12/03/2013
This article was translated by an automatic translation system, and was therefore not reviewed by people.
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Many disorders are caused by companies that offer health plans . The main problems faced by beneficiaries are: the lack of coverage , high fees and breach of contract .
A survey by Datafolha revealed that ten customers , six are dissatisfied with the health plans . According to ANS ( National Health Agency ) , the rate of complaints rose 1.16 % in September . Unimed topped the list , followed by Amil and the Green Line . Also according to the agency , last year alone the complaint ratio reached 75.7 % .
Tired of waiting for support from operators , multiple users are using the services of lawyers specialized in the area to ensure that the standards set in the contract are met .
According to Vanessa Azevedo lawyer , open processes in healthcare already represents 2 % of the demands of the office in which it operates . Vanessa explains that the intervention of the judiciary is required at the time the consumer needs to use the service and is not satisfied .
Another problem faced by consumers is the difficulty in finding carriers that sell individual plans .
To flee offer plans that have a control prices or ceiling increase in tuition , many companies offer so-called collective plan for membership . To some experts these plans are death traps , since not undergo a stricter monitoring of ANS and may be adjusted at any time .
In the last monitoring , the agency has suspended plans 150 41 health insurers , for failing to meet quality standards in customer service . Despite these data to the National Supplementary Health reported that in 2012 , almost 80 % of the complaints resulted in solutions .
By law, providers of health plans that deny care in emergency cases , are subject to fines of R $ 80,000.00 and R $ 100,000.00 . And in cases of constant breaches may suffer administrative measures such as the suspension of the marketing of part or all of their products .
Source : Modern Consumer
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This article was translated by an automatic translation system, and was therefore not reviewed by people.