SANTAMÁLIA - Individual
PLANO AMBULATORIAL E HOSPITALAR - Taxa R$ 15,00 por contrato
PLANO AMBULATORIAL E HOSPITALAR - Taxa R$ 15,00 por contrato
|
Faixa
Etária |
BASIC - STANDARD
|
BASIC - PLUS
|
SPECIAL I - STANDARD
|
SPECIAL I - PLUS
|
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|
Enfermaria
|
Apartamento
|
Enfermaria
|
Apartamento
|
|||||
|
Individual
|
Familiar
|
Individual
|
Familiar
|
Individual
|
Familiar
|
Individual
|
Familiar
|
|
|
00 a 18
|
59,71
|
55,53
|
74,88
|
69,63
|
68,66
|
63,85
|
93,48
|
86,93
|
|
19 a 23
|
73,43
|
68,28
|
92,10
|
85,65
|
84,44
|
78,52
|
114,98
|
106,93
|
|
24 a 28
|
82,69
|
76,90
|
103,70
|
96,44
|
95,10
|
88,44
|
129,47
|
120,40
|
|
29 a 33
|
91,95
|
85,51
|
115,33
|
107,25
|
108,02
|
100,45
|
143,97
|
133,89
|
|
34 a 38
|
103,59
|
96,33
|
129,91
|
120,81
|
121,70
|
113,18
|
162,20
|
150,84
|
|
39 a 43
|
115,23
|
107,16
|
144,52
|
134,40
|
135,40
|
125,92
|
180,43
|
167,79
|
|
44 a 48
|
146,29
|
136,04
|
183,48
|
170,63
|
171,85
|
159,82
|
229,07
|
213,03
|
|
49 a 53
|
177,90
|
165,44
|
223,12
|
207,50
|
208,99
|
194,36
|
278,55
|
259,00
|
|
54 a 58
|
268,07
|
249,30
|
336,19
|
312,65
|
314,92
|
292,87
|
419,74
|
390,35
|
|
59 a +
|
358,26
|
333,18
|
449,28
|
417,83
|
420,80
|
391,34
|
560,88
|
521,61
|
|
Faixa
Etária |
SPECIAL II - STANDARD
|
SPECIAL II - PLUS
|
SPECIAL III -STANDARD
|
SPECIAL III - PLUS
|
||||
|
Enfermaria |
Apartamento |
Enfermaria |
Apartamento |
|||||
|
Individual
|
Familiar
|
Individual
|
Familiar
|
Individual
|
Familiar
|
Individual
|
Familiar
|
|
|
00 a 18
|
78,95
|
73,42
|
107,50
|
99,97
|
116,80
|
108,62
|
146,00
|
135,78
|
|
19 a 23
|
97,10
|
90,30
|
132,22
|
122,96
|
143,66
|
133,60
|
179,58
|
167,00
|
|
24 a 28
|
109,36
|
101,70
|
148,89
|
138,46
|
161,76
|
150,43
|
202,20
|
188,04
|
|
29 a 33
|
124,22
|
115,52
|
165,56
|
153,97
|
179,89
|
167,29
|
224,86
|
209,11
|
|
34 a 38
|
139,95
|
130,15
|
186,53
|
173,47
|
202,66
|
188,47
|
253,33
|
235,59
|
|
39 a 43
|
155,71
|
144,81
|
207,49
|
192,96
|
225,44
|
209,65
|
281,79
|
262,06
|
|
44 a 48
|
197,62
|
183,78
|
263,43
|
244,98
|
286,22
|
266,18
|
357,77
|
332,72
|
|
49 a 53
|
240,33
|
223,50
|
320,33
|
297,90
|
348,06
|
323,69
|
435,08
|
404,62
|
|
54 a 58
|
362,15
|
336,79
|
482,70
|
448,91
|
524,45
|
487,73
|
655,57
|
609,68
|
|
59 a +
|
483,92
|
450,04
|
645,01
|
599,85
|
700,81
|
651,75
|
876,02
|
814,69
|
