Clipping of news on Brazilian Culture, Law and Citizenship
07/07/2014
This article was translated by an automatic translation system, and was therefore not reviewed by people.
transparent image
Individual plans now total 17.4% of the Brazilian market. Photo: Handout / Brazil Agency
Increase stipulated by the agency is the largest since 2005, when it reached 11.69% and can be readjusted from the anniversary date of the contract the patient
Tuition for individual health plans may be adjusted by up to 9.65% between May 2014 and April 2015, higher than inflation, which has been around 6% in recent years index. The increase stipulated by the National Health Agency (ANS) is the biggest since 2005, when the ceiling rates was 11.69%.
The ceiling applies to individual plans contracted after 1999 or adapted to Law 9.656/98. Individual plans together 8.8 million beneficiaries, 17.4% of the Brazilian market.
The other plans sold in the country are collective and not have as much adjustment stipulated by the regulatory agency.
The adjustment authorized by the NSA will apply from the anniversary date of the contract, but may be retroactive if the lag between the increase and the anniversary date is not more than four months.
The regulatory agency explains the methodology used to calculate the maximum rate adjustment of individual plans takes into account the weighted average of the percentage increase in collective plans with more than 30 recipients.
The NSA warns that consumers should be aware of the payment forms and observe if the percentage adjustment is applied at or below the limit authorized by the agency. Another aspect to note is the collection of the adjustment is made from the anniversary month of the contract.
In case of doubt, the agency asks consumers get in touch by Dial ANS (0800 701 9656). You can also make a complaint on the internet or in person at one of the 12 core service agency in the country.
For the National Federation of Health Insurance (FenaSaúde), a group representing operators accounted for 38% of beneficiaries of health plans, there is need to improve the current model for calculating the annual rate of increase of tuition of individual health plans to ensure financial balance of the system.
The organization claims that per capita health care spending in the health insurance between 2004 and 2013 grew 133.7%, more than double the accumulated IPCA, 61.1%.
According to the federation, in 2013, attendance to insured consumed 83.7% of operators raised the tuition. The net profit margin for operators was the lowest in the last five years of 2.2%.
Source: Fluminense
Our news are taken in full from our partner sites. For this reason, we can not change their content even in cases of typos.
transparent image
This article was translated by an automatic translation system, and was therefore not reviewed by people.