What is Flexible Remuneration Health Insurance?

Flexible Remuneration Health Insurance is a benefit that your company offers you so that you can take out private health insurance with tax advantages. The insurance premium is deducted directly from your gross salary, which reduces the taxable base of your personal income tax and, therefore, you pay less taxes.

Main Advantages

Tax savings: By taking out health insurance through flexible remuneration, you reduce the taxable base of your personal income tax, so you pay less taxes.

Access to private healthcare: Enjoy private medical care with quick access to consultations, diagnostic tests and treatments.

Family coverage: In most cases, you can also include your spouse and children in the policy.

No direct out-of-pocket payment: The premium is deducted directly from your paycheck, so you don't need to make any payments yourself.

FAQ Flexible Remuneration Health Insurance

What does flexible compensation mean?

Flexible compensation is a compensation model in which part of your salary is used to purchase products or services, such as health insurance, transportation vouchers, or restaurant tickets. This part of your salary is not subject to income tax withholding, allowing you to pay less tax.

Who can access this insurance?

Generally, any employee of the company that offers this flexible compensation system. Check with your Human Resources department to confirm your eligibility.

Can I include my family in the policy?

Yes, in most cases you can include your spouse and children in the policy, although this may depend on the insurer's policy.

What is the exact tax savings I can get?

The tax savings depend on your personal situation, such as your gross salary and your marginal income tax rate. Typically, you can save between 20% and 45% of the cost of the insurance.

When does the insurance come into effect?

The insurance comes into effect once your company formalizes the contract with the insurer. The start dates usually coincide with the beginning of a month, but it depends on the agreement with the insurer.

What happens if I leave the company?

If you leave the company, the insurance coverage may continue as long as the insurer allows a private contract or if your company offers you an insurance portability option.

Coverage and Services

What coverage does the insurance include?

Coverage varies depending on the insurer, but generally includes:

• General and specialized medical consultations
• Diagnostic tests
• Emergencies
• Hospitalization
• Surgery
• Special treatments (physiotherapy, psychology, etc.)

Can I choose the doctor or health center?

Yes, most insurers offer a medical directory with options to choose from among different specialists and medical centers.

Are there waiting periods?

Yes, some services may be subject to waiting periods, especially those that require more expensive or long-term treatments. Check the specific conditions with the insurer.

Does the policy cover pre-existing diseases?

Not all insurers cover pre-existing diseases. Some may accept coverage after a waiting period or with specific restrictions.

Processes and Procedures

Can I modify the policy or include new family members?

Yes, but the conditions vary depending on the insurer and when you want to do so. Some companies allow changes to be made annually during the "modification period".

What do I do if I need healthcare?

Check the insurer's medical directory, choose the professional or medical center you want and make an appointment. You do not need to pay anything directly, since the insurer covers it.

How do I request reimbursements?

In most cases, flexible remuneration insurance does not work on a reimbursement basis, but the service is provided directly through the medical directory.

Where can I consult my insurance documentation?

Normally, the insurer will provide you with access to an online platform or a mobile application where you can see all the information about your policy.