Post by xyz3400 on Feb 20, 2024 1:44:35 GMT -5
Lately it has been observed that some Brazilian court judgments have been carried out in a more favorable way for the consumer when it comes to health insurance. However, this stance by the Judiciary presumes unlimited health provision for citizens, when such activity is the responsibility of the government, as provided for in the Federal Constitution. The health plan comes from a private contract in which the parties agree to its terms, as there is a network of hospitals that can provide medical treatments, as well as the medicines and materials provided. The country's current economic scenario means that the debate on judicial decisions regarding discussions dealing with health plans is developing, in a way that involves not only judges, but also consumer and health insurance company lawyers.
It is necessary, and if necessary, to clarify to the population that coverage denials are carried out with the support of the law that governs the plans, Law and the regulations of the National Supplementary Health Agency, the ANS. It is worth clarifying that the loss of those who offer the service is the loss of those who use it. The company that operates the plan, when forced to cover high-cost medical procedures and medications, which Honduras Mobile Number List are not provided for in the contract, will make the consumer, a few months or years later, bear these expenses, which will certainly bring adjustments to their monthly fees to help maintain the quantity and quality of services provided. According to data from ANS , there are approximately 47 million beneficiaries, served by 740 operators. Revenues in were around million, while expenses were R$161 million.
According to the National Council of Justice , health plans have the highest rate of lawsuits in the Judiciary. In the last ten years, the number of legal actions in the area has increased by 130%. This is a growth rate twice as high as processes in the public network. The Judiciary operates in this complex and highly regulated scenario. It is obvious that the judges know the matter and constantly look into the matter. But the explanation of the decisions does not explain why the health plan law should not be applied or even the ANS regulation, with the Consumer Protection Code prevailing as a “super code”, and there is also support in the constitutional principles that It is common to hear in social circles that they are the right to life, health and human dignity. For the Judiciary, the consumer is at a constant disadvantage, health plans are abusive, ANS standards serve as guidelines and services must be guaranteed unlimited.
It is necessary, and if necessary, to clarify to the population that coverage denials are carried out with the support of the law that governs the plans, Law and the regulations of the National Supplementary Health Agency, the ANS. It is worth clarifying that the loss of those who offer the service is the loss of those who use it. The company that operates the plan, when forced to cover high-cost medical procedures and medications, which Honduras Mobile Number List are not provided for in the contract, will make the consumer, a few months or years later, bear these expenses, which will certainly bring adjustments to their monthly fees to help maintain the quantity and quality of services provided. According to data from ANS , there are approximately 47 million beneficiaries, served by 740 operators. Revenues in were around million, while expenses were R$161 million.
According to the National Council of Justice , health plans have the highest rate of lawsuits in the Judiciary. In the last ten years, the number of legal actions in the area has increased by 130%. This is a growth rate twice as high as processes in the public network. The Judiciary operates in this complex and highly regulated scenario. It is obvious that the judges know the matter and constantly look into the matter. But the explanation of the decisions does not explain why the health plan law should not be applied or even the ANS regulation, with the Consumer Protection Code prevailing as a “super code”, and there is also support in the constitutional principles that It is common to hear in social circles that they are the right to life, health and human dignity. For the Judiciary, the consumer is at a constant disadvantage, health plans are abusive, ANS standards serve as guidelines and services must be guaranteed unlimited.