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Leaving the new rules to change the health plan without grace

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


 


From the 15th of April, about 6.3 million customers of individual health plans in Brazil could change the operator without having to meet a new need. The rules of the so-called portability of health plans were disclosed this Monday by the National Agency for Supplementary Health (ANS). A key measure is the creation of slots to set the price for which the customer can switch carriers.

This is because the new health plan may not be the same or cheaper. For example, if the recipient pays a fee of $ 200, he may choose another company that has an approximate value, within the range of price and may be very little above. However, the NSA has not disclosed what the values of the five tracks. According to the agency for the purpose of classification, will be considered only to track the price of the contract holder.

Are outside the portability of all customers of collective plans, or business. Another criterion has not yet confirmed by the agency is on the categories of portability between operators. For example, a client of medicine group, as Medial, Amil etc., Could only change for a company in the same category. And so on between insurers, co-management, among others.

About the only dental plans, the rules are the same. Customers may switch to another company with prices that range from the plane of origin.

Old plans
Another factor that is the surprise beneficiaries of the old plans adjusted (before January 1, 1999) can migrate. But to do this, you will need to confirm the length of stay with a copy of the proposed membership, signed contract, proof of payment or declaration of origin issued by the operator.


Online Guide will assist in the migration

To help beneficiaries choose a carrier, the NSA prepared an electronic guide on the NSA site, with details of all businesses. The guide, which is not in the air, ask the consumer to the record number of the plan in NSA, if hired after January 1, 1999, the code of the System of Registration of the old plans, if hired before January 1999, age and monthly.

It shall issue a report of the plan chosen. For purposes of consistency between the plans, the report valid until the 24 hours of the day following its issuance and shall be accepted by the operator of destination if the plan submitted by the deadline.

Change is in the hospital suspended

The NSA has created a security measure for when one of the beneficiaries need hospitalization during the migration. In this case, will be suspended the deadline for the new carrier accepted the client until the patient is high, thus maintaining the link with the original plan.

The previous operator must notify the start of the beneficiary's admission to the operating plan of destination within five days from receipt of notice or knowledge of the hospital. The agency reports that the family of the client should continue paying the regular tuition while he is hospitalized, since the link with the original plan has not been extinguished.



Source: O Globo Online

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

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