Clipping of news on Brazilian Culture, Law and Citizenship
12/05/2013
This article was translated by an automatic translation system, and was therefore not reviewed by people.
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A survey released today by the ANS ( National Health Agency ) showed that 63.5 % of health plans in Brazil have good or very good performance . The Performance Index in 2013 Supplemental Health shows that the number of carriers with good and very good rating rose from 17.2 % in 2009 . Those who had the worst rating increased from 29.8 % to 3 % .
But does it really reflects a satisfactory reality for users of health plans ? In contrast , 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 .
Image | Waldez DuarteImagem. Apesar the poor and disrespectful of supplemental health care in the country yet, the increase in consumer satisfaction in relation to the operators can be attributed to tightening operations performed by the regulatory agency for irregularities and abuses in relation to the consumer, by means of fines or suspensions of commercialization.
But that's not all , operators of health plans and dental received between January and August 2013 , R$ 243,356,843.27 in fines . However , data from the ANS ( National Health Agency ) show that only 20.7 % of the fines imposed are paid . The amount of fines imposed increased 390 % over the past five years, from 415 to 2,035 , and in 2009 the company received R $ 50,798,090.27 in fines and paid only 15.2 % of the amount .
The most common complaints regarding health care coverage is the delay in permit procedures ; negative total or partial coverage or reimbursement based on the List of Procedures and Medical Events published by the agency in contractual exclusion clauses or unilateral interpretations as to claim preeexistentes diseases by Procon .
The truth is that the supplementary health sector in the country is still far short of the needs of those who have ( large) part of your monthly income to get preferential treatment compared to that provided by the public network . But , unfortunately , it still does not match the reality of the beneficiaries of operators .
Source : Uol - Modern Consumer
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This article was translated by an automatic translation system, and was therefore not reviewed by people.