ANS withdraws and repeals a standard that charged 40% of clients' plans procedures

SAO PAULO – The National Health Supplementary Agency has decided to revoke the standard which provided for the collection up to 40% of participation of clients' procedures of the health plans and rules defined for them. application of the franchise in medical commitments. The decision was made after the strong reaction of customers and consumer protection agencies to the approval of the resolution, which took place at the end of June and which was submitted by the state .

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With the revocation, the Board also approved the holding of a new public hearing to discuss with different parts of society the standard and expand popular participation. For the consumer, there are no immediate changes because the new standard will only come into force in December

Franchising and joint ownership were already provided for in the 1998 sectoral resolution but did not have well-defined rules. For example, there was no definition of a maximum percentage of co-participation in each service, but the ANS Supervisory Board advised operators not to practice values ​​higher than 30% – in practice, the new rule

At the meeting on Monday, the directors approved the notice prepared by the director of development of the sector, Rodrigo Aguiar, who requested the revocation. In the document, Aguiar states that "although the ANS has studied various studies and made so much effort to publish a policy that would broaden protections and promote greater welfare for society, it must recognize that when it is approved and published The normative resolution 433/2018 aroused great apprehension in society, which did not receive it in a positive manner as it had hoped. "

In this context, the director states that the ANS is" sensitive to the apprehension aroused by its act of approval of the standard to reopen the debate on the subject and thus better capture the anxieties and fears of users of the system, by better articulation with the main public and private entities of civil society, and look for ways to interact directly with the consumer. "

Simone Freire, director of ANS surveillance, followed the opinion of her colleague, saying that listening to society can make a difference." it is a healthy gesture to take steps to advance as the rules are not understood, we must choose other ways, "she said, who also defended the holding of several public hearings.

In a note, the ANS indicated that it will soon announce the date of the new public hearing and that it will also meet the main public institutions that have expressed their views on the subject , "with the purpose of to listen to their suggestions for the construction of a uniform understanding on the subject. "