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Supplementary Health Sector Grows in 2025 and Health Plans Exceed 53 Million Beneficiaries, According to Updated Data from ANS.
The number of beneficiaries of health plans in Brazil ended 2025 on a high note, surpassing the mark of 53 million active links.
The data was released by ANS (National Supplementary Health Agency) based on information sent by supplementary health operators across the country.
The survey considers December 2025 as a reference and indicates growth in both medical contracts and dental plans.
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In total, the sector accounted for 53,180,646 beneficiaries in medical assistance plans.
The growth was driven by the positive balance between new enrollments and cancellations recorded during the period.
Thus, the progress reinforces the gradual recovery of supplementary health after fluctuations observed in previous years.
Enrollments Exceed Cancellations in the Last Month of the Year
According to ANS, only in December, 1,125,229 new links were added to health plans.
During the same period, there were 1,045,114 cancellations. This movement resulted in a monthly turnover rate of 1.97%.
Although the disconnections remain significant, the balance stayed positive. Therefore, the monthly performance directly contributed to the annual growth of the sector.
The dynamics reflect both new hires and changes among operators.
Annual Turnover of Supplementary Health Reaches 27.9%
Over the 12-month period, the volume of movements was significantly higher.
There were 15,679,007 enrollments compared to 14,512,646 cancellations in health plans.
This flow resulted in an annual turnover rate of 27.90%.
The indicator measures the total movement of the beneficiary base within supplementary health, including entries and exits throughout the year.
The agency emphasizes that the numbers represent contractual links, not unique individuals.
This is because a single beneficiary may have more than one active plan simultaneously.
Dental Plans Also Advance in the Country
In addition to medical contracts, dental plans maintained a growth trajectory.
During the same analyzed period, 35,581,920 active links were accounted for in this modality.
The growth demonstrates the expansion of access to oral health services within supplementary health.
In many cases, dental plans are contracted independently or tied to corporate benefits.
Thus, enrollments include new beneficiaries, portfolio transfers, and voluntary changes of operator.
On the other hand, cancellations involve the termination of collective contracts, exits from the system, and deaths.
Data May Be Revised, Warns ANS
ANS emphasizes that the released numbers are preliminary and may undergo retroactive adjustments.
This happens because operators periodically update their databases.
Thus, monthly revisions may alter the volumes of beneficiaries, enrollments, or cancellations.
Nevertheless, the current statistics already indicate a consistent growth trend in supplementary health.
Growth Reaches All Brazilian States
In comparison to December 2024, there was an increase in the total number of beneficiaries of health plans in all federative units.
The national advancement demonstrates a homogeneous recovery of the sector.
In the dental plan segment, growth was recorded in 20 states.
This highlights relevant expansion, although with varying regional intensity.
Southeast Leads Health Plans Expansion
Then in absolute numbers, the largest advances in health plans were observed in the Southeast Region.
São Paulo, Rio de Janeiro, Minas Gerais, and Espírito Santo accounted for the majority of new enrollments, along with the Federal District.
The performance aligns with population density and the concentration of formal jobs—factors that drive the hiring of supplementary health.
Among dental plans, São Paulo, Rio de Janeiro, and Paraná led the volume of new links.
The outcome reinforces the prominence of these regions in expanding access to private assistance.
Outlook Indicates Continuity of Growth
Then, the performance of 2025 signals strengthening of the health plan sector in Brazil.
Thus, the increase in the number of beneficiaries, combined with the advancement of dental plans, suggests growing demand for private assistance coverage.
Meanwhile, ANS continues to monitor turnover, enrollment, and cancellation indicators to assess the sustainability of the supplementary health system.
The market expectation is for a continuation of the upward trend, conditioned by the economic scenario and formal employment.
See more at: Health Plans End 2025 with More Than 53 Million Beneficiaries, Says ANS
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