Lightstep

by TejoMed

New

Medical Weight Care built around you

See how it works

Lightstep

by TejoMed

New

Medical Weight Care built around you

Learn more

Membership and insurance

Membership and insurance

How TejoMed works with your health insurance

How TejoMed works with your health insurance

How TejoMed works with your health insurance

Membership gives you one dedicated doctor who knows you and has time for you. Your insurance keeps paying for what it already covers: labs, imaging, specialists and hospital care. The two work side by side, and you keep the policy you already have.

Membership gives you one dedicated doctor who knows you and has time for you. Your insurance keeps paying for what it already covers: labs, imaging, specialists and hospital care. The two work side by side, and you keep the policy you already have.

Keep the insurance you have. Nothing about your policy changes

Use it for labs, imaging, specialist visits and hospital care

The membership fee pays for time, access and one doctor who knows you

No commitment. A real person will get back to you within one business day.

Or call us directly:

+351 21 020 0900

How it fits with insurance

Your membership complements your insurance rather than replacing it

A membership complements your insurance rather than replacing it. Insurance covers the hospital, the specialists and the labs. Your TejoMed doctor covers your core needs.

1

Doctor

The membership

One dedicated doctor who looks after a small number of people, unhurried visits, and direct access: the time insurance doesn’t pay for.

Lab report

Referral

Your insurance, unchanged

Labs, imaging, and specialist visits are billed separately, often through the coverage you already have. Keep your policy: the membership itself is not covered by insurance.

Bring your policy to the advisor call and we will walk through how the two fit together.

Who pays for what

Who pays for what

What your insurance covers, and what your membership covers

What your insurance covers, and what your membership covers

Two different jobs. Here is the split, so there are no surprises later.

Your insurance covers

Lab tests and blood work

Imaging such as scans and X-rays

Specialist consultations

Hospital stays, surgery and emergency care

Medications and vaccinations, where your policy includes them

Cover varies by policy. Bring yours to the advisor call and we will go through it together.

Your TejoMed membership covers

One dedicated doctor who knows you and your history

Unhurried appointments that start on time

Same or next-day appointments when you are unwell

Direct contact with your doctor and care team between visits

A comprehensive annual check-up and a plan for the year

Referrals and specialist visits coordinated for you

The membership fee is paid to TejoMed and is not covered by insurance.

In practice

What happens when you need a test or a specialist

What happens when you need a test or a specialist

Your doctor stays in charge of the plan. Your insurance pays for the parts it covers.

01

Your doctor decides what is needed

Blood work, a scan or a specialist opinion: your doctor explains why, and arranges it at a partner lab or with a trusted specialist near you.

02

You use your insurance where it applies

The lab, imaging centre or specialist bills you as they would anyone else, so you claim through your policy in the usual way. The membership fee is separate.

03

Results come back to your doctor

Your doctor goes through every result with you, follows up on the specialist’s advice, and keeps it all in your record in one place.

Whatever cover you have

Whatever cover you have

Membership works with private insurance, an international plan, or none at all

Membership works with private insurance, an international plan, or none at all

You do not need private insurance to join. What changes is how the separate bills for labs and specialists are paid.

Portuguese private insurance

Keep your policy for the hospital, specialists and labs. Your TejoMed doctor becomes the person who ties it all together and knows your history.

An international or expat plan

Labs, imaging and specialist visits are billed by the provider, so you claim them under your plan in the usual way. Your results and notes stay in your patient portal, ready when you need them.

No private insurance

You can join on the public system alone. Labs, imaging and specialists are paid directly to the provider, and your doctor tells you what is needed before anything is arranged. Your SNS registration stays as it is.

Questions about insurance and membership

Questions about insurance and membership

The questions people ask before they join. Have more?

Do you accept insurance?

TejoMed works alongside insurance, and the membership fee is not covered by insurance. The membership pays for what insurance typically does not: a dedicated relationship with one doctor, longer unhurried visits, comprehensive check-ups and direct communication. Your insurance is used for labs, tests and specialist referrals where it applies.

Can I claim the membership fee back from my insurer?

No. The fee pays for time, access and attention, which insurance is not built to reimburse. Labs, imaging and specialist visits are billed separately by the provider and are often reimbursable through your policy.

Do I need private health insurance to join?

No. Members join with Portuguese private insurance, with an international plan, or with no private cover at all. What changes is how the separate bills for labs, imaging and specialists are paid.

What is billed separately?

Lab tests, imaging, specialist visits, medications and supplements, advanced diagnostic procedures, and some additional services such as travel consultations or vaccinations. Many of these are reimbursable through insurance.

What happens if I need a specialist?

Your doctor helps you find the right specialist, prepares you and your information so the visit is useful, and helps you follow the specialist's plan afterwards. The visit itself is billed by the specialist, and your insurance applies where it covers it.

Is TejoMed a health insurance plan?

No. TejoMed is a medical practice with a real clinic in Lisbon, and membership gives you one dedicated doctor who knows you. Your insurance and your SNS registration stay in place for what they cover.

Can I pay for membership through Coverflex?

Yes. TejoMed membership is available as an employee benefit through Coverflex. See the Coverflex page for how it works, or ask your advisor.

A family of three relaxed together on a sofa at home in Lisbon

Limited Membership Available

Ready for a doctor who actually knows you?

Ready for a doctor who actually knows you?

Each of our doctors looks after a small number of people on purpose. It’s the only way they have the time to truly know you. Your insurance stays exactly as it is. When a list is full, it’s full.