[ad_1]
Faced with criticism of the regulation of the application of co-participation and franchising in health plans, the National Agency for Complementary Health (ANS) has published additional information on the new rules that according to her, predictability and clarity.
The regulator pointed out that the operator will be obliged to provide information on the monetary value practiced with specific suppliers, when requested by the beneficiaries. By setting maximum amounts that can be paid by the beneficiaries because of the impact of joint ownership and deductible, as well as a 40% percentage in the badumption of coparticipação collection for l 39; completion of the procedure, the agency believes that the financial exposure will not generate debt. 19659002] ANS also stressed that "the subject was discussed by the Agency at different times and was discussed in 2005. In mid-2016, discussions resumed with more vigor, and a technical group on the subject for a broad discussion with the society, after which there was a public hearing, a public consultation, and finally, a survey was conducted, open to the participation of the whole society. "[19659003] Rules
The new rules become valid in 180 days. Contracts signed before the entry into force of the Regulation are not submitted to it. The resolution ANS published yesterday (28) in Official Journal of the Union updates the rules of application of co-participation and openness in health plans. The standard establishes a maximum percentage of 40% to be charged by the operator for the execution of procedures and determines the monthly and annual limits to be paid by the consumer by co-participation and franchise.
Fearing the indebtedness of people who are contracting plans with these funding mechanisms and reduced health care seeking, organizations like the National Health Council (NSC) and the Brazilian Institute of Consumer Protection (Idec) have criticized the measure, which they deem beneficial to the operators. They have stimulated more public discussion on the subject, so that civil society positions can also be presented and considered.
Edition: Sabrina Craide
Source link
