{"id":2387,"date":"2017-12-05T14:23:55","date_gmt":"2017-12-05T16:23:55","guid":{"rendered":"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/?p=2387"},"modified":"2017-12-05T14:23:55","modified_gmt":"2017-12-05T16:23:55","slug":"ans-suspende-a-venda-de-31-planos-de-saude","status":"publish","type":"post","link":"https:\/\/segurosinteligentes.com.br\/oldrh\/ans-suspende-a-venda-de-31-planos-de-saude\/","title":{"rendered":"ANS suspende a venda de 31 planos de sa\u00fade"},"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

POR RECLAMA\u00c7\u00d5ES | 05.DEZEMBRO.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

ANS suspende a venda de 31 planos de sa\u00fade<\/p>\n

[\/et_pb_text][et_pb_text admin_label=”conte\u00fado” background_layout=”light” text_orientation=”left” text_font=”Open Sans||||” text_font_size=”16″ text_text_color=”#748690″ text_line_height=”1.5em” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

A partir do pr\u00f3ximo dia 8 de dezembro, 31 planos de sa\u00fade n\u00e3o poder\u00e3o mais ser comercializados. A medida da ANS tem como base as reclama\u00e7\u00f5es recebidas no \u00faltimo ciclo de avalia\u00e7\u00e3o do Programa de Monitoramento de Garantia de Atendimento.<\/p>\n

No terceiro trimestre desde ano foram recebidas 15.912 reclama\u00e7\u00f5es, sendo 14.138 contabilizadas no monitoramento. N\u00e3o foram considerados os registros de operadoras em portabilidade de car\u00eancias<\/a>, liquida\u00e7\u00e3o extrajudicial ou em processo de aliena\u00e7\u00e3o de carteira, por j\u00e1 estarem em processo de retirada do mercado.<\/p>\n

Foram 31 planos com vendas suspensas, de 10 operadoras. Outros 27 planos foram reativados, 4 operadoras com reativa\u00e7\u00e3o total de 21 produtos e 3 com reativa\u00e7\u00e3o parcial de 6 produtos. Com essas medidas, 167.729 consumidores est\u00e3o protegidos, com garantia de atendimento.<\/p>\n

 <\/p>\n

Planos suspensos<\/p>\n

\/ Salutar Sa\u00fade Seguradora S\/A \u2013 7 planos
\n\/ Unimed de Manaus Cooperativa do Trabalho M\u00e9dico Ltda. \u2013 4 planos
\n\/ Unimed Norte\/Nordeste \u2013 Federa\u00e7\u00e3o Interfederativa das Sociedades Cooperativas de Trabalho M\u00e9dico – 6 planos
\n\/ Associa\u00e7\u00e3o Auxiliadora das Classes Laboriosas \u2013 3 planos
\n\/ PAME \u2013 Associa\u00e7\u00e3o de Assist\u00eancia Plena em Sa\u00fade – 3 planos
\n\/ SAMOC S.A. \u2013 Sociedade Assistencial M\u00e9dica e Odonto Cir\u00fargica \u2013 1 plano
\n\/ GAMEC \u2013 Grupo de Assist\u00eancia M\u00e9dica Empresarial do Cear\u00e1 Ltda. \u2013 1 plano
\n\/ Unimed do Rio Grande do Norte \u2013 Federa\u00e7\u00e3o das Sociedades Cooperativas de Trabalho M\u00e9dico \u2013 2 planos
\n\/ CABERJ Integral Sa\u00fade S.A. \u2013 2 planos
\n\/ Green Life Plus Planos M\u00e9dicos Ltda. \u2013 EPP \u2013 2 planos<\/p>\n

 <\/p>\n

Planos de volta ao mercado<\/p>\n

\/ Caixa de Assist\u00eancia \u00e0 Sa\u00fade – CABERJ \u2013 3 produtos
\n\/ Caixa de Previd\u00eancia e Assist\u00eancia dos Servidores da Funda\u00e7\u00e3o Nacional de Sa\u00fade \u2013 CAPESESP \u2013 3 planos
\n\/ Unimed-Rio Cooperativa de Trabalho M\u00e9dico do Rio de Janeiro \u2013 14 planos
\n\/ GS Plano Global de Sa\u00fade Ltda. \u2013 1 plano<\/p>\n

 <\/p>\n

Como funciona o Programa de Monitoramento de Garantia de Atendimento?<\/p>\n

Com o monitoramento, a ANS pretende estimular as operadoras a oferecer mais qualidade no atendimento aos clientes. A cada tr\u00eas meses, todas as reclama\u00e7\u00f5es recebidas pelo \u00f3rg\u00e3o regulador s\u00e3o monitoradas.<\/p>\n

As empresas com mais queixas, considerando o n\u00famero de benefici\u00e1rios e segmenta\u00e7\u00e3o assistencial<\/a>, t\u00eam suspensa a venda dos planos com mais reclama\u00e7\u00f5es. A comercializa\u00e7\u00e3o s\u00f3 pode ser retomada se a qualidade do servi\u00e7o melhorar na pr\u00f3xima avalia\u00e7\u00e3o.<\/p>\n

 <\/p>\n

Motivos de reclama\u00e7\u00e3o<\/p>\n

\/ 40,9% \/ Gerenciamento das A\u00e7\u00f5es de Sa\u00fade por Parte da Operadora (autoriza\u00e7\u00f5es pr\u00e9vias, franquia, coparticipa\u00e7\u00e3o e outros)
\n\/ 17,1% \/ Rol de Procedimentos e Coberturas (geogr\u00e1fica e assistencial)
\n\/ 13,8% \/ Prazos M\u00e1ximos para Atendimento
\n\/ 12,9% \/ Reembolso
\n\/ 10,9% \/ Rede de Atendimento (rede conveniada)
\n\/ 2,9% \/ Car\u00eancia
\n\/ 1,5% \/ Doen\u00e7as ou Les\u00e3o Preexistente, Cobertura Parcial Tempor\u00e1ria e Agravo<\/p>\n

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Operadoras com planos suspensos t\u00eam at\u00e9 o pr\u00f3ximo trimestre para melhorar o n\u00edvel de qualidade assistencial.<\/p>\n","protected":false},"author":1,"featured_media":2388,"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":[75],"_links":{"self":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/2387"}],"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=2387"}],"version-history":[{"count":1,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/2387\/revisions"}],"predecessor-version":[{"id":2391,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/2387\/revisions\/2391"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media\/2388"}],"wp:attachment":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media?parent=2387"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/categories?post=2387"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/tags?post=2387"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}