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ANS suspends health plans from Friday

29/08/2013

This article was translated by an automatic translation system, and was therefore not reviewed by people.

 

 

 

 



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Judicial decision creates controversy. Companies consider that emerged victorious

TRF and Fenasaúde consider injunction blocking the regulatory suspension still applies

Turnaround. CEO of ANS , Andre Longo, begins today 26 to notify operators that have health plans prohibited from marketing Photo : Guillermo Giansanti / Guillermo Giansanti/21-3-2013

The National Health Agency ( ANS ) starts today to notify operators of 26 health plans on the suspension , starting tomorrow , the marketing of 246 products had attendance problems or negative coverage to consumers . According to the CEO of ANS , Andre Longo, the decision was made after the Attorney General (AGU ) and a technical group of the agency review the judgment yesterday, the federal judge Aluisio Mendes , 5th Specialized Panel of the Regional Court Federal ( TRF ) of the 2nd Region .

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The ruling yesterday was referring to a feature of the NSA against an injunction granted by the Federal Court on 20 August. On occasion , the court upheld application National Federation of Health Insurance ( Fenasaúde ) and prevented the suspension , ANS , 136 plans six operators ( Amil , Amico , Dix , Medial , SulAmérica and Excelsior ) , affiliated to the federation .

The Fenasaúde argued , the preliminary injunction obtained by the TRF , the ANS counted as negative points , to suspend plans , complaints from consumers who were still in care , ie , under review by the agency . The judge accepted this argument. Although the actual TRF and Fenasaúde have informed that the judgment yesterday kept the validity of the injunction , the ANS interpreted the decision differently. For the agency , the decision , the judge recognized that the lack of response can be considered as a negative point in the evaluation of care. And , according to the ANS , the lack of delivery of documents by operators in processes that are still under analysis can be considered a "no answer."

- The judge says that the claims that are the subject of care could only be accounted for in two cases of non-response and non-submission of supporting documentation . Of the 4,512 valid complaints of these 26 carriers , 916 were for diligence, the answer is no and no other documentation minimally consistent , allowing us to do the analysis , ie , there is an answer. On this view , we consider that the decision allows us to continue the suspension of the plans - said Longo .

In evaluating Guilherme Valdetaro, one of the lawyers Fenasaúde , the vision of the NSA about the decision yesterday Justice is mistaken . The federation informs Valdetaro analyzes appropriate action, if the agency implements the suspension :

- The matter of there being adequate documentation , in understanding the ANS can not be computed in accordance with the court decision . The judge rejected the argument total agency as presented . If the NSA maintains the suspension of plans , is violating a court order .
We are studying appropriate measures, because the victory was undeniably the companies and the injunction is maintained - says the lawyer .



Source : The Globe - Online

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This article was translated by an automatic translation system, and was therefore not reviewed by people.

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