
The situation
The Intendencia Nacional de Seguros published the list of health insurance companies accepted for the fulfillment of the health insurance certificate requirement adopted in 2017 for all identification card applications in Ecuador.
Prior to this publication, the government accepted certificates from all private health insurance companies.
A closer look
Only health insurance certificates issued by the following companies are accepted:
- Ecuasanitas S.A.
- Medicina Prepagada Cruz Blanca S.A.
- BMI Igualas Medicas del Ecuador S.A.
- Horizontes Business Company S.A.
- Medicina para el Ecuador MediEcuador Humana S.A.
- Blue Card Ecuador S.A.
- Compañía de Medicina Prepagada Inmedical Medicina Internacional S.A.
- Confiamed S.A.
- Plus Medical Services S.A. Ecuatoriana de Medicina Prepagada
- SALUDSA Sistema de Medicina Prepagada del Ecuador S.A.
- MED.I.KEN Medicina Integral Kennedy S.A.
- Plan Vital Vitalplan S.A.
- MED-EC S.A.
- Latina Salud Compañía de Medicina Prepagada S.A. LATINASALUD
- Best Doctors S.A. Empresa de Medicina Prepagada
- ASISKEN Asistencia Médica S.A.
- VUMILATINA Medicina Prepagada S.A.
The Ecuadorian identification card application is mandatory for visa nationals and optional for visa-exempt nationals.
Other requirements such as full coverage in Ecuador and renewability remain unchanged.
Impact
Visa nationals must obtain their health insurance from one of the approved companies prior to applying for an identification card. An identification card is required to register a consular visa upon arrival in Ecuador.
Foreign nationals seeking an identification card must enroll with one of the approved health insurance companies. This process will add a few days to the overall identification card processing time.
Foreign nationals who obtained their identification card prior to July 6 by securing health insurance coverage with a private entity not included in the new list do not need to take any action until a renewal is needed, at which point they can only enroll in a policy with an approved company to qualify for an identification card.
This alert is for informational purposes only. If you have any questions, please contact the global immigration professional with whom you work at Fragomen or send an email to [email protected].
Explore more at Fragomen
Fragomen news
Fragomen’s "Immigration Guide for the UK Tech Sector" introduces visa options available for those working and recruiting in the tech sector.
Blog post
Assistant Business Immigration Manager Shirley Kock and Senior Business Immigration Consultant Eunice Leo examine why applying early for Singapore permanent residency can strengthen long-term outcomes for foreign professionals and their families amid increasing competition and evolving immigration policies.
Blog post
UK Government Affairs Strategy Director Shuyeb Muquit outlines key passport and documentation considerations for British and Irish dual nationals as the UK’s Electronic Travel Authorisation (ETA) scheme moves into full enforcement from 25 February 2026, warning that failure to carry proof of British or Irish citizenship may result in boarding delays or refusal.
Media mentions
Senior Manager Géraldine Renaudière highlights how evolving policies and growing talent visa programs are shaping France’s immigration landscape.
Video
Senior Immigration Consultant Adriana Martinez Garro outlines the main visa and residency options available in Costa Rica, offering a practical overview for visitors, remote workers, retirees, investors and families exploring short- or long-term pathways.
Awards
Managing Partner Nadine Goldfoot and Senior Counsel David Crawford are recognized in Uglobal Immigration Magazine’s 2025 Top 25 Global Migration Attorneys list.
Media mentions
Partner Karolina Schiffter addresses the rise in Polish citizenship refusals and the impact of automated decision-making on individual cases.
Blog post
Manager Adam Hickling, Senior Associate Veronica Ciocea and Immigration Consultant Daisy Dale analyse the UK government’s A Fairer Pathway to Settlement consultation and its potential implications for the aviation sector, including proposed changes to Indefinite Leave to Remain, settlement timelines and dependant eligibility.
Media mentions
Partner Parisa Karaahmet discusses how recent US immigration policy changes, including potential impacts on the H-1B lottery, are shaping employer planning.
Media mentions
Media mentions
Partners Isha Atassi and Rahul Soni discuss US investment-based immigration options for Middle Eastern investors.
Fragomen news
Fragomen’s "Immigration Guide for the UK Tech Sector" introduces visa options available for those working and recruiting in the tech sector.
Blog post
Assistant Business Immigration Manager Shirley Kock and Senior Business Immigration Consultant Eunice Leo examine why applying early for Singapore permanent residency can strengthen long-term outcomes for foreign professionals and their families amid increasing competition and evolving immigration policies.
Blog post
UK Government Affairs Strategy Director Shuyeb Muquit outlines key passport and documentation considerations for British and Irish dual nationals as the UK’s Electronic Travel Authorisation (ETA) scheme moves into full enforcement from 25 February 2026, warning that failure to carry proof of British or Irish citizenship may result in boarding delays or refusal.
Media mentions
Senior Manager Géraldine Renaudière highlights how evolving policies and growing talent visa programs are shaping France’s immigration landscape.
Video
Senior Immigration Consultant Adriana Martinez Garro outlines the main visa and residency options available in Costa Rica, offering a practical overview for visitors, remote workers, retirees, investors and families exploring short- or long-term pathways.
Awards
Managing Partner Nadine Goldfoot and Senior Counsel David Crawford are recognized in Uglobal Immigration Magazine’s 2025 Top 25 Global Migration Attorneys list.
Media mentions
Partner Karolina Schiffter addresses the rise in Polish citizenship refusals and the impact of automated decision-making on individual cases.
Blog post
Manager Adam Hickling, Senior Associate Veronica Ciocea and Immigration Consultant Daisy Dale analyse the UK government’s A Fairer Pathway to Settlement consultation and its potential implications for the aviation sector, including proposed changes to Indefinite Leave to Remain, settlement timelines and dependant eligibility.
Media mentions
Partner Parisa Karaahmet discusses how recent US immigration policy changes, including potential impacts on the H-1B lottery, are shaping employer planning.
Media mentions
Media mentions
Partners Isha Atassi and Rahul Soni discuss US investment-based immigration options for Middle Eastern investors.

