04/06/2012
This article was translated by an automatic translation system, and was therefore not reviewed by people.
To facilitate and expand access of insured to information about their health plans, will be effective from the month of June / 2012, Ruling No. 285, published by the National Health Agency (ANS), in December 2011, requiring operators to provide health plans on their web sites information about their networks of credentialed (hospitals, clinics, laboratories and health professionals) to the general public.
ANS studies also other actions that the insured health plans are informed by proactively operators about changes in their system accredited.
These measures aim to prevent disorders, as with a beneficiary of the Help Association of the working classes, who seek the Nove de Julho Hospital in Sao Paulo, where he had been treated previously found that the institution was no longer accredited by the operator. With heart disease the patient and his family had to bear the costs of hospitalization.
Although the NSA is attentive to all acts of accreditation and accreditation of providers of health services by the operators, acknowledges that such contracts is the pact of free enterprise between the parties.
The Agency also notes that these hirings and terminations, although free, can not harm the beneficiaries. In addition to detailed information about the network of accredited, the NSA also ensured compliance with the insured has been contracted in a health plan with the enactment of Normative Resolution 259 in June last year, which set the maximum time for each procedure in list of appointments.
Source: RJ Procon
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This article was translated by an automatic translation system, and was therefore not reviewed by people.