What Ecuasanitas does

Ecuasanitas S.A. is a privately-held Ecuadorian prepaid medicine company headquartered in Quito at La Rábida N26-71 y La Pinta, operating since 1977 as a pioneer of the country's prepaid healthcare model and identifying as the precursor of Sanitas Internacional's Latin American operations. The company sells subscription-based health plans on a monthly billing cycle, structured across four customer segments (Individual, Family, Business and Group) and priced from $33 per month for medical plans and $15 per month for dental plans under its Dental Sanitas sub-brand. Core medical products include Plan Total Individual (direct provider payment, no reimbursement) and Plan Elegir Individual (deductible-based, broad provider choice), with four Dental Sanitas tiers (JOY, JOY+, PRO, PRO+).

Revenue is generated from recurring subscription fees, with distribution executed through a hybrid physical-and-digital channel mix: 15 owned offices across 13 Ecuadorian cities, a 24/7 national call center, a customer self-service portal (portal.ecuasanitas.com) and a dedicated broker portal (portal.ecuasanitas.com/genesys-publico-web) for insurance intermediaries. Service delivery relies on a contracted network of more than 2,500 medical providers spanning 94 specialties, supplemented by strategic alliances with Clínica Internacional (flagship clinical partner), Centros Médicos Praxmed (primary-care centers with VIP discounts), and national pharmacy chains (Sana Sana, Fybeca, Pharmacy's) for medication access and home delivery. Implicit coverages bundled into plans include telemedicine, home physician visits, ambulance, virtual psychological assistance, virtual nutritionist, and funeral assistance.

The company has held ISO 9001 quality certification since 2008 (Bureau Veritas, migrated to ISO 9001:2015 in 2016-2017) and was recognized as the best company in service quality in Ecuador's health sector for seven consecutive years (2008-2015) by Corporación Ekos, audited by Deloitte. The platform claims more than 74,000 affiliates and operates within Ecuador only; no international expansion, M&A activity, institutional funding rounds, or revenue disclosures are present in the source data.

Name

Ecuasanitas

Legal name

Ecuasanitas S.A.

Website

https://ecuasanitas.com

Company type

Private

Founded year

1977

Operating status

Operating

Headcount range

101–250 employees

Short description

Ecuasanitas S.A. is a private Ecuadorian prepaid medicine company founded in 1977 that sells subscription medical and dental plans through a 2,500+ provider network to more than 74,000 affiliates across 13 cities in Ecuador.

Ownership category

akta.pro rank

Product category

Prepaid Healthcare / Health Insurance

NAICS

Health and Welfare Funds (525120)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Individual & Family Dental Plans (Exchange/Off-Exchange) (HLAEABAE)

akta.pro secondary industries

Dental EPO Plans (HLAEAIAE), Membership/Subscription Concierge Virtual Care (HLALAAAH)

Keywords

• Prepaid medicine plans
• Health insurance coverage
• Dental care plans
• Medical provider network
• Healthcare subscription services

Headquarters

HQ city

Quito

HQ country

Ecuador

HQ region

Latin America

Offices15 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Prepaid Medical Plans: Ecuasanitas generates revenue through subscription-based prepaid medicine plans. Customers pay recurring fees (monthly or contractual periods) for access to medical services, specialist consultations, hospital coverage, and dental care through their extensive provider network. The company offers individual, family, business, and group plans with varying coverage levels.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels6 records

Core offering

Ecuasanitas sells subscription-based prepaid medical and dental plans to individuals, families, businesses, and groups in Ecuador. Members pay recurring monthly fees starting from $33 for medical plans and $15 for dental plans, gaining access to a network of 2,500+ medical providers across 94 specialties in 13 cities, with direct settlement to providers (no reimbursement claim required) and bundled services including telemedicine, home physician visits, ambulance, virtual psychology and nutrition, and a discount benefits club.

Product overview

Ecuasanitas is a prepaid medicine company operating as a single unified platform with multiple service modules. The core offering consists of medical plans (Plan Total Individual and Plan Elegir Individual starting from $33) and dental plans under the Dental Sanitas sub-brand (JOY, JOY+, PRO, and PRO+ plans starting from $15). Supporting the core plans are self-service digital platforms including the Client Portal and Broker Portal, plus implicit service features such as telemedicine, home physician visits, ambulance service, virtual psychological and nutrition services, and funeral assistance. Additional value is delivered through the Club de Descuentos y Beneficios discount program. The company provides coverage across 13 cities nationally through a network of over 2,500 providers and 94 medical specialties, serving more than 74,000 members.

Differentiator

Problem solved

Functional benefit

Brands

• Dental Sanitas: Dental plans brand offering coverage for children and adolescents (JOY, JOY+) and adults (PRO, PRO+) with preventive and treatment services including orthodontics bonuses.

Products and services

• Plan Total Individual Individual prepaid medical plan featuring direct payment to providers, eliminating the need for member reimbursement claims. Ecuasanitas settles covered services directly with affiliated providers.
• Plan Elegir Individual Individual prepaid medical plan available with or without deductible, allowing members to choose their preferred healthcare providers for consultations, outpatient care, and hospitalization.
• Dental Sanitas Plan JOY Dental plan for children and adolescents aged 0-15 years, offering 100% coverage for checkups and prevention, 70% for caries treatments, surgical procedures, periodontal treatment, root canals, and sealants, plus a $300 orthodontic bonus.
• Dental Sanitas Plan JOY+ Enhanced dental plan for children and adolescents aged 0-15 years with expanded coverage and benefits compared to the standard JOY plan.
• Dental Sanitas Plan PRO Dental plan for adults aged 16 years and older with comprehensive oral health coverage including preventive care and treatments.
• Dental Sanitas Plan PRO+ Enhanced dental plan for adults aged 16 years and older with expanded coverage and premium benefits.
• Club de Descuentos y Beneficios (Benefits Club) Discount and benefits club offering exclusive discounts on food, lodging, wellness, beauty, and supplies when presenting the Ecuasanitas membership card, including a VIP card with 15% off on outpatient consultations, imaging, and physiological exams, and 10% off at clinical laboratories at Centro Médico Praxmed.
• Cobertura de Medicamentos (Medication Coverage) Medication coverage enabling affiliates to purchase medications at partner pharmacy locations nationwide or request home delivery, with home delivery subject to additional shipping cost.
• Coberturas Implicitas (Implicit Coverages) Bundled implicit coverage services for members including telemedicine, home physician visits, ambulance service, virtual psychological assistance, virtual nutritionist, and funeral service (servicio exequial).

Quantifiable outcome

• 74,000+ affiliates trust the service
• +2 more outcomes

Segments4 records

Ideal customer profiles8 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Six partnerships are on record, tiered core and minor.

• Clínica InternacionalcoreStrategic or Co-development PartnerA modern clinic equipped with technological innovation and avant-garde services, staffed with highly trained professionals and many years of experience. Provides comprehensive medical services to Ecuasanitas affiliates.
• Centros Médicos PraxmedcoreStrategic or Co-development PartnerEcuadorian company dedicated to providing comprehensive medical services. Founded over 20 years ago with the creation of the first ambulatory specialty primary care medical center in the country. Offers VIP discount of 15% on outpatient consultations, imaging exams, and physiological exams, and 10% on clinical laboratory services.
• Sana Sana PharmaciescoreTechnology or IntegrationNational pharmacy chain providing medication coverage for Ecuasanitas affiliates. Medications can be purchased at any of their locations nationwide or delivered to domicile with additional shipping cost.
• FybecacoreTechnology or IntegrationNational pharmacy chain partner providing medication coverage. Allows affiliates to acquire medications from pharmacy locations across Ecuador.
• Pharmacy'scoreTechnology or IntegrationPartner pharmacy offering medication delivery service. Affiliates can send prescription photos via email to [email protected] and receive medications at home or pick up at the pharmacy.
• Fundación Sembrando EsperanzaminorStrategic or Co-development PartnerSocial responsibility partner for the FORESTSANITAS reforestation program. Focused on reforesting affected natural areas through four jornadas planned for 2025 with the goal of planting 1,000 trees per jornada, doubling for the foundation to continue planting, reaching a total of 8,000 trees.

Scale indicators6 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Pacifico Seguros: Major Ecuadorian insurance company offering health, life, auto, and property-casualty products. Competes in the Ecuadorian health insurance market as a broad-line incumbent with greater cross-sell reach but less specialization than Ecuasanitas.
• Bupa Ecuador: Ecuadorian arm of Bupa, the global health insurer, offering international and local health plans. Competes with Ecuasanitas in the Ecuadorian health insurance market with broader geographic reach and portfolio diversification.
• Seguros Sucre: Established Ecuadorian insurance company offering health and other lines of coverage. Competes with Ecuasanitas in the Ecuadorian health insurance market as a diversified incumbent with broader portfolio but narrower prepaid health focus.

Regional players

• Colmédica: Colombian prepaid health plan provider offering medical and dental coverage through a network model. Operates in Colombia with a similar prepaid health subscription structure to Ecuasanitas, providing a regional benchmark for the business model.
• Cruz Blanca: Chilean prepaid health plan provider offering individual and corporate plans through a provider network model. Operates in a different geography but shares the prepaid health subscription model and direct provider-payment structure with Ecuasanitas.

Direct peers

• Saludsa: Leading prepaid health plan provider in Ecuador offering medical and dental coverage to individuals and corporates. Closest direct competitor to Ecuasanitas in the Ecuadorian prepaid health market with overlapping product structure and target segments.

Others

• Sanitas Internacional: Spanish health insurer and parent network of the Sanitas brand in Latin America. Ecuasanitas is described as a precursor to Sanitas Internacional operations in the region, making it a thematically connected entity rather than a direct competitor.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/ecuasanitas
• Xx.com/Ecuasanitas
• Facebookfacebook.com/ecuasanitas

Compliance2 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 Ecuasanitas