RMACHADO GROUPINSURANCE INTERMEDIARY

Rights and procedure guide · Continuity of care

Health insurance will not renew: what should you clarify about an existing illness?

Sofia Lobo has received notice that her health insurance will not renew while care is ongoing. In this fictional story, Clara Mota helps her separate the contract end, illness notification and remaining sum insured. Sofia needs to plan the family’s expenses without assuming that everything stops that day or that she gains a complete new policy for two years.

By RMACHADO GROUP · · 3 min read

THE ESSENTIALS

Before you start

  • Post-non-renewal protection has conditions and limits.
  • When illness manifested and its notification matter.
  • Request the remaining sum and clarification of subsequent insurance.

What Article 217 provides

On non-renewal of the contract or cover, Article 217 protects certain benefits arising from illness, related care or an event during the insured period that was covered. It requires absence of proportionate subsequent cover and is limited to two years and the previous period's remaining sum. Illness must be notified within 30 days after termination, subject to justified impediment.

Sources: Diário da República — Regime Jurídico do Contrato de Seguro, artigos 214.º e 217.º completos; última alteração da consolidação 17/03/2026, lidos 02/11/2026 ↗

Request information explaining the limit

Article 12 of ASF Regulatory Standard 12/2024-R requires written information to the policyholder and insured person within eight days after termination, including the remaining sum and illness notification. Under group insurance, the insured person must receive that information. The contract’s payment terms continue with the necessary adaptations.

Clara puts two dates on Sofia’s list: the insurer’s information duty and illness notification are different steps. Do not postpone your notification while waiting for an answer about the remaining sum. If you have already contacted the insurer, retain evidence and clarify anything still needed through the appropriate channel.

Sources: Diário da República — NR ASF 12/2024-R, artigo 12.º completo e artigos 2.º, 14.º e 15.º; publicada 06/01/2025, lidos 02/11/2026 ↗

Prepare a timeline without making clinical decisions

Collect the notice date, stated termination date, contract reference and previous communications. Identify ongoing care and documents that may establish when the situation manifested. Ask the insurer for its appropriate clinical-information channel; do not expose it in comments or public free-text forms.

In the story, Sofia has tests related to a situation known before non-renewal. Clara helps her request assessment and information about the remaining sum, keeping evidence of contact. A scheduled appointment or future bill alone does not establish that all requirements are met. This example does not decide a real person’s benefit.

The next proposal needs its own assessment

If another policy exists, put the dates and scopes side by side and ask how they interact. Do not mark continuity as complete simply because a new card arrived. An answer about the previous contract's non-renewal is not an acceptance decision for the next proposal.

RMACHADO can help organise the request and a health quote with outstanding questions identified. Do not change clinically necessary care on the basis of this guide or treat the example as a payment decision. The purpose is to present facts promptly and obtain a reasoned answer for the specific contract.

KEEP THESE QUESTIONS

Your checklist for the next conversation

  • Keep the notice and contract or cover termination date.
  • Address illness notification promptly and retain evidence.
  • Request the remaining sum insured.
  • Clarify interaction with any subsequent policy.

FROM THE ARTICLE TO YOUR SITUATION

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Sources and transparency

Content updated on .

Consultation dates are stated in individual references when available.

Numerical examples are fictional and explain concepts. Editorial interpretations are identified in the text.

Information from RMACHADO GROUP. This is not an insurance offer or individual advice. Covers, acceptance, exclusions, sums insured and costs depend on the policy. The intermediary does not underwrite the risks.