MUTUAL HEALTH PLANS
MGEN is a non-profit mutual insurance company specializing in health protection. All its members benefit from a set of unique and distinctive guarantees:
- No age limit when joining;
- No age limit when staying;
- No individual aggravation in case of claim;
- No medical questionnaire on adherence;
- Serious illnesses and rare diseases are not excluded;
- No exclusion of pre-existing illnesses;
- No exclusion of congenital malformation diseases;
- No unilateral termination of the contract by the insurer.
These characteristics are based on the principles of mutual aid and solidarity and distinguish MGEN from usual market practices. Any involuntary change in health status is always covered by MGEN. Occurrences usually excluded by other insurers are covered by MGEN:
- Treatments and medical acts for HIV/AIDS infection
- Morbid obesity;
- Palliative and long-term care;
- Psychology;
- Alternative medicines;
- Pre-existing illnesses when taking out insurance;
- Vaccinations, when prescribed by the doctor.
Compare the coverage.
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A solidarity-based protection model
Unlike conventional health insurance plans, MGEN is a nonprofit organization that operates as a mutual insurance society, where members contribute to a collective protection system.
This model helps ensure more stable and inclusive conditions by preventing common practices such as excessive individual surcharges or exclusions based on health status.
The main goal is to ensure that everyone can maintain their health coverage throughout their lives, regardless of changes in their medical condition.
No restrictions on enrollment or continued enrollment
One of the major advantages of MGEN plans is that there are no restrictions based on age or length of enrollment.
There is no age limit for enrollment or for remaining enrolled in the insurance plan, allowing policyholders to maintain their coverage for their entire lives.
This feature is particularly important for those seeking long-term stability in a health insurance plan, without the fear of losing coverage as they age.
No relevant medical exclusions
MGEN's mutual health insurance plans also stand out for the absence of several exclusions that are frequently applied in the insurance industry.
Among the key differentiators are:
- the absence of exclusions for serious and rare diseases;
- coverage for pre-existing conditions;
- inclusion of diseases associated with congenital malformations;
- No exclusions based on a medical questionnaire at the time of enrollment.
This approach ensures more comprehensive coverage and reduces uncertainty when purchasing insurance.
No aggravating factors following accidents
Another distinguishing feature of MGEN is that there are no individual surcharges in the event of claim.
In other words, using the insurance does not penalize the policyholder through automatic premium increases based on their medical history or use of the system.
This principle reinforces the idea of mutual solidarity, in which risk is shared among all members.
Coverage for situations that are typically excluded
MGEN also covers the cost of treatments and conditions that are often excluded from many traditional health insurance plans.
Among these, the following stand out:
- treatments related to HIV infection/AIDS;
- morbid obesity;
- palliative care and long-term care;
- psychology consultations;
- alternative medicines;
- pre-existing conditions;
- vaccines prescribed by a doctor.
This coverage provides more comprehensive access to health care throughout one's life.
No unilateral termination of the contract
Another important feature of MGEN plans is contractual security.
The health insurance provider cannot unilaterally terminate the contract for reasons related to the member's health status. This ensures stability and predictability in health coverage, even in situations of greater medical need.
This factor is particularly important for people who value continuous coverage over the years.
A comprehensive and inclusive healthcare model
MGEN's mutual insurance plans are designed to ensure that members are not left unprotected during the most critical stages of their lives.
Instead of selecting risks or imposing exclusions, the mutual insurance model distributes coverage more evenly among all members.
This results in a more inclusive solution, particularly well-suited for families or individuals seeking long-term security.
Comparison with the traditional market
In the health insurance market, it is common to encounter limitations such as:
- pre-existing condition exclusions;
- premium increases following claims;
- detailed medical questionnaires at the time of enrollment;
- age restrictions.
MGEN eliminates these barriers by offering a simpler and more accessible approach to health care.
This difference makes mutual insurance plans a viable alternative for those who value stability and continuity.
Choosing the Right Plan for Your Family
When choosing a health insurance plan, you should consider not only the price, but also the level of coverage and the terms and conditions over time.
MGEN plans are particularly well-suited for families looking for a stable solution, without any surprises related to exclusions or future rate increases.
The ability to maintain coverage regardless of changes in one's health status is one of the main factors influencing the decision.
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