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Health insurance has to cover insemination

08/03/2015

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

 

 

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onte: UOL

 

Consumers of health insurance have managed, through legal action, to ensure full coverage for the realization of artificial insemination. The ruling came in the state of Bahia and has received three families.

Vitro fertilization (IVF) 

This is because the coverage plans do not include the procedure. But in specific cases, such as the impossibility of pregnancy by natural means, and other risk factors, such as endometriosis, plans must fully cover the treatment. 

According to the lawyer Cândido Sá, consumer law expert, currently IVF through health plan procedure is only possible with the lawsuit ticket, but it should be covered by all plans, including treatment should be available through the National Health System. 

This is because artificial insemination is part of family planning, which is a fundamental right in Brazil, pursuant to art. 1565, § 2 of the Civil Code and guaranteed by the Constitution in art. 226, paragraph 7. 

"Infertility treatments have important function of assisting the Brazilians couples to raise families. This is a new reality, which moves in parallel to greater integration of women into the labor market and in politics," says the lawyer. 

So from the court decision, the costs of care and IVF procedures are the sole obligation of health plans. 

Infertile couples 

According to the doctor Joaquim Lopes, a specialist in human reproduction, 15% of Brazilian couples are infertile. In general, the inability to conceive is by hormonal problems, endometriosis, which affects approximately six million women in Brazil, and obstruction of tubes, among others. 

The incidence of the problem, according to the doctor, is divided between men and women, each of which accounts for 40% of infertility and the other 20% are problems in both.

For milder cases, less complex, a treatment costs on average R$ 4000. Already more difficult, more delicate, can cost R$ 14000. 

"This treatment can not be considered luxury. The difficulty of getting pregnant has to be seen as a disease. The plans have to cover and the government also needs to provide the SUS," said Lopes. 

At 33, unable to get pregnant in tubal blockage function and deep endometriosis, Ticiana won in court the right to make all treatment covered by health insurance. "I try for five years and nothing. I spent a lot of money, all my savings. With this decision again I hope to be a mother," she says. 

Ticiana says further that attempts paid wear emotionally because of the high values of treatment. But now that will cover the plan, it may be quiet, since, as the doctor Joaquim Lopes, in most cases, ie 90% achieves the goal.

 

Source: Idec

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