Clipping of news on Brazilian Culture, Law and Citizenship
This article was translated by an automatic translation system, and was therefore not reviewed by people.
The National Agency for Supplementary Health (ANS) is to announce this Wednesday (14) changes for those who want to exchange without losing the rights - the so-called portability.
According to estimates of the ANS, 6 million people could be benefited with the new rules.
Throughout last year, the agency received more than 11 thousand complaints against the service providers. From April, with the entry into force of the new rules, the disapproval may cost the consumer much more expensive than a simple scratch on the image.
After ten years as a customer, the owner-of-home Dias Maria de Lourdes joined the paperwork and calls in Justice, an indemnity plan's health. She says she has no access to examinations and consultations of one hour to another.
"I had an exam in September and until today I could not return the prescription. They are taking my money for? "Asks Maria de Lourdes Dias.
A businesswoman Irani Braga did not expect to go back by the lack of assistance they have had with their children: "When I needed more they denied me because I needed to consult the emergency was only here for three, four months."
For her, free competition will make much difference. "I think after this law they will be smarter. I believe it will not need to be switching plans to get what I want, which is the proper care and time that I need, "points Irani.
The portability will enable the client to individual health plan change of operating freely without losing the rights, keep the grace and value of monthly.
Rules
The promise is more competition, but not all will be benefited. The new rules call for portability only apply to the individual who has, with contracts signed after 1999, when the patterns of conditions. Therefore, the collective plans are out.
To change the company, the consumer is going to take the needs already met - in that period are not entitled to some coverage. The plans will be divided into price ranges, according to the value of the tuition fee. That is, to be entitled to portability, the consumer will choose a plan with equivalent value, or cheaper, than that of origin. Exchanges can be made one month before or after the anniversary date of the contract. To adapt to new measures, companies have until April.
Descredenciamento
The National Agency of Health also informed that the operators of health plans may descredenciar hospitals with the authorization of NSA. The company is obliged to offer another hospital at the same level and has similar services. But the descredenciamento of clinics and doctors can be done without the knowledge of the agency.
About the shortage, the agency explained that it must meet deadlines set by legislation. For example, 24 hours, in cases of urgency or emergency. Six months for procedures of high complexity and up to two years for existing diseases and injuries.
A book, published on the Internet, will clarify the doubts that are emerging.
Source: G1
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This article was translated by an automatic translation system, and was therefore not reviewed by people.