Clipping of news on Brazilian Culture, Law and Citizenship
09/02/2016
This article was translated by an automatic translation system, and was therefore not reviewed by people.
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The relationship between doctors and patients is known to be a relationship based on something that has a lot of value, which is trust. And so much is that they are not unusual cases in which doctors follow their patients - even if just in case - for a lifetime.
The problem happens when the doctor confidence that patient or is not linked to the network itself, accredited, referenced or cooperative contracted by the patient or ends up unlink the same and asks examinations or any other procedure, as the consumer continues to plan user. And the question that arises is whether the provider is obliged to release the procedure, since the requesting physician is no covenant.
The answer is positive, ie, the health plan is required to release any procedure or examination, provided that they are covered by the contract signed by the consumer.
We must clarify, however, that in this case, the practitioner's fees shall be paid by the patient, as there is no professional relationship with the provider or health plan.
This rule is important and should be known by all of us. Moreover, it is important for consumers to read your contract and seek information regularly about the procedures covered by your plan, since the list of procedures is updated on a regular basis.
Also, if you have problems in the release, must question and seek their rights, either by the Procon of your city or even and if necessary, to the judiciary.
Source: Tribune
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This article was translated by an automatic translation system, and was therefore not reviewed by people.