Menteia · Seguro Sin Vueltas · October 2026 · Confidential
# Executive summary **Seguro Sin Vueltas** — AI assistant on WhatsApp that guides patients with major medical insurance at no cost and routes them to in-network doctors and hospitals, backed by VITAE Asesores.
> Use your health insurance without the runaround. **In one line:** Free WhatsApp guide to use Mexican health insurance ![Seguro Sin Vueltas: cover of misegurosinvueltas.com](capturas/01.jpg) ## The problem - 14.5 M Mexicans have private health insurance, but using it is a maze: hospital networks, deductibles, co-insurance, surgery scheduling, reimbursements. - Patients arrive late or at the wrong hospital and end up paying out of pocket or abandoning the claim. - Doctors and hospitals lose insured patients because nobody connects them with people who already have coverage. ## The solution Seguro Sin Vueltas is a free guidance service for patients: an AI agent on WhatsApp collects the basic details, reads the policy with computer vision, pre-qualifies the case and assigns it to a specialist advisor at VITAE, who guides the patient to doctors and hospitals in their insurer's network. Our own CRM gives advisors a prioritized queue, case files, live chat with takeover and KPIs. - Single entry point on WhatsApp from the website or referral QR codes, tagged by source (patient, emergency, surgery, doctor, company). - The AI agent collects data, reads the policy summary page (OCR) and transcribes voice notes; it never promises coverage or gives medical advice. - Pre-qualification and automatic assignment to the available advisor with the lightest workload. - Advisor CRM: prioritized queue, funnel, patient case file, live chat with 'take control', insurer-specific forms, SLAs. - Network of partner doctors and hospitals with no membership fee; HR portal for companies. ## Why we win - AI does the heavy lifting (data capture, policy OCR, prioritization); a human expert makes the sensitive decisions. - Health guardrails: no coverage promises, no medical advice, closed list of insurers, human in the loop. - Free for the patient: revenue comes from the partner network and companies, not from the sick. - Our own CRM with role-based security (RLS): each advisor sees only their own cases. ## Traction - Platform in production (pilot) since July 2026: website, WhatsApp agent and advisor CRM. - Operated by VITAE Asesores (vitaeasesores.com), its corporate brand: a network of partner doctors and HR teams with free advisory, tools and a CRM to follow up on every case. - Real case metrics still to be documented (test data was wiped in Jul–Sep). ## Market | Level | Annual size | How it is calculated | | --- | --- | --- | | TAM | US$29 M | 14.5 M people with major medical insurance × ~5% with a hospital event per year (~725k cases) × US$40 per routed case | | SAM | US$11.6 M | Mexico City and State of Mexico (~40% of insured people) | | SOM | US$300k | ~750 cases routed per month by month 24 (≈2.5% of SAM) + partner memberships | ## Business model Free for the patient. Revenue from a coordination fee charged to partner doctors and hospitals per attended case, a partner membership with visibility and tools, and a B2B program for companies with a group policy. ## The round | Item | Proposal | | --- | --- | | Amount to raise | US$500,000 | | Equity offered | 25% | | Pre-money valuation | US$1,500,000 | | Post-money valuation | US$2,000,000 | | Runway | 24 months (excluding revenue) | | Suggested instrument | Post-money SAFE (the YC standard and used in ~93% of US pre-seed rounds, according to Carta) | **With these funds we will achieve:** - Network of 30+ partner doctors and hospitals with per-case fees - ~750 cases routed per month - HR program with companies - Expansion to Guadalajara and Monterrey ## Team - **Rafael Herrera** — CEO / CFO - **Vladimir Díaz** — CTO - **Francisco D'Angelo** — Head of Legal and Compliance **Contact:** Menteia · misegurosinvueltas.com