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publicFinancial Strength: Government-backed

SENASA

Seguro Nacional de Salud (SENASA)

80Score
★★★☆☆3.2

Customer satisfaction · 1.7M members

SISALRIL: Largest ARS(2026)

SENASA is the Dominican Republic's largest ARS with 1.69 million affiliates and 35.8% market share. As the public-sector ARS, it serves government employees and the subsidized regime, providing essential infrastructure for universal health coverage.

Overall Score

80/100

Founded

2001

Headquarters

Santo Domingo

Type

public
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Key Metrics

Affiliates

1.69 million

Market Share

35.8%

Regime

Public sector + Subsidized

Type

Public ARS

Editorial Ratings

SISALRIL: Largest ARS(2026)

Rating: Largest ARS — 1.69M affiliates (35.8% market share) (max: #1)

80SISALRIL

Coverage Highlights

  • ✓Largest ARS in Dominican Republic (35.8% market share)
  • ✓1.69 million affiliates — essential public infrastructure
  • ✓Serves public sector employees and subsidized regime
  • ✓Government-backed financial stability
  • ✓Mandatory for public employees

Pros

  • ✓Largest by affiliates — widest reach
  • ✓Government backing ensures stability
  • ✓Essential for universal coverage goals
  • ✓Affordable for public sector workers

Cons

  • ✗Primarily for public sector and subsidized — limited choice
  • ✗Perceived lower quality than private ARS
  • ✗Bureaucratic processes
  • ✗Limited provider choice

Frequently Asked Questions

What is SENASA?

SENASA (Seguro Nacional de Salud) is the Dominican Republic's public-sector ARS (Administradora de Riesgos de Salud), serving government employees and subsidized-regime members with 1.69 million affiliates.

Is SENASA mandatory?

SENASA is mandatory for public sector employees. It also covers members of the subsidized regime (low-income populations).

What is an ARS?

ARS (Administradora de Riesgos de Salud) are Health Risk Administrators in the Dominican Republic. They function as insurance intermediaries managing health coverage under the national social security system.

Quick Summary

InsurerSENASA
Country🇩🇴 Dominican Republic
Overall Score80/100
Satisfaction3.2/5
Members1.7M
Typepublic
Founded2001

Other Insurers in Dominican Republic

ARS Humano

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82

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ARS Universal

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80

/ 100

Mapfre Salud ARS

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78

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ARS Semma

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58

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ARS Futuro

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55

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