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ANS allows adjustment of up to 7.93% for health insurance

06/29/2012

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


 




SAO PAULO - The readjustment of individual and family health should be a maximum of 7.93% this year. It is what establishes the ceiling set by the NSA (National Agency of Supplemental Health) said on Thursday (28).

The index will cover 8 million consumers who have health insurance medical hospital individual / family hired from January 1999 or adapted to Law 9.656/98.

Policyholders affected by adjustment represent 17% of all consumers of health plans available in Brazil.

With delay
The ANS directs consumers to observe the percentage of increase is properly identified, remaining alert to any collection of values retroactive from May 2012.

The rate adjustment approved by the ANS can be applied only after the anniversary date of each contract, with the permission of the collection is retroactive if the gap is at a maximum of four months.

In the payment slip must contain the the rate of readjustment authorized by the NSA, the number of the letter of authorization from the agency, name, code and registration number of the plan, as well as the month due to application of the next adjustment. The list of authorized adjustments is permanently available on the internet in the ANS (www.ans.gov.br).

Simulation
Assuming an operator relayed the full readjustment authorized by the agency, to 7.93% for a plan whose birthday was in May this year and tuition is r$ 100. In this example, the consumer must pay this month, relative to May, although the value without adjustment of r$ 100. The same will occur in June and July, as the adjustment was only allowed now at the end of June.

In August, in turn, will receive the ticket with the readjustment of 7.93% plus the retroactive May, ie, R$ 107.93 for the month plus the still referring to R$ 7.93 in May. In September and October, there will be the same: it will pay a set monthly fee of R$ 107.93 plus the value of the retroactive June and July, respectively, R$ 7.93 each.

In November, the consumer will receive the new monthly payment in this case, R$ 107.93.

In case of doubt, by the insured to contact the NSA by telephone (0800 701 9656) or the Internet at Contact Us.

Consumer law
According to Protest - Consumers' Association, the increase was well above inflation over the period, the INPC totaled 4.86% in the last 12 months.

The organization advocates the creation of a new model of adjustment to individual plans, covering the heterogeneity of the market and takes into account the increased efficiency of the sector, may be associated with quality of services offered to consumers.



Source: Online Extra

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

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