Pijaos Sa

What Pijaos Sa does

Pijaos Salud E.P.S. Ind\u00edgena is a Colombian indigenous-managed health insurance entity (EPS-I) authorized on March 29, 2001 by the Superintendencia Nacional de Salud under Resolution 0539 to administer subsidized regime resources. Formed by the Indigenous Communities of Tolima and operating as a public-law entity of special character under Decree 1088 of 1993, it serves six or more ethnic groups including the Pijao, Nasa, Embera, Misak, and Yanakona peoples through 22 physical offices across the Tolima, Risaralda, and Meta departments. The company's core offering is the subsidized health regime (R\u00e9gimen Subsidiado), funded through per-capita UPC transfers from ADRES, supplemented by a contributory regime (Regimen Contributivo mobility services) and a Solidarity Contribution tier created under Decree 616 of 2022 for Sisben IV Group D populations.

The service architecture combines proprietary portals with government-mandated platforms. GEMANET is the self-built authorization/billing platform with separate login portals for IPS providers, affiliates, and the Gesinova employee management system. The entity integrates with the Ministry of Health's SIIFA platform (financial and clinical interoperability, phasing in from February 2026 per Resolution 1962 of 2025), MIPRES (prescription tracking for UPC-funded technologies), SAT (transactional affiliation), and PILA (contributions). Promoci\u00f3n y Prevenci\u00f3n (PyP) programs span maternal-infant care with at least seven prenatal controls, vaccination per the official schedule, oral health, cancer detection, high-risk disease management, palliative care, family planning, voluntary termination of pregnancy, and an integrated Medicina Ancestral offering that combines traditional indigenous healing with Western medicine.

Revenue is derived primarily from recurring per-capita UPC payments adjusted annually by the Ministry of Health, augmented by Solidarity Contribution tariffs ranging from 2.5% to 11% of UPC depending on Sisben subgroup D01-D21. Affiliation occurs through community assemblies with traditional authority approval per Law 691 of 2001 and Agreement 326 of 2005, rather than through conventional consumer marketing. Distribution is hybrid: 22 physical offices in indigenous municipalities, WhatsApp channels per department for PQRD and reference services, a national toll-free line (01 8000 186754), and a field reference network, with national portability coverage under Decree 1683 of 2013 allowing members to access services anywhere in Colombia.

Name

Pijaos Sa

Legal name

Pijaos Salud E.P.S. Indígena

Website

https://pijaossalud.com

Company type

Private

Founded year

2001

Operating status

Operating

Headcount range

51–100 employees

Short description

Pijaos Salud E.P.S. Ind\u00edgena is a Colombian indigenous-managed health insurance entity authorized in 2001, administering the subsidized regime, contributory mobility, and Solidarity Contribution plans for six or more ethnic groups across 22 offices in Tolima, Risaralda, and Meta.

Ownership category

akta.pro rank

Product category

Managed Health Care (Indigenous EPS)

NAICS

American Indian and Alaska Native Tribal Governments (921150), Public Administration (92)

SIC

Services-Social Services (8300)

akta.pro primary industry

Tribal/Indigenous Public Health Authorities (HLAJAAAD)

akta.pro secondary industry

Minority, Indigenous & Disability Rights (BPADAGAH)

Keywords

• Subsidized health insurance
• Indigenous health services
• Intercultural healthcare
• Health regime administration
• Community-led managed care

Headquarters

HQ city

Ibagué

HQ country

Colombia

HQ region

Latin America

Offices22 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Subsidized Regime Administration: Pijaos Salud EPS-I administers resources from the General Social Security Health System (SGSSS) for the subsidized regime, receiving Per Capita Value (UPC) transfers from ADRES. The organization was authorized via Resolution No. 0539 of March 29, 2001, from the National Health Superintendent. The company manages collective affiliation of indigenous communities as defined by Law 691 of 2001 and Decree 1088 of 1993.
2. UPC-Adjusted Capitation Payments: Recurring per capita payments adjusted annually by the Ministry of Health, with increments communicated through official circulars. The 2026 UPC increment was established under Resolution 2764 of 2025.
3. Solidarity Contribution (Contribución Solidaria): Special contribution mechanism for population classified in Sisbén IV Group D who do not qualify for the contributory regime, created under Decree 616 of 2022. Monthly tariffs range from 2.5% to 11% of UPC based on Sisbén subgroup.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels7 records

Core offering

Pijaos Salud E.P.S. Indígena is an Indigenous Health Promoting Entity (EPS-I) authorized by Resolution 0539 of 2001 to administer subsidized health regime resources for indigenous communities in Colombia. It provides comprehensive health services that integrate ancestral indigenous medicine with Western medical practice, covering Pijao, Nasa, Embera, Misak, Yanakona, and other ethnic groups across Tolima, Risaralda, and Meta departments through 22 physical offices and digital platforms.

Product overview

Pijaos Salud EPS Indigena operates as a specialized indigenous health insurance provider (EPS-I) offering a unified health services platform that integrates traditional indigenous medicine with Western medicine. The core offering is the subsidized health regime (Regimen Subsidiado) authorized under Decree 1088 of 1993, supplemented by a contributory regime (Regimen Contributivo) and Solidary Contribution mechanism (Decree 616 of 2022). The service portfolio includes multiple digital portals: GEMANET for IPS providers and affiliates, Gesinova for employees, and a Help Center. Health programs encompass maternal-infant care, vaccination, oral health, cancer detection, high-risk disease management, palliative care, ancestral medicine, and family planning. The organization integrates with government platforms including SIIFA, MIPRES, SAT, and PILA for regulatory compliance, while using Looker Studio for epidemiological surveillance dashboards.

Differentiator

Problem solved

Functional benefit

Products and services

• Regimen Subsidiado (Subsidized Health Regime Administration) Core health insurance product for indigenous communities operating under the Colombian subsidized regime, providing health services that integrate traditional indigenous medicine with Western medicine for Pijao, Nasa, Embera, Misak, Yanakona, and other ethnic groups.
• Regimen Contributivo (Contributory Health Regime)

Quantifiable outcome

• Affiliation and health services for multiple indigenous ethnic groups (Pijao, Nasa, Embera, Misak, Yanakona, and others)
• +1 more outcomes

Segments7 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration9 records

Feature4 records

Partnerships

Two partnerships are on record, tiered significant.

• Compensar EPS (Afiliados transferidos)significantOthers · 1 January 2026Transfer of Compensar EPS affiliates to Pijaos Salud EPS Indígena, expanding the organization's member base to include former Compensar members in indigenous communities. This represents a significant expansion of covered population through affiliate migration.
• Asociación Indígena del Cauca (AIC)significantOthers · 1 January 2026Transfer of AIC (Asociación Indígena del Cauca) affiliates to Pijaos Salud EPS Indígena. The AIC was a previous indigenous health insurance partner whose members were migrated to Pijaos Salud, representing alignment of indigenous community health administration under the Pijao organization.

Scale indicators4 records

Recent moves5 records

Expansion highlights5 records

Broad incumbents

• Nueva EPS: Largest subsidized-regime EPS in Colombia; competes indirectly for general (non-indigenous) population in overlapping departments but does not have indigenous-EPS authorization.
• Sanitas EPS: Major Colombian EPS operating in contributory and subsidized regimes across multiple departments; overlaps geographically with Pijaos Salud's footprint but lacks indigenous-specific authorization.
• EPS Sura: Large Colombian EPS with broad contributor- and subsidized-regime presence; comparable in administering UPC-based health benefits but operates as a commercial entity without indigenous-EPS-I designation.
• Compensar EPS: General Colombian EPS from which Pijaos Salud received affiliate transfers in 2026; same SGSSS regulatory environment and UPC revenue model, but without indigenous-community governance.

Direct peers

• Mallamas EPS Indígena: Indigenous EPS authorized to administer subsidized regime resources for indigenous populations in southern Colombia; direct functional peer with same regulatory and revenue model.
• Asociación Indígena del Cauca (AIC): Former indigenous health affiliate source; AIC previously administered health for Nasa and other communities in Cauca. Affiliate base migrated to Pijaos Salud in 2026, making it a direct historical peer.
• Dusakawi EPS Indígena: Another authorized EPS-I operating the subsidized regime for indigenous communities in Colombia under Decree 1088 of 1993; same regulatory authorization model, same UPC revenue mechanics, same community-led affiliation structure.
• Anas Wayuu EPS Indígena: Indigenous EPS serving the Wayuu people in La Guajira and Cesar under the same Decree 1088/1993 framework; comparable indigenous-affiliated EPS-I with UPC capitation model.

Emerging players

• Manexka EPS Indígena: Smaller authorized EPS-I in early stages of operations for indigenous populations; comparable business model under Decree 1088/1993 but with narrower scale than Pijaos Salud's 22-office footprint.

Regional players

• Asociación Mutual La Esperanza (AMEM): Colombian indigenous community-based health organization with comparable mission of integrating ancestral medicine and Western practice; regional peer addressing similar indigenous health access barriers.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/@PIJAOSSALUDEPSINDIGENA
• Facebookfacebook.com/PijaosSaludEPSIndigena
• LinkedInlinkedin.com/company/pijaos-sa

Compliance2 records

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 Pijaos Sa