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PB4: What It Is and How to Obtain It

18 de September, 2024

PB4: What It Is and How to Obtain It

PB4 is the Certificate of Entitlement to Medical Assistance (CDAM) that gives Brazilians access to Portugal's public healthcare system.
Paciente sendo atendido por médico utilizando PB4
Reading: 4 min

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.

PB4: What Is 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.

What Is the PB4 For?

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.

PB4 in Portugal

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.

IB2 in Italy

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.

How to Obtain the CDAM?

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:

  • ID card and CPF
  • Valid passport
  • Proof of residence in Brazil

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.

How to Apply for PB4 Online for Free

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.

  • Create an account on the Official Federal Government Website.
  • Log in and authorize the use of personal data.
  • Choose the destination country, reason for travel, and complete the form.
  • Fill in your details and those of any dependents.
  • Attach copies of your ID, CPF, valid passport, and proof of residence in Brazil.
  • After completing the form and attaching documents, click “Continue.”
  • Review all the information and click “Submit Request.”
  • Wait up to 30 days for approval. You will receive an email once the request is approved.
  • Return to the Federal Government website to print your PB4.

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.

How Long Does It Take to Get the PB4?

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.

PB4 or Travel Insurance?

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.

Advantages of PB4:

  • Free of charge
  • Guarantees access to public healthcare in Portugal, Cape Verde, and Italy
  • Ideal for those intending to reside abroad

Disadvantages of PB4:

Limited to countries in the agreement (Portugal, Cape Verde, and Italy)
Does not cover repatriation, baggage loss, or legal assistance

Advantages of Travel Insurance:

  • Medical coverage in any country, including those outside the agreement
  • Covers more than just medical care, such as travel emergencies

Disadvantages of Travel Insurance:

  • Has a cost
  • Coverage varies depending on the chosen plan

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!

Contact us today!

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Silvia Resende

Author:

Silvia Resende

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