Tabela de Valores Plano de Saúde Individual por Adesão Intermédica Notredame

TABELA DE VALORES SEM COPARTICIPAÇÃO

Idade	Smart 200 [E]	Smart 200 UP [E]	Smart 300 [E]	Smart 400 [E]	Smart 400 [A]	Smart 500 [E]	Smart 500 [A]	Advance 600 [E]	Advance 600 [A]	Advance 700 [E]	Advance 700 [A]	Premium 900.1 [A]
Abrangência	Reg.	Reg.	Reg.	Reg.	Reg.	Reg.	Reg.	Nac.	Nac.	Nac.	Nac.	Nac.
00 a 18	138,97	164,77	178,37	189,62	235,09	205,37	254,63	236,28	236,28	281,21	252,08	287,38
19 a 23	187,58	222,41	240,76	255,95	317,32	277,21	343,70	318,93	379,58	340,26	387,91	659,38
24 a 28	221,68	262,84	284,53	302,48	375,01	327,61	406,18	376,91	448,59	402,12	458,43	779,26
29 a 33	231,61	274,62	297,28	316,03	391,81	342,29	424,38	393,80	468,69	420,13	478,97	814,17
34 a 38	239,35	283,79	307,21	326,59	404,90	353,72	438,55	406,95	484,34	434,16	494,97	841,36
39 a 43	263,29	312,17	337,93	359,25	445,39	389,09	482,41	447,65	532,77	477,58	544,47	925,50
44 a 48	342,28	405,82	439,31	467,03	579,01	505,82	627,13	581,95	692,60	620,85	707,81	1.203,15
49 a 53	444,96	527,57	571,10	607,14	752,71	657,57	815,27	756,54	900,38	807,11	920,15	1.564,10
54 a 58	578,45	685,84	742,43	789,28	978,52	854,84	1059,85	983,50	1.170,49	1.049,24	1.196,20	2.033,33
59 ou +	833,72	988,50	1070,06	1137,59	1410,34	1232,08	1527,56	1417,52	1.687,03	1.512,27	1.724,08	2.930,64

Idade	Smart 200 [E]	Smart 200 UP [E]	Smart 300 [E]	Smart 400 [E]	Smart 400 [A]	Smart 500 [E]	Smart 500 [A]	Advance 600 [E]	Advance 600 [A]	Advance 700 [E]	Advance 700 [A]	Premium 900.1 [A]
Abrangência	Reg.	Reg.	Reg.	Reg.	Reg.	Reg.	Reg.	Nac.	Nac.	Nac.	Nac.	Nac.
00 a 18	118,13	140,05	151,61	161,18	199,83	181,84	225,45	194,99	232,07	214,27	244,27	415,23
19 a 23	159,45	189,04	204,64	217,56	269,73	245,45	304,31	263,20	313,25	289,22	329,72	560,48
24 a 28	188,44	223,41	241,84	257,11	318,77	290,07	359,63	311,05	370,20	341,80	389,66	662,38
29 a 33	196,88	233,42	252,67	268,63	333,05	303,07	375,74	324,99	386,78	357,11	407,12	692,05
34 a 38	203,46	241,22	261,11	277,60	344,17	313,19	388,29	335,84	399,70	369,04	420,72	715,16
39 a 43	223,81	265,34	287,22	305,36	378,59	344,51	427,12	369,42	439,67	405,94	462,79	786,68
44 a 48	290,95	344,94	373,39	396,97	492,17	447,86	555,26	480,25	571,57	527,72	601,63	1022,68
49 a 53	378,24	448,42	485,41	516,06	639,82	582,22	721,84	624,33	743,04	686,04	782,12	1329,48
54 a 58	491,71	582,95	631,03	670,88	831,77	756,89	938,39	811,63	965,95	891,85	1016,76	1728,32
59 ou +	708,70	840,21	909,50	966,94	1198,83	1090,91	1352,50	1169,80	1392,22	1285,42	1465,46	2491,03