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Special Portability: Health Plan

23/01/2013

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


 



Carriers health plan chosen by the beneficiary for portability special Italica can not refuse membership or charge special fees.

The alert is the executive director of the Foundation Procon-SP, Paul Arthur Goes on consumer rights beneficiaries operator Italica Health, which had extended by the National Health Agency (ANS) portability special needs, to switch health insurance . The measure was taken by the agency at risk the continuity of care for the company's financial problems. The operator chosen by the consumer can not refuse the proposal of accession and charge additional fees and must also keep track of the price plan at or below the plane of origin.

With the extension, the consumer now has until March 22 to exercise their right to portability special needs operator to change health plans, whatever your type of plan (individual or collective) or date of accession to the contract, without having to meet new temporary shortage or partial coverage. If the consumer is fulfilling shortage, the remaining time will be fulfilled in the new carrier.

To make the portability, Procon-SP gives some tips:

Consult the guide ANS plans to identify health plans compatible, so http://portabilidade.ans.gov.br/guiadeplanos regulatory agency's website, or in person at the core service of ANS, Rua Bela Cintra, 986, 4th floor , Jardim Paulista in Sao Paulo;

As directed by the NSA, the report on the plans must be compatible printed, and when this is not possible, the operator chosen by the consumer must print it;

Bring the report to the carrier's health plan chosen and make the request for proposal for accession;

At the date of signing the application form, the consumer must submit a copy of proof of payment of bills concerning at least the last six months and if the new plan is for the collective membership, bring copy of proof of relationship with the corporation contractor;

Wait for the response of the operator chosen plan, which must be given within 20 days after signing the application form. The contract of the new plan goes into effect in 10 days after acceptance of the operator;

If the operator's plan destination does not respond within the time limit, it is considered that she accepted the proposal with portability needs. In this case, the recommendation is that the consumer make contact to confirm entry into the new carrier and request the ID card plan;

In addition, the company must submit Italica, in 10 days, a statement informing the beneficiaries of the opening period for the exercise of portability special needs;

Payments must be held until joining the new operator. If the consumer is unable to effect the portability can register complaint at ANS by phone 0800 701 9656 or at service stations Procon-SP.

The Italica Health portfolio holds approximately 100,000 beneficiaries - from the extinct Avimed, incorporating clients ABC Health Group, which, in turn, acquired the portfolio of users also Interclínicas extinct - and since September last year is in toward fiscal regime, or have special monitoring of ANS by some severe financial problems.

Consumers who have questions or want to make a complaint, you can seek the Procon your town or one of the service channels Foundation:

Guidelines: 151 (Only for capital).

Personally: Monday to Friday, 7am to 19h. Saturdays from 7am to 13h, in positions of Poupatempo, subject to scheduling and distribution password. Phone: 0800-772-3633.

See - Praça do Carmo, S / N, Centre.

Santo Amaro - Rua Amador Bueno, 176/258 - São Paulo - SP (near Largo Thirteen May).

Itaquera - Contour Av, S / N, Itaquera (next to Subway).

At stations Centers for Integrating Citizenship (CIC) North, East, West, St. Louis and Spell Village, Monday to Thursday, 9am to 15h. Immigrants in the CIC call is on Mondays from 9 am to 15h. Immigrants in the CIC call is on Mondays from 9 am to 15h.

Fax: (11) 3824-0717.

Letters: PO Box 1151, CEP 01031-970, São Paulo-SP.

Electronic service: For problems with purchases made over the internet, the complaint can be registered directly at the site of Procon-SP at: http://www.procon.sp.gov.br/atendimento_texto.asp. The email address is also open to any other guidance on consumption problem.

In São Paulo and interior, the consumer can seek municipal agency.

Information about the work of Procon-SP at: www.procon.sp.gov.br


Source: Procon - SP

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

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