Clipping of news on Brazilian Culture, Law and Citizenship
09/10/2012
This article was translated by an automatic translation system, and was therefore not reviewed by people.
Prohibition of the sale does not affect those who already have coverage contract, experts say
A ban on the sale of 301 health plans for up to 90 days, determined by the government due to poor attendance, should not affect the user already has a contract. All rights are guaranteed and the operator must maintain the provision of services normally warn experts.
However, as the decision was not based on timeliness of waiting, the user dissatisfied with their current agreement has to ensure alternative care - know the strategies in the table below.
The exchange of the health plan is one option, but the portability requires strict rules. Migration is only available for those who keep paying on time and can only occur in the anniversary month of the contract and the three months after.
The change applies only to plans compatible with another carrier and, therefore, the user will have to search and choose their plans.
The director general of Procon-DF, Oswaldo Morales, who strengthens that resolve change plan must be alert to the past to see if the company will have a headache with the choice.
- The consumer has to check if the company is reputable, has registered complaints and whether those disputes have been resolved. Just looking at the record of failures and breaches of rules he can learn more about the company.
The President of Ibedec (Brazilian Institute for Study and Defense of the Consumer Relations), José Geraldo Tardin, remember that all consumers, regardless of background, must be attentive to deadlines and denounce the plan in case of noncompliance.
- The consumer law does not change and he must report as if not attended to. It is through the complaints that the NSA can punish companies that do not comply with the rules.
Reimbursement
When there is a network provider accredited health plan in the county user, the operator is required to provide care for another health service provider, even if the plan is not accredited in the same municipality.
The director of care Procon São Paulo, Selma do Amaral explains the conditions and deadline for repayment:
- If the beneficiary is required to bear the costs of care in non-accredited provider, the provider must reimburse you within 30 days.
The law provides for reimbursement of expenses including transportation, if the consumer has been forced to go to another city due to lack of accredited provider in your county. Reimbursement of transportation extends to accompanying patients under 18 or over 60 years.
Source: R7 News
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This article was translated by an automatic translation system, and was therefore not reviewed by people.