Grupos de 02 a 29 vidas | Coparticipação Parcial
| Idade | AMP 135E [E] | AMP 165E [E] | AMP 265E [E] | AMP 265A [A] |
|---|---|---|---|---|
| 00 a 18 | 96,23 | 109,78 | 118,85 | 148,66 |
| 19 a 23 | 112,34 | 128,74 | 139,71 | 175,78 |
| 24 a 28 | 122,56 | 140,76 | 152,94 | 192,97 |
| 29 a 33 | 139,05 | 160,16 | 174,29 | 220,73 |
| 34 a 38 | 158,17 | 182,66 | 199,55 | 252,93 |
| 39 a 43 | 188,68 | 218,56 | 238,55 | 304,28 |
| 44 a 48 | 225,90 | 262,35 | 286,75 | 366,93 |
| 49 a 53 | 281,63 | 327,92 | 358,90 | 460,74 |
| 54 a 58 | 360,27 | 420,44 | 460,72 | 593,11 |
| 59 ou + | 479,53 | 560,77 | 615,15 | 793,88 |
Grupos de 30 a 99 vidas | Coparticipação Parcial
| Idade | AMP 135E [E] | AMP 165E [E] | AMP 265E [E] | AMP 265A [A] |
|---|---|---|---|---|
| 00 a 18 | 92,37 | 105,23 | 113,86 | 142,17 |
| 19 a 23 | 107,67 | 123,23 | 133,68 | 167,93 |
| 24 a 28 | 117,37 | 134,64 | 146,23 | 184,26 |
| 29 a 33 | 133,03 | 153,07 | 166,51 | 210,62 |
| 34 a 38 | 151,20 | 174,44 | 190,03 | 241,20 |
| 39 a 43 | 180,17 | 208,52 | 227,55 | 289,97 |
| 44 a 48 | 215,52 | 250,11 | 273,32 | 349,48 |
| 49 a 53 | 268,44 | 312,37 | 341,86 | 438,57 |
| 54 a 58 | 343,12 | 400,24 | 438,56 | 564,29 |
| 59 ou + | 456,39 | 533,49 | 585,23 | 754,97 |
| Zona Leste - SP | AMP 135E [E] | AMP 165E [E] | AMP 265E [E] | AMP 265A [A] |
| H Vidas Paranaguá | H¹, PA | H¹, PA | H¹, PA | H¹, PA |
| Zona Oeste - SP | AMP 135E [E] | AMP 165E [E] | AMP 265E [E] | AMP 265A [A] |
| Saint Patrick - Jaguara/Oeste | M, PS | M, PS | M, PS | M, PS |
| Zona Sul - SP | AMP 135E [E] | AMP 165E [E] | AMP 265E [E] | AMP 265A [A] |
| H Vida's Alta Complexidade | H, PS | H, PS | H, PS | H, PS |
| ABCD - SP | AMP 135E [E] | AMP 165E [E] | AMP 265E [E] | AMP 265A [A] |
| Sta Casa - Mauá | M, PS | M, PS | M, PS | M, PS |
| Sta Casa de SBC - São Bernardo do Campo | PS | PS | PS | PS |
| Grande SP - Leste - SP | AMP 135E [E] | AMP 165E [E] | AMP 265E [E] | AMP 265A [A] |
| H Sta Maria de Suzano - Suzano | - | PS | PS | PS |
| Grande SP - Oeste - SP | AMP 135E [E] | AMP 165E [E] | AMP 265E [E] | AMP 265A [A] |
| H Vidas Osasco - Osasco | PS | PS | PS | PS |
| Saint Patrick - Osasco - Osasco | PA | PA | PA | PA |
| H Yes - Itapevi | - | - | PS | PS |
| Laboratórios | AMP 135E [E] | AMP 165E [E] | AMP 265E [E] | AMP 265A [A] |
| Adeclin | LAB | LAB | LAB | LAB |
| Autologus | - | LAB | LAB | LAB |
| Biocenter - SBC | - | LAB | LAB | LAB |
| CID | - | LAB | LAB | LAB |
| Diffusion | LAB | LAB | LAB | LAB |
| Enzilab | - | LAB | LAB | LAB |
| Hemocito | - | - | LAB | LAB |
| Sanitas | LAB | LAB | LAB | LAB |
| Schmillevitch | LAB | LAB | LAB | LAB |
| Sta Clara | - | LAB | LAB | LAB |
| Tadão Mori | LAB | LAB | LAB | LAB |
| Vidas Diagnóstico - SP | LAB | LAB | LAB | LAB |