Clipping of news on Brazilian Culture, Law and Citizenship
08/05/2013
This article was translated by an automatic translation system, and was therefore not reviewed by people.
Health plan to deny procedure requested by a doctor will have to submit a justification within 48 hours Photo: Dominic Peixoto / O Globo
Health plans across the country will have 48 hours to provide written justification to patients when there is refusal of care. The new rule is paying this since Tuesday and the companies deny authorization to any procedure requested by the doctor or dentist must submit a written justification to the patient.
According to the National Health Agency (ANS), after the request of the insured, the carrier will have 48 hours to present the rationale for the negative, by mail or electronic means. In case of noncompliance, the fine can reach up to £ 30,000.
If the consumer does not get your rights, you can report the problem in a few ways. An alternative is to report the problem on the internet, the link "Space" consumer www.ans.gov.br website, or by calling 0800-701-9656 from 8h to 20h. In Rio de Janeiro, it is also possible to register the complaint personally on Avenida Augusto Severo 84, Glory, from 8.30 am to 16.30.
According to ANS, the main negative of the plans are:
- Argument that the disease or injury existed prior to hiring plan
-Claim that the customer is in grace period and can not use the service
- Lack of specialist or unit trained to care
- Refund not done the way it is described in the contract
- Claim that the requested procedure is not part of those on compulsory coverage
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Source: Extra - online
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This article was translated by an automatic translation system, and was therefore not reviewed by people.