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publicado em 14/11/2013 às 08h32:00
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ANS suspends sales of 150 health plans from 41 carriers

Operators breached deadlines for consultations, exams and surgeries, as well as coverage issues list of procedures

 
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The National Health Agency (ANS) has decided to suspend the sale of 150 health plans from 41 carriers in Brazil. The information was released on Wednesday (13) at a press conference in Rio de Janeiro.

According to ANS, operators breached deadlines for appointments, tests and surgeries, besides having coverage problems as the list of procedures, the grace period, the service network, reimbursement and authorization mechanisms for procedures. The suspension will take place from next Monday (18th) and will be worth up to February 2014.

About 4.1 million customers are served by selling plans with 150 suspended. The beneficiaries are protected and continue to be met. What we are doing is to prevent new consumers will take part in them [these plans with problems], said the CEO of ANS, Andrew Long.

Of the 150 plans, 68 were already suspended for previous problems in monitoring. Other 178 plans that were suspended solved their problems and may be re-sold by its operators.

According to Andrew Long, the operators are analyzed according to consumer complaints. The agency analyzes the technical consumer complaint. Only compute the valid complaints. And compare operators. The main complaints are the negative coverage for various reasons and noncompliance with deadlines, he said.

According to him, the ideal is that consumers try to solve your problem directly with the operator. If you can not solve it, you can contact the call center ANS: www.ans.gov.br or 0800-701-9656.

Source: AGÊNCIA BRASIL
   Palavras-chave:   ANS    Health plans    Providers    Consultations    Cover    List of procedures    Grace    Health   
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