{"id":1900,"date":"2017-06-06T16:00:06","date_gmt":"2017-06-06T19:00:06","guid":{"rendered":"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/?p=1900"},"modified":"2017-06-07T13:56:41","modified_gmt":"2017-06-07T16:56:41","slug":"38-planos-de-saude-sao-suspensos-pela-ans","status":"publish","type":"post","link":"https:\/\/segurosinteligentes.com.br\/oldrh\/38-planos-de-saude-sao-suspensos-pela-ans\/","title":{"rendered":"38 planos de sa\u00fade s\u00e3o suspensos pela ANS"},"content":{"rendered":"

[et_pb_section admin_label=”section” transparent_background=”on” background_color=”#ffffff” allow_player_pause=”off” inner_shadow=”off” parallax=”off” parallax_method=”off” padding_mobile=”on” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” make_equal=”off” use_custom_gutter=”off” custom_padding=”0px||50px|”][et_pb_row admin_label=”row” make_fullwidth=”off” use_custom_width=”on” width_unit=”off” use_custom_gutter=”off” padding_mobile=”on” allow_player_pause=”off” parallax=”off” parallax_method=”off” make_equal=”off” parallax_1=”off” parallax_method_1=”off” parallax_2=”off” parallax_method_2=”off” column_padding_mobile=”on” custom_padding=”50px|35px|50px|35px” background_color=”#ffffff”][et_pb_column type=”2_3″][et_pb_text admin_label=”tag e data” background_layout=”light” text_orientation=”left” text_font=”|on|||” text_font_size=”16″ text_text_color=”#9ec31e” text_line_height=”1.5em” use_border_color=”off” border_color=”#ffffff” border_style=”solid” custom_margin=”||0px|”]<\/p>\n

ANS DE OLHO | 06.JUNHO.2017<\/p>\n

[\/et_pb_text][et_pb_text admin_label=”t\u00edtulo” background_layout=”light” text_orientation=”left” text_font=”|on|||” text_font_size=”32″ text_text_color=”#495358″ text_line_height=”1em” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

38 planos de sa\u00fade s\u00e3o suspensos pela ANS<\/p>\n

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Com o objetivo de garantir a qualidade do atendimento e incentivar a melhoria dos servi\u00e7os oferecidos, a Ag\u00eancia Nacional de Sa\u00fade Suplementar (ANS) suspendeu a venda dos planos de sa\u00fade que mais receberam reclama\u00e7\u00f5es no \u00faltimo ciclo do Programa de Monitoramento da Garantia de Atendimento, referente ao primeiro trimestre de 2017.<\/p>\n

No total, foram 38 planos de sa\u00fade suspensos de 14 operadoras. Al\u00e9m de terem a comercializa\u00e7\u00e3o suspensa, as operadoras que negaram indevidamente cobertura receber\u00e3o multa de R$ 80 mil a R$ 250 mil.\u00a0A medida come\u00e7a a valer na pr\u00f3xima sexta-feira, dia 9 de junho.<\/p>\n

A comercializa\u00e7\u00e3o s\u00f3 poder\u00e1 ser retomada mediante \u00e0 adequa\u00e7\u00e3o do atendimento, que deve ocorrer at\u00e9 o fim do pr\u00f3ximo ciclo de avalia\u00e7\u00e3o, que compreende ao segundo trimestre de 2017.<\/p>\n

 <\/p>\n

Resultados do Monitoramento<\/p>\n

Foram 14.537 reclama\u00e7\u00f5es de origem assistencial recebidas pela ANS, das quais 12.360 foram avaliadas. A maior parte delas, 45,2%, foram sobre Gerenciamento das A\u00e7\u00f5es, que inclui queixas de autoriza\u00e7\u00f5es pr\u00e9vias, franquia e coparticipa\u00e7\u00e3o. O \u00edndice de resolu\u00e7\u00e3o foi de 88,1% via Notifica\u00e7\u00e3o de Intermedia\u00e7\u00e3o Preliminar (NIP)<\/a>.<\/p>\n

As demais reclama\u00e7\u00f5es n\u00e3o foram consideradas pelo Programa por serem sobre operadoras em processo de portabilidade, liquida\u00e7\u00e3o extrajudicial ou aliena\u00e7\u00e3o de carteira, ou seja, que j\u00e1 est\u00e3o com a comercializa\u00e7\u00e3o suspensa ou em processo de retirada do mercado.<\/p>\n

As operadoras penalizadas foram: Salutar Sa\u00fade Seguradora S.A.; Federa\u00e7\u00e3o das Sociedades Cooperativas de Trabalho M\u00e9dico do Acre, Amap\u00e1, Amazonas, Par\u00e1, Rond\u00f4nia e Roraima; Geap Autogest\u00e3o em Sa\u00fade; Unimed Norte\/Nordeste \u2013 Federa\u00e7\u00e3o Interfederativa das Sociedades Cooperativas de Trabalho M\u00e9dico; Caixa de Assist\u00eancia \u00e0 Sa\u00fade \u2013 Caberj; Associa\u00e7\u00e3o Auxiliadora das Classes Laboriosas; Caixa de Assist\u00eancia dos Funcion\u00e1rios do Banco do Brasil; Esmale Assist\u00eancia Internacional de Sa\u00fade Ltda.; Operadora de Planos de Sa\u00fade Serra Imperial Ltda.; Santa Rita Sistema de Sa\u00fade Ltda.; Ecole Servi\u00e7os M\u00e9dicos Ltda.; Uni\u00e3o M\u00e9dica – Cooperativa de Trabalho M\u00e9dico de Feira de Santana; e Caberj Integral Sa\u00fade S.A.<\/p>\n

Quem \u00e9 cliente de um dos planos suspensos n\u00e3o precisa se preocupar. A medida n\u00e3o interrompe a presta\u00e7\u00e3o de servi\u00e7os, apenas impede novas vendas at\u00e9 que a operadora solucione seus problemas assistenciais.<\/p>\n

 <\/p>\n

Qualidade recuperada<\/p>\n

Seis operadoras que tiveram a comercializa\u00e7\u00e3o de 30 planos suspensa no 4\u00ba semestre de 2014 voltar\u00e3o ao mercado, tr\u00eas delas com libera\u00e7\u00e3o total (Sa\u00fade Sim Ltda., Unimed-Rio Cooperativa de Trabalho M\u00e9dico do Rio de Janeiro e Associa\u00e7\u00e3o Santa Casa Sa\u00fade de Sorocaba), e as outras com reativa\u00e7\u00e3o parcial (Federa\u00e7\u00e3o das Sociedades Cooperativas de Trabalho M\u00e9dico do Acre, Amap\u00e1, Amazonas, Par\u00e1, Rond\u00f4nia e Roraima, Associa\u00e7\u00e3o Auxiliadora das Classes Laboriosas e Ecole Servi\u00e7os M\u00e9dicos Ltda.).<\/p>\n

Clique aqui<\/a> e acesse a classifica\u00e7\u00e3o completa das operadoras.<\/p>\n

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Reclama\u00e7\u00f5es sobre cobertura assistencial e demora de atendimento est\u00e3o entre os principais motivos.<\/p>\n","protected":false},"author":1,"featured_media":1907,"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":[3],"tags":[175],"_links":{"self":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/1900"}],"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=1900"}],"version-history":[{"count":4,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/1900\/revisions"}],"predecessor-version":[{"id":10445,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/1900\/revisions\/10445"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media\/1907"}],"wp:attachment":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media?parent=1900"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/categories?post=1900"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/tags?post=1900"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}