Vitória, Espírito Santo. The company administers corporate health plans and collective adhesion plans for class associations and public-sector entities, intermediating relationships between these groups and eight partnered health insurers — São Bernardo Saúde (primary/exclusive), HUMANA, Aurora, MedSênior, Nordeste Saúde, Hapvida NotreDame Intermédica, Unihosp, and Bluemed — with stated active presence in 21 Brazilian states and five physical branch offices in Vitória, Colatina, São Paulo, Salvador, and Brasília.

The company's platform consists of a benefits administration core plus digital self-service surfaces: a web Boleto Fácil portal, the Autorizador TISS web portal for claims and authorization workflows, an IR-statement portal, and the proprietary Quali mobile app distributed on Google Play and Apple App Store. The QualiBot WhatsApp chatbot is its only explicitly AI-powered feature and is positioned for customer inquiry handling, guidance, and lead routing. Go-to-market is sales-led, combining a national broker network (Portal do Corretor) covering all 27 states with direct consultant outreach via WhatsApp and an 0800 line. Distribution also relies on physical offices and digital self-service for existing beneficiaries.

Revenue mechanics center on recurring administrative fees earned by managing enrollments, invoices, payments, co-participation, and customer support for the administered plan book. Pricing is quote-based and not publicly disclosed, billed monthly across three tiers — Corporate/PME, Collective by Adhesion (Class Associations), and Public Sector. Adjacent add-on service lines (dental, 24-hour telemedicine, pharmacy discounts, ambulance/rescue) deepen per-beneficiary wallet share but operate as supplementary bundles rather than as standalone revenue drivers. No funding rounds, M&A activity, or external institutional ownership have been disclosed; the company appears self-funded and founder-controlled under Dr. Walter Luiz Dalla Bernardina.

Name

Qualisaúde

Legal name

QUALISAUDE ADMINISTRADORA DE BENEFÍCIOS S/A.

Website

https://qualisaudeadm.com.br

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

51–100 employees

Short description

Qualisaúde is an ANS-regulated Brazilian benefits administrator that manages corporate and collective adhesion health plans for enterprises, class associations, and public-sector entities, intermediating between clients and eight partnered health insurers with a five-branch, 21-state national footprint.

Ownership category

akta.pro rank

Product category

Health Benefits Administration

NAICS

Health and Welfare Funds (525120), Direct Health and Medical Insurance Carriers (524114)

SIC

Insurance Agents, Brokers & Service (6411), Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)

akta.pro industry

PRIMARYHLAEALAH

Eligibility, Enrollment & Benefits Administration

Healthcare & Life Sciences/Health Insurance & Managed Care/Third-Party Administration (TPA) & Administrative Services Only (ASO)

SECONDARYFSAIAFAH

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

Financial & Insurance/Insurance — Life & Health/Group Health Insurance (Employer-Sponsored)

SECONDARYFSAIAHAH

Employer-Sponsored Dental & Vision (Group)

Financial & Insurance/Insurance — Life & Health/Dental & Vision Insurance

SECONDARYFSAIAFAE

Large Group Health Insurance (Mid-Market & National Accounts)

Financial & Insurance/Insurance — Life & Health/Group Health Insurance (Employer-Sponsored)

SECONDARYBPAIAKAH

Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage)

Business & Public Services/Public Sector & Government Administration/Social Security, Benefits & Welfare Administration

Keywords

• Health benefits administration
• Supplemental health plans
• Collective health insurance
• Corporate health plans
• Benefits administrator

Headquarters

HQ city

Vitória

HQ country

Brazil

HQ region

Latin America

Offices5 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Benefits Administration Fees: Qualisaúde generates revenue by administering health insurance products for enterprises and class associations, charging administrative fees for managing plans, processing enrollments, issuing invoices, and providing customer support services.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

Qualisaúde is a Brazilian health benefits administrator regulated by ANS that manages corporate and collective adhesion health insurance plans for enterprises, class associations, and public sector entities. The company administers products from multiple partner health operators (São Bernardo Saúde, Humana, Aurora, MedSênior, Nordeste Saúde, Hapvida, Unihosp, Bluemed), handling enrollment, invoicing, payment tracking, and customer support. Additional value-added services include dental plans, 24-hour telemedicine, pharmacy discounts, and ambulance/rescue services.

Product overview

Qualisaúde is a benefits administrator regulated by ANS (Agência Nacional de Saúde Suplementar) that manages corporate health plans and collective adhesion plans for class entities and public bodies. The company operates as the primary Quali brand platform, administering products from multiple health operators including São Bernardo Saúde, Humana Saúde, Aurora, MedSenior, Nordeste Saúde, Hapvida, Unihosp, and Bluemed. The core offering is supplemented by add-on modules including dental plans, 24-hour telemedicine, pharmacy discount programs, and ambulance/rescue services. A mobile app (App Quali) provides beneficiaries with self-service access to network lookups, payment management, and tax documentation.

Differentiator

Problem solved

Functional benefit

Brands

• QualiBot: AI-powered WhatsApp chatbot for customer support and query resolution.

Products and services

• Plano de Saúde Empresarial
• Plano Coletivo por Adesão
• Plano Odontológico
• Telemedicina 24h
• Farmácia (Desconto em Farmácias)
• Serviço de Resgate (Ambulância)
• App Quali

Quantifiable outcome

• Comprehensive health plan administration covering enrollment, billing, and provider network access for employees and association members.

Named customers6 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

Feature4 records

Partnerships

14 partnerships are on record, tiered core, secondary and minor.

• São Bernardo SaúdecoreStrategic or Co-development PartnerSão Bernardo Saúde is the primary health insurance operator whose products Qualisaúde administers exclusively for class associations and public sector entities. Qualisaúde leverages the São Bernardo Apart Hospital network, described as the most modern hospital in Espírito Santo state.
• HUMANA SaúdecoreChannel Partner/ Reseller/ DistributorHUMANA Saúde is one of the health insurance operators whose products are administered by Qualisaúde, offering plans for PME (small/medium enterprises), students, and self-employed individuals.
• Aurora SaúdesecondaryChannel Partner/ Reseller/ DistributorAurora Saúde is a health insurance operator partnered with Qualisaúde, offering corporate, public sector, and individual plans.
• MedSêniorsecondaryChannel Partner/ Reseller/ DistributorMedSênior is a senior-focused health insurance operator whose products are distributed through Qualisaúde's administration platform.
• Nordeste SaúdesecondaryChannel Partner/ Reseller/ DistributorNordeste Saúde is a regional health insurance operator in Brazil's Northeast region whose products are administered by Qualisaúde.
• Hapvida NotreDame IntermédicasecondaryChannel Partner/ Reseller/ DistributorHapvida NotreDame Intermédica, one of Brazil's largest health insurance operators, is partnered with Qualisaúde for plan distribution.
• UnihospsecondaryChannel Partner/ Reseller/ DistributorUnihosp is a hospital-focused health insurance operator whose plans are administered through Qualisaúde.
• BluemedsecondaryChannel Partner/ Reseller/ DistributorBluemed is a health insurance operator whose products are distributed via Qualisaúde's administration services.
• ABRAMGE (Associação Brasileira de Planos de Saúde)minorStrategic or Co-development PartnerABRAMGE provides the National Urgency service available to Qualisaúde beneficiaries, ensuring emergency care coverage in major cities across Brazil.
• CASDOM (Caixa de Socorros e Mútuo dos Dotacionistas)minorChannel Partner/ Reseller/ DistributorClass association whose members access health plans through Qualisaúde's administration.
• CAEBS (Caixa de Assistência aos Empregados do Banco do Brasil)minorChannel Partner/ Reseller/ DistributorClass association for Banco do Brasil employees whose health plan benefits are administered by Qualisaúde.
• CAPLA (Associação de Professores de Língua Portuguesa)minorChannel Partner/ Reseller/ DistributorProfessional teachers' association whose members' health plans are managed through Qualisaúde.
• ASSEMES (Associação dos Servidores do Ministério da Educação)minorChannel Partner/ Reseller/ DistributorAssociation of Ministry of Education employees whose collective health plan is administered by Qualisaúde.
• ANATECT (Associação Nacional dos Analistas de Tributos)minorChannel Partner/ Reseller/ DistributorNational association of tax analysts whose members' health insurance is administered by Qualisaúde.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• SulAmérica Saúde: Large Brazilian health-insurance carrier with corporate group and association plans; comparable product category and target customers to Qualisaúde-administered plans, illustrating an incumbent-carrier benchmark for broker-led distribution.
• Bradesco Saúde: Major Brazilian health-insurance carrier (Bradesco Seguros group) with its own administration capabilities and broad corporate and adhesion portfolios; representative of the carrier-affiliated incumbents that independent administrators like Qualisaúde must compete against.

Others

• Hapvida NotreDame Intermédica: Largest Brazilian health-insurance operator and a direct partner of Qualisaúde for plan distribution. Relevant as an upstream counterparty rather than a same-side competitor, but its vertical integration into owned TPAs represents an indirect structural threat to independent administrators.

Direct peers

• Qualicorp: Brazil's largest benefits administrator focused on collective adhesion ('coletivo por adesão') plans for class associations and corporate clients — the same product and customer category Qualisaúde targets, but at national scale with several million lives.
• Diretriz Administradora de Benefícios: ANS-regulated administrator focused on corporate group plans and class-association portfolios; comparable customer mix (corporate + adhesion) and benefits-administration scope to Qualisaúde.
• Affinity Executiva Benefícios: Brazilian benefits administrator serving corporate and PME segments via broker channel and multi-carrier partnerships — directly comparable GTM and product set to Qualisaúde.
• Vitta Saúde Administradora: Brazilian benefits administrator providing corporate and adhesion plans through partner carriers; comparable mid-market TPA model with similar multi-operator and broker-dependent approach to Qualisaúde.
• Allcare Administradora de Benefícios: Multi-carrier Brazilian benefits administrator serving corporate and SME clients across regions; directly comparable in business model (broker-led, multi-operator TPA, ANS-regulated) and customer segments to Qualisaúde.
• Benezza Administradora de Benefícios: ANS-regulated Brazilian benefits administrator offering corporate and adhesion plans through multiple carriers with broker distribution — comparable operating model and target customer to Qualisaúde.
• Plena Saúde Administradora de Benefícios: Brazilian benefits administrator administering health and dental plans for companies and associations, with a broker network and carrier-agnostic positioning — overlapping product and GTM with Qualisaúde.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• Instagraminstagram.com/qualisaudeadm
• Facebookfacebook.com/qualisaudeadm

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 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 Qualisaúde