Austa Clinicas
Austa Clínicas is a Brazilian ANS-regulated health insurance operator headquartered in São José do Rio Preto, offering individual, family, corporate, and dental plans supported by its own Austa Hospital, a regional provider network, and ABRAMGE national emergency coverage.
- Company typePrivate
- Founded1980
- HeadquartersSão José do Rio Prêto, Brazil
- Headcount501–1,000
- GTM typeB2B and B2C
- OfferingServices
What Austa Clinicas does
Austa Clínicas (legal entity: AUSTACLINICAS ASSISTENCIA MÉDICA E HOSPITALAR LTDA – CONVÊNIO AUSTA) is a Brazilian private health insurance operator (operadora de planos de saúde) founded in 1980 and headquartered in São José do Rio Preto, São Paulo, with 501–1,000 employees. The company is regulated by the Agência Nacional de Saúde Suplementar (ANS) under Lei 9.656/98 and serves individual, family, corporate, and dental plan beneficiaries, alongside home-care (SAD) and digital services.
Its core product is the Medida Certa coparticipation plan, offered alongside standard enfermaria (shared room) and apartamento (private room) tiers, with add-on services including orthopedic products via CENEMED, rescue and inter-hospital transport, medication discounts (up to 35% at Drogão Super and up to 15% at compounding pharmacies), and maternal-care support via the Evah Saúde partnership. The proprietary technology stack includes the Portal do Beneficiário, Portal do Prestador, Portal da Empresa, the P.A. Digital urgent care service, and a TISS 3.0.2 compliant web service for standardized ANS data exchange. Care delivery is anchored by the company's own Austa Hospital and an accredited regional hospital network, supplemented by ABRAMGE membership for national emergency/urgency coverage across 21 Brazilian states with access to 107,000+ affiliated physicians.
The business model combines recurring monthly premiums (subscription) with usage-based coparticipation fees and small subscription add-ons (e.g., R$ 4.99/month for orthopedic products), maintaining 1,000+ active contracted plan variations. Go-to-market is a hybrid motion: a commercial sales team and broker/administrator network drive enterprise and affinity-group sales, while digital self-service portals and WhatsApp handle existing beneficiary servicing, quote requests, and account management. The company holds LGPD compliance via an appointed data protection officer and publishes annual IDSS results as part of ANS's Programa de Qualificação de Operadoras.
Austa Clinicas firmographics
Firmographics- Name
- Austa Clinicas
- Legal name
- AUSTACLINICAS ASSISTENCIA MÉDICA E HOSPITALAR LTDA – CONVÊNIO AUSTA
- Website
- https://austaclinicas.com.br
- Company type
- Private
- Founded year
- 1980
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- Austa Clínicas is a Brazilian ANS-regulated health insurance operator headquartered in São José do Rio Preto, offering individual, family, corporate, and dental plans supported by its own Austa Hospital, a regional provider network, and ABRAMGE national emergency coverage.
- Ownership category
- akta.pro rank
Austa Clinicas industry classification
Industry- Product category
- Health Insurance
- NAICS
- Health and Welfare Funds (525120), General Medical and Surgical Hospitals (622110)
- SIC
- Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321), Services-Hospitals (8060)
- akta.pro primary industry
- International / Expatriate Group Health Plans (FSAIAFAJ)
- akta.pro secondary industry
- Hospital Shared Services, GPOs & System Support Organizations (HLAFAAAO)
Keywords
Where Austa Clinicas is headquartered
LocationHeadquarters
- HQ city
- São José do Rio Prêto
- HQ country
- Brazil
- HQ region
- Latin America
Offices4 records
Markets served
Austa Clinicas business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Supply Chain, Marketing or Sales, Infrastructure
Revenue model
- Health Insurance Premiums: Monthly health insurance premiums paid by individual, family, and corporate beneficiaries. The company offers plans with and without coparticipation (coinsurance), with monthly billing for active policies.
- Coparticipation Fees: When beneficiaries utilize healthcare services (consultations, exams, treatments), they pay a small predefined copay (coparticipação) as defined in their contract. This reduces the base monthly premium while generating usage-based revenue.
- Orthopedic Products Add-on: Additional monthly fee of R$ 4.99 per enrolled client for orthopedic medical equipment and supplies through the CENEMED partnership.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Standard Plan - enfermaria (shared room) accommodation |
| Subscription | Monthly | Senior Plan - apartamento (private room) accommodation |
| Hybrid | Monthly | Medida Certa - Coparticipation Plan |
Go-to-market motion2 records
Distribution channels5 records
Marketing channels8 records
Austa Clinicas product offering
Product offeringCore offering
AUSTACLINICAS ASSISTENCIA MEDICA E HOSPITALAR LTDA operates as a Brazilian health insurance operator (operadora de planos de saúde) regulated by ANS, offering individual, family, and corporate health plans. The company provides plans with and without coparticipation (Medida Certa copay model), operates its own hospital (Austa Hospital), and delivers care through an affiliated network of physicians, clinics, and regional hospitals. Supplemental services include home care (SAD), emergency rescue and inter-hospital transport, medication discounts, and maternal support through Evah Saúde.
Product overview
Austa Clínicas is a Brazilian health insurance operator (operadora de planos de saúde) headquartered in São José do Rio Preto, SP, offering individual, family, and corporate health plans. The core product is the Medida Certa plan with copayment options, providing access to a network of hospitals including the proprietary Austa Hospital and regional partner facilities. The portfolio includes add-on services such as home health support (SAD), emergency rescue and transport, orthopedic products, and medication discounts. Digital services encompass beneficiary, provider, and corporate portals, plus TISS data exchange. Strategic partnerships extend coverage nationally via ABRAMGE and provide specialized maternal care through Evah Saúde.
Differentiator
Problem solved
Functional benefit
Brands
- Medida Certa: Coparticipation health insurance plan with lower monthly premium where beneficiaries pay a small predefined fee when using services.
- SAD – Suporte de Assistência Domiciliar
Products and services
- Medida Certa
Quantifiable outcome
- Medication discounts of up to 35% at partner pharmacy chains
- +1 more outcomes
Companies that use Austa Clinicas
Customer profileSegments3 records
Ideal customer profiles2 records
Austa Clinicas technology and API
TechnologyTechnology focussed No
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
Feature4 records
Austa Clinicas partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered core and minor.
- Evah SaúdecoreEvah Saúde is a maternal health platform offering personalized support for pregnant women through WhatsApp and online tools. Austa Clínicas partnered with Evah Saúde to provide its beneficiaries with a safer and more welcoming pregnancy journey, including multidisciplinary care teams (doctors, nurses, nutritionists), educational content, and health monitoring. The service is free for Austa Clínicas beneficiaries.
- ABRAMGE (Associação Brasileira de Medicina de Grupo)coreABRAMGE is a non-profit association of medical group companies. Austa Clínicas, as an ABRAMGE member, provides its beneficiaries with national emergency and urgency coverage through the ABRAMGE network spanning 21 Brazilian states. The 'Urgência Abramge' program provides zero-cost emergency care for beneficiaries traveling outside their home region, with 107,000+ affiliated physicians and no waiting periods for emergency diagnosis.
- Drogão Super (Pharmacy Chain)minorPartner pharmacy chain offering up to 35% medication discounts to Austa Clínicas beneficiaries who present their health insurance card. Multiple store locations listed in São José do Rio Preto.
- Certa Farmácia de ManipulaçãominorCompounding pharmacy partner offering up to 15% medication discounts to Austa Clínicas beneficiaries.
- Alquimia Farmácia de ManipulaçãominorCompounding pharmacy partner offering up to 15% medication discounts to Austa Clínicas beneficiaries.
- Grindélia Farmácia de ManipulaçãominorCompounding pharmacy partner offering up to 15% medication discounts to Austa Clínicas beneficiaries.
Scale indicators3 records
Recent moves6 records
Expansion highlights5 records
Austa Clinicas competitors and assessment
Company assessmentDirect peers
- Unimed: Brazil's largest cooperative health plan system, organized as regional Unimed singulares. Closely comparable to Austa's regional-operator model with owned hospital/clinic infrastructure serving a defined catchment area.
Broad incumbents
- Hapvida NotreDame Intermédica: Largest verticalized health plan-hospital operator in Brazil following the Hapvida–NotreDame Intermédica merger. Comparable business model combining health plans with owned hospitals, but at national scale.
- Amil: Major national health insurer owned by UnitedHealth Group. Competes with Austa in corporate and individual segments and operates its own hospital network, making it a comparable vertical model at vastly larger scale.
- Bradesco Saúde: Health insurance arm of Banco Bradesco. Strong in group/corporate plans distributed via bank channels, directly comparable to Austa's corporate segment focus but at national scale.
- NotreDame Intermédica: Pre-merger verticalized health insurer-hospital operator (now under Hapvida). Directly comparable to Austa's owned-hospital-plus-plan model in terms of business architecture, though at much larger scale.
- SulAmérica: Established Brazilian health and dental insurer with national reach and corporate focus. Comparable as a multi-line health insurer selling group plans to corporates, though without Austa's regional hospital ownership.
Emerging players
- Prevent Senior: Verticalized health plan operator serving the senior segment in São Paulo with owned hospital network. Comparable model of insurer-plus-provider, though focused on a specific demographic.
Others
- Hospital Care: Brazilian hospital operator sharing digital infrastructure signals (compliance/portal links) with Austa. Listed here as an ecosystem/possibly affiliated counterpart rather than a head-to-head competitor.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat4 records
Key risks4 records
Key highlights7 records
Customer concentration
Austa Clinicas social profiles
Digital presenceAusta Clinicas compliance and trust
Trust signalCompliance2 records
Austa Clinicas financial estimates
Financial estimateRevenue estimate
Valuation estimate
Austa Clinicas leadership team
Management profileNumber of profiles
Profiles1 record
Austa Clinicas funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Austa Clinicas M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Austa Clinicas
What does Austa Clinicas do?
AUSTACLINICAS ASSISTENCIA MEDICA E HOSPITALAR LTDA operates as a Brazilian health insurance operator (operadora de planos de saúde) regulated by ANS, offering individual, family, and corporate health plans. The company provides plans with and without coparticipation (Medida Certa copay model), operates its own hospital (Austa Hospital), and delivers care through an affiliated network of physicians, clinics, and regional hospitals. Supplemental services include home care (SAD), emergency rescue and inter-hospital transport, medication discounts, and maternal support through Evah Saúde.
Is Austa Clinicas a public or private company?
Austa Clinicas is a private company. It is classified as unknown and is currently operating.
When was Austa Clinicas founded?
Austa Clinicas was founded in 1980. It employs 501 to 1,000 people.
Where is Austa Clinicas based?
Austa Clinicas is headquartered in São José do Rio Prêto, Brazil, in the Latin America region.
How does Austa Clinicas make money?
Three revenue lines are on record. Health Insurance Premiums are the primary driver. The others are coparticipation Fees and orthopedic Products Add-on.
Who are Austa Clinicas's main competitors?
Unimed is listed as a direct peer. Broad incumbents are Hapvida NotreDame Intermédica, Amil, Bradesco Saúde, NotreDame Intermédica and SulAmérica. Prevent Senior is listed as an emerging player. Hospital Care is listed as an others.
Does Austa Clinicas have an API?
Yes. Austa Clínicas operates a Web Service for TISS (Troca de Informação em Saúde Suplementar) integration, which is the mandatory standard established by ANS (Agência Nacional de Saúde Suplementar) for exchanging health information between health operators and service providers. The Web Service is accessible at http://150.230.82.245:8081/PlanodeSaude for billing (TISS 3.0.2), authorization, and routine file submission for medical billing. Developer documentation is at 150.230.82.245:8081/PlanodeSaude.
What industry is Austa Clinicas in?
Austa Clinicas's product category is Health Insurance. Its primary akta.pro industry code is FSAIAFAJ, International / Expatriate Group Health Plans, with a secondary code of HLAFAAAO, Hospital Shared Services, GPOs & System Support Organizations. Its NAICS code is 525120 and its SIC code is 6324.