Menteia · Seguro Sin Vueltas · October 2026 · Confidential
# 24-month roadmap **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.
## Next 8 weeks (before asking for money) What YC recommends doing first: talk to users, charge early and get 10 customers who actually use the product. - Handle 30 real cases and document them. - Sign 5 partner doctors who pay something. - Remove unsupported figures from the website. Milestones tied to the use of funds. Each quarter has a deliverable the investor can verify. ## Months 1–6: Compliance and network - Health data privacy notices - 30 partner doctors signed - 100 cases/month ## Months 7–12: Monetization - Per-case fee with partners - Doctor portal - 250 cases/month ## Months 13–18: Companies - HR program with 3 companies - Voice agent - 400 cases/month ## Months 19–24: Expansion - Guadalajara and Monterrey - ~750 cases/month - Break-even ## Features that answer competitors' customer complaints Taken from 09_Competencia_y_Quejas: what customers complain about with competitors that we do not fully cover yet. ### Months 1–6 - **Policy explainer: non-binding estimate of deductible, coinsurance, waiting periods and exclusions** (partial, high): The face page is read today; missing the 'what would I pay?' translation with a clear notice that the insurer decides. - **Complete file for surgery pre-authorization letter with deadline tracking** (partial, high): The CRM has insurer forms; missing per-insurer checklist, submission and business-day deadline tracking with overdue alerts. - **Doctor and hospital network filtered by insurer and policy tier** (partial, high): The partner network is being built (target: 30 in months 1–6); without it, policy-based routing is limited. - **Health data privacy: notice, express consent and legal review** (partial, high): RLS and role-based security exist; health privacy notices are still pending legal review. - **Revenue model transparency (non-exclusive partner fee)** (partial, medium): Flagged as a conflict-of-interest risk; disclosing it avoids the distrust seen with pay-to-rank directories. ### Months 7–12 - **Reimbursement management and tracking (file, claim number, alerts)** (missing, high): Slow reimbursement is a top Condusef complaint; missing a flow to assemble invoices and medical report and track the claim number. - **Denial support: review of denial letter and guidance to appeal to the insurer and Condusef** (missing, high): Payment denial is the number-one complaint; today the product guides before the event, not after a denial. - **Case status visible to the patient** (missing, medium): Advisors see the file; the patient lacks a simple tracker (via WhatsApp) of where the case stands. ### Months 13–18 - **Renewal guidance amid premium hikes (keeping seniority)** (missing, medium): Growing 2026 pain; any product recommendation requires a licensed agent, so it must route through VITAE Asesores. - **HR program for group policies** (partial, medium): An HR portal exists; the company program is planned for months 13–18. - **Phone voice agent** (missing, low): On the month 13–18 roadmap; useful for older patients. ### Months 19–24 - **Verified patient reviews of partners** (missing, low): Only from CRM-handled cases, to stand apart from unreliable directory reviews. ## Metrics we will report every quarter - New cases per month - Time to first response - % of cases routed - Active partners - Revenue per case - Patient NPS