Clipping of news on Brazilian Culture, Law and Citizenship
09/30/2013
This article was translated by an automatic translation system, and was therefore not reviewed by people.
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RIO - On the verge of being transferred to Unimed -Rio , on Tuesday , the Golden Cross customers are wary and unsure about the future of health care , laboratory and hospital of the new company . Both Unimed as the National Health Agency (ANS ) state that the hospitals will be maintained , but there is no requirement to keep the same doctors nor the network of exams for 160,000 users in individual and family plans across the Golden Cross the country , which will be attended by the National Unimed . Experts in consumer law , however , argue that in practice only the company name can change . The client must still have access to the entire network was that it was available. Doctors , labs and hospitals have to be exactly the same , there can be no prejudice to who was the Golden Cross .
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© 1996-2013 . All rights reserved Infoglobo Comunicação e Participações SA This material may not be published , broadcast , rewritten or redistributed without permission .
Claudia Fernandes has received the new medical guide Unimed , but was worried by failing to identify the network accredited hospital Copa D'Or , where the mother is hospitalized , or lab Blade, where she and her family perform examinations for years . The lack of accurate information about the transition also scared . She fears losing benefits , even paying R$ 3300 for the family plan :
- My mom should be discharged soon, but if you need to be hospitalized again , would you come to the Copa D' Or? Our plan is very old , I paid more for entitlement to that hospital. We know we have rights , but there are questions about how to be fulfilled. The letter we received did not clarify much . I called the ANS and the attendant just told me that everything was explained in Resolution 112 .
Sought, Rede D'Or did not know how to act opposite inform customer migration . Already Superintendent Operations Unimed -Rio , Luiz Eduardo Perez , assured the GLOBE that there will be changes in the hospital network of Golden Cross and the Copa D'Or is now accredited .
Examinations are scheduled guaranteed
The musician Daniel Carvalho arrived in New York on Monday last at the sight of one eye blurry . The next day marked for October 1 , an MRI of the brain in the lab Bronstein . On Wednesday , however , received a letter from the Golden Cross , stating that it would be a customer Unimed -Rio .
- How will my exam ? I can do the MRI? The request was made on paper and not in the Golden Unimed . In two phone calls , the attendants did not respond to questions . On the 27th, then reconnected to Golden , who authorized the examination . But still indecisive - says Daniel .
According Unimed and ANS , patients who have exams scheduled for the Golden after September 30 must go to the chosen unit , even if it is not accredited to the cooperative . In this case , the portfolio should take the old plan , the medical claim and proof of identity . If there is problem , should call Unimed .
A speech pathologist is Thaïs Thedim customer Golden Cross since 1988 and has made six physiotherapy sessions due to a broken shoulder tendon . Another four are already authorized by Golden .
- It is a long treatment , 40 to 60 sessions. Every Friday , the clinic sessions mark the following week. At last , I could only mark on Monday , when it will be worth the contract of Golden . And the clinic has warned that it will not accredit the Unimed - Thaïs account , adding that his orthopedist will also not accept the new plan .
The speech therapist also scared to try to score a test network Labs D'Or , which caters to Golden . Over the phone , she was informed that from day 2 to the network does not serve more Unimed Rio and Duque de Caxias . According to the cooperative , the disqualification was sought by the laboratory for reasons unrelated to the acquisition of customer Golden . And customers Unimed had already been reported . The company highlights that included other options, such as Blade and Bronstein .
For the lawyer of the Brazilian Consumer Defense ( IDEC ) Joan Cruz , only the company name could change . Entire network - doctors , laboratories and hospitals - can not be changed .
- There was a change and there can be no unilateral changes in conditions of service users . The health care must be the same . Any change must be denounced - alert.
Already ANS states that the transfer of the portfolio was subject to the maintenance of the hospital network of Golden by Unimed . However , " with respect to clinical laboratories and physicians , there is no guarantee of the permanence of the same provider network ."
According to the website of laboratories Sergio Franco, the Golden Cross plan is accepted in all units . Already Unimed -Rio , in the municipality of Rio Joan says , in this case , the client was that the Golden has to continue being served in any unit of Sergio Franco:
- Unimed , Golden and service providers have to articulate to ensure this service .
Wanted by GLOBE , the laboratory Sérgio Franco reported that " members of the Golden Cross continue to be assisted by the network ." The company added that it has not received any official communication from the operator or from Unimed .
The lawyer Estela Tolezani , specializing in health law also states that the service has to be provided to the former client of Golden where it was secured before trading :
- The NSA can not guarantee only one topic , like the hospital network . The purchase of the portfolio includes the maintenance of the contract and prior conditions .
In this initial period , Estela suggests that the patient take the place of care the two ID cards - the Golden and Unimed - as well as a letter explaining the change , to clarify the situation with the service provider . In case of denial of service , the consumer should be firm and in place , request contact Unimed -Rio . Another option is to pay for the procedure and request a refund , which, according to Joan , should be doubled because it is improper collection , do the procedure at another establishment accredited , or you request a court order .
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© 1996-2013 . All rights reserved Infoglobo Comunicação e Participações SA This material may not be published , broadcast , rewritten or redistributed without permission .
Source : The Globe - Online
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This article was translated by an automatic translation system, and was therefore not reviewed by people.