Clipping of news on Brazilian Culture, Law and Citizenship
 


Consumer News

Health plans: charging extra for delivery only with a change of contract, says ANS

21/01/2013

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


 




CFM released obstetricians to charge fees for this procedure

RIO - Who uses health plan and plans to get pregnant in the coming months will include one more item on the list of expenses that involve the arrival of a baby: pay extra for the doctor responsible for prenatal also do delivery.

The National Health Agency (ANS) issued an opinion on the document of the Federal Council of Medicine (CFM), presented in November 2012, which allows obstetricians to charge fees to accompany the delivery of pregnant women who use health plans. According to the regulator, the collection can be made, provided that the consumer is informed about this possibility and make it a new contract to provide the service. It is an option for the user plane, not a new rule.

For the current standard, health plans must provide coverage of prenatal care, delivery and monitoring of delivery. However, for the CFM, health plans do not ensure that the delivery is done by the same doctor who accompanied the woman during prenatal care. With the decision, the woman interested in being accompanied by the doctor who did the prenatal must pay a fee directly to it specific. The doctor and the patient must sign an agreement.

Martha Oliveira, Manager of Regulatory Assistance ANS, clarified that the doctor charged this fee, you must change the service provider contract.

"Today, with existing contracts, the way they are written, drawn and configured in the health insurance, applying the opinion of CFM in the health insurance can not afford," he said.

Billing does not hurt to medical ethics, says council

For the CFM, the contracts between operators and professionals do not deal with face tracking of labor and the doctor who did the prenatal is not required to make the delivery, so the collection is not contrary to professional ethics. In a statement, the council explained that the agreement signed between the physician and patient, the practitioner should be available from the contractions of the mother until the removal of the baby.

According to the council, in possession of the receipt, the patient opted to pay the additional fee may apply for reimbursement of health insurance carrier or subtraction of income tax.
 
"The opinion stresses that agreements in this format does not feature double recovery because the doctor will only receive the patient. Another point to highlight is that understanding is optional. Pregnant women who prefer not to have this type of monitoring will your attending obstetrician on duty in accredited maternity or referenced by the service without paying any extra value, "says the council.
 
Martha Oliveira, ANS, recalls that "contracts must be fulfilled if there is noncompliance, it is punishment." The manager explained that if the contracts between health plans and professionals are changed, users must be informed about the service to which the professional was hired: only prenatal or antenatal and childbirth.

The CFM reported that the coming days will evaluate the opinion issued by NSA on the subject.




Source: The Globe - Online

Our news are removed entirely from the sites of our partners. For this reason, we can not change their content even in cases of typos

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

Important:
The JurisWay site does not interfere in the work provided by doctrine, why only reflect the opinions, ideas and concepts of their authors.


  Subjects list
 
  Copyright (c) 2006-2009. JurisWay - All rights reserved.