{"id":1492,"date":"2017-02-02T08:00:36","date_gmt":"2017-02-02T10:00:36","guid":{"rendered":"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/?p=1492"},"modified":"2017-02-01T19:51:43","modified_gmt":"2017-02-01T21:51:43","slug":"como-proceder-quando-servico-contratado-nao-estiver-disponivel","status":"publish","type":"post","link":"https:\/\/segurosinteligentes.com.br\/oldrh\/como-proceder-quando-servico-contratado-nao-estiver-disponivel\/","title":{"rendered":"Como proceder quando servi\u00e7o contratado n\u00e3o estiver dispon\u00edvel?"},"content":{"rendered":"<p>[et_pb_section admin_label=&#8221;section&#8221; transparent_background=&#8221;on&#8221; background_color=&#8221;#ffffff&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; padding_mobile=&#8221;on&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221; custom_padding=&#8221;0px||50px|&#8221;][et_pb_row admin_label=&#8221;row&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;on&#8221; width_unit=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221; padding_mobile=&#8221;on&#8221; allow_player_pause=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; make_equal=&#8221;off&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; parallax_2=&#8221;off&#8221; parallax_method_2=&#8221;off&#8221; column_padding_mobile=&#8221;on&#8221; custom_padding=&#8221;50px|35px|50px|35px&#8221; background_color=&#8221;#ffffff&#8221;][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;tag e data&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; text_font=&#8221;|on|||&#8221; text_font_size=&#8221;16&#8243; text_text_color=&#8221;#9ec31e&#8221; text_line_height=&#8221;1.5em&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; custom_margin=&#8221;||0px|&#8221;]<\/p>\n<p>SEUS DIREITOS | 02.FEVEREIRO.2017<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;t\u00edtulo&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; text_font=&#8221;|on|||&#8221; text_font_size=&#8221;32&#8243; text_text_color=&#8221;#495358&#8243; text_line_height=&#8221;1em&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<p>Como proceder quando servi\u00e7o contratado n\u00e3o estiver dispon\u00edvel?<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;conte\u00fado&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; text_font=&#8221;Open Sans||||&#8221; text_font_size=&#8221;16&#8243; text_text_color=&#8221;#748690&#8243; text_line_height=&#8221;1.5em&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<p>Se voc\u00ea contratou um plano de sa\u00fade e na hora de usar n\u00e3o encontrou o servi\u00e7o contratado dispon\u00edvel, fique tranquilo! Vamos explicar o que voc\u00ea deve fazer em cada situa\u00e7\u00e3o.<\/p>\n<p style=\"padding-bottom: 0;\">&nbsp;<\/p>\n<p style=\"color: #495358; font-size: 22px; font-weight: bold;\">Meu plano de sa\u00fade cobre acomoda\u00e7\u00e3o em enfermaria, mas na hora da interna\u00e7\u00e3o s\u00f3 havia leito dispon\u00edvel em apartamento, terei que pagar pela diferen\u00e7a? <\/p>\n<p>N\u00e3o. Nesse caso voc\u00ea utilizar\u00e1 a acomoda\u00e7\u00e3o do tipo apartamento sem qualquer custo adicional. Se houver um leito vazio, mesmo que superior ao contratado, o plano deve te atender. Essa regra vale tanto para hospitais pr\u00f3prios, quanto para credenciados pelo plano de sa\u00fade.<\/p>\n<p style=\"padding-bottom: 0;\">&nbsp;<\/p>\n<p style=\"color: #495358; font-size: 22px; font-weight: bold;\">Meu m\u00e9dico e laborat\u00f3rio de prefer\u00eancia foram descredenciados do plano, o que devo fazer? <\/p>\n<p>Os planos de sa\u00fade podem descredenciar m\u00e9dicos, cl\u00ednicas ou laborat\u00f3rios desde que a mudan\u00e7a seja informada aos benefici\u00e1rios e que ela n\u00e3o reduza a quantidade de estabelecimentos disponibilizados sem a autoriza\u00e7\u00e3o pr\u00e9via da Ag\u00eancia Nacional de Sa\u00fade Suplementar (ANS). A operadora deve garantir o atendimento a seus benefici\u00e1rios por meio de outros profissionais e estabelecimentos equivalentes dentro dos prazos estabelecidos pelo \u00f3rg\u00e3o regulador. Entre em contato com a sua operadora e se informe sobre outros prestadores na sua regi\u00e3o.<\/p>\n<p style=\"padding-bottom: 0;\">&nbsp;<\/p>\n<p style=\"color: #495358; font-size: 22px; font-weight: bold;\">S\u00f3 encontro m\u00e9dicos e laborat\u00f3rios muito distante da minha casa. Isso \u00e9 normal? <\/p>\n<p>O plano de sa\u00fade deve garantir cobertura assistencial dentro dos munic\u00edpios e estados presentes no contrato.<br \/>\nPara manter a qualidade do atendimento aos benefici\u00e1rios, a rede assistencial de cada plano comercializado \u00e9 monitorada pela ANS. 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N\u00e3o \u00e9 permitida a reprodu\u00e7\u00e3o do conte\u00fado, mesmo que parcial, para uso comercial de qualquer natureza.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243;][et_pb_text global_parent=&#8221;93&#8243; admin_label=&#8221;logo portal&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;right&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/wp-content\/uploads\/logo_portal_footer.png\" alt=\"logo_portal_footer\" width=\"270\" height=\"82\" class=\"alignright size-full wp-image-83\" \/><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row global_parent=&#8221;93&#8243; admin_label=&#8221;Linha&#8221; make_fullwidth=&#8221;on&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; padding_mobile=&#8221;on&#8221; allow_player_pause=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; make_equal=&#8221;off&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; parallax_2=&#8221;off&#8221; parallax_method_2=&#8221;off&#8221; parallax_3=&#8221;off&#8221; parallax_method_3=&#8221;off&#8221; column_padding_mobile=&#8221;on&#8221; module_id_2=&#8221;coluna_2&#8243; module_id_3=&#8221;coluna_3&#8243; module_id=&#8221;footer_2&#8243; custom_padding=&#8221;||0px|&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_text global_parent=&#8221;93&#8243; admin_label=&#8221;copyright&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;center&#8221; text_line_height=&#8221;1.5em&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; text_font=&#8221;Abel||||&#8221;]<\/p>\n<p>PORTAL RH IT\u2019SSEG \u00e9 uma publica\u00e7\u00e3o da It\u2019sSeg Seguros Inteligentes. N\u00e3o \u00e9 permitida a reprodu\u00e7\u00e3o do conte\u00fado, mesmo que parcial, para uso comercial de qualquer natureza.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row global_parent=&#8221;93&#8243; admin_label=&#8221;Linha&#8221; make_fullwidth=&#8221;on&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; padding_mobile=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; make_equal=&#8221;off&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; parallax_2=&#8221;off&#8221; parallax_method_2=&#8221;off&#8221; parallax_3=&#8221;off&#8221; parallax_method_3=&#8221;off&#8221; column_padding_mobile=&#8221;on&#8221; module_id_3=&#8221;coluna_3&#8243; module_id=&#8221;footer_2_2&#8243; custom_padding=&#8221;0px|||&#8221;][et_pb_column type=&#8221;1_2&#8243;][et_pb_text global_parent=&#8221;93&#8243; admin_label=&#8221;logo it&#8217;sseg&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; module_id=&#8221;logo_itsseg_footer_1&#8243;]<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/wp-content\/uploads\/logo_itsseg_footer.png\" alt=\"logo_itsseg_footer\" width=\"270\" height=\"82\"><\/p>\n<p>[\/et_pb_text][et_pb_text global_parent=&#8221;93&#8243; admin_label=&#8221;logo it&#8217;sseg&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;center&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; module_id=&#8221;logo_itsseg_footer_2&#8243;]<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/wp-content\/uploads\/logo_footer_2.png\" alt=\"logo_footer_2\" width=\"70\" height=\"105\" \/><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243;][et_pb_text global_parent=&#8221;93&#8243; admin_label=&#8221;logo portal&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;right&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; module_id=&#8221;logo_portal_itsseg_footer_2&#8243;]<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/wp-content\/uploads\/logo_portal_footer-1.png\" alt=\"logo_portal_footer\" width=\"238\" height=\"62\"><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Saiba como proceder em casos em que o servi\u00e7o contratado ou previsto n\u00e3o \u00e9 atendido pelo plano de sa\u00fade.<\/p>\n","protected":false},"author":1,"featured_media":1507,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_links_to":"","_links_to_target":""},"categories":[13],"tags":[12],"_links":{"self":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/1492"}],"collection":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/comments?post=1492"}],"version-history":[{"count":6,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/1492\/revisions"}],"predecessor-version":[{"id":10566,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/1492\/revisions\/10566"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media\/1507"}],"wp:attachment":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media?parent=1492"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/categories?post=1492"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/tags?post=1492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}