18 de September, 2024

The PB4 (CDAM) is an essential certificate for Brazilians planning to travel or live in Portugal, Cape Verde, or Italy. It provides access to the public healthcare system in these countries, acting as a type of free health insurance. Applying for the PB4 can be a cost-effective and safe way to ensure medical care during your stay abroad. Below, we explain what the PB4 is, how it works in different countries, and how to apply for it.
The PB4 is a document that establishes an agreement between Brazil and Portugal, Cape Verde, and Italy. Although commonly known as PB4 or PT-Br/13, its official name is CDAM, which stands for the “Certificate of Right to Medical Assistance”. It ensures that Brazilian citizens can use the public health systems in these countries under the same conditions as local residents. This document is highly recommended for anyone planning to visit or live in one of these countries, offering coverage for medical consultations and emergencies.
In Italy, the CDAM is referred to as IB2.
The PB4 acts as an extension of Brazil’s public health system (SUS) in countries like Portugal and Italy. It guarantees that Brazilians can access public medical services in these nations without the high costs typically charged to foreigners.
In Portugal, the PB4 allows Brazilians to access the National Health Service (SNS). This includes medical consultations and care at public hospitals. While healthcare in Portugal is not entirely free (some services may have moderate fees), the PB4 ensures that Brazilians pay the same rates as Portuguese citizens for medical services. It is an important tool for those planning to settle in the country or stay for extended periods.
In Italy, the equivalent of the PB4 is known as IB2. It offers the same benefits, allowing Brazilians to access Italy’s public healthcare system. The IB2 covers essential medical services, ensuring care in public hospitals and clinics, which is crucial for those intending to live or travel for long periods in the country.
Applying for the CDAM is simple and can be done online, making the process very accessible. Any Brazilian citizen can request the document by providing the following:
For minors, they must be included as dependents on the PB4 of their parents or guardians, and the child’s birth certificate must be presented.
The application is made through the Brazilian Federal Government’s official website, and the form is easy to complete. After submission, the review and approval may take up to 30 calendar days.
If you don’t live in Brazil and need to prove your address, you can use a document in the name of a parent or spouse. Then, attach documents proving the relationship, such as a birth or marriage certificate, in the “Additional Information” field. If you don’t have proof of address in your name or a family member’s, download and fill out the residence declaration available on the government website.
The PB4 is free and, once requested, is usually ready within 30 calendar days. Its validity is one year (365 days) but can range between 6 months and 5 years, depending on the Federal Government’s instructions at the time of issuance. Renewal can be done directly through the website, following the same steps as the initial application.
The PB4/CDAM/IB2 is an excellent benefit for those planning to live in Portugal or Italy, but it does not replace travel insurance. While the PB4 provides public healthcare coverage, travel insurance typically includes broader services, such as medical repatriation, baggage loss coverage, and legal assistance.
Limited to countries in the agreement (Portugal, Cape Verde, and Italy)
Does not cover repatriation, baggage loss, or legal assistance
The choice between PB4 and travel insurance depends on your goals and the length of your stay. We strongly recommend applying for the PB4, even if you plan to purchase travel insurance. Having both PB4 and travel insurance is ideal for a safe and worry-free experience abroad.
If you are planning to live in Italy or Portugal, rely on Atlantic Bridge’s expert team to guide you through every step of the process. We offer comprehensive services, including visa assistance, support with various European document applications, assistance in property acquisition, and business formation. Additionally, we provide legal and real estate consulting, ensuring you make secure and advantageous decisions for your future. We are ready to make your move a smooth and successful experience!
Author:
Silvia Resende