{"id":2538,"date":"2018-03-09T08:00:14","date_gmt":"2018-03-09T11:00:14","guid":{"rendered":"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/?p=2538"},"modified":"2018-08-29T16:14:53","modified_gmt":"2018-08-29T19:14:53","slug":"ans-suspende-a-venda-de-44-planos-de-saude","status":"publish","type":"post","link":"https:\/\/segurosinteligentes.com.br\/oldrh\/ans-suspende-a-venda-de-44-planos-de-saude\/","title":{"rendered":"ANS suspende a venda de 44 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

ANS DE OLHO | 09.MAR\u00c7O.2018<\/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 44 planos de sa\u00fade<\/p>\n

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A partir do dia 9 de mar\u00e7o, 44 planos de sa\u00fade de 17 operadoras saem das prateleiras do mercado se sa\u00fade suplementar. Foram 15.487 reclama\u00e7\u00f5es assist\u00eancias registradas de outubro a dezembro do \u00faltimo ano. Dessas, 13.898 foram analisadas pelo programa de monitoramento da ag\u00eancia, sendo que 91,6% foram solucionadas via Notifica\u00e7\u00e3o de Intermedia\u00e7\u00e3o Preliminar (NIP)<\/a>. As outras queixas foram desconsideradas por serem sobre operadoras em aliena\u00e7\u00e3o de carteira ou portabilidade especial<\/a> ou extraordin\u00e1ria, que j\u00e1 est\u00e3o com a venda de planos suspensa e em processo de sa\u00edda ordenada do mercado.<\/p>\n

As operadoras mais reclamadas, considerando o n\u00famero total de clientes e segmenta\u00e7\u00e3o assistencial, t\u00eam a comercializa\u00e7\u00e3o dos planos suspensa. Com essa medida, a ag\u00eancia pretende estimular as operadoras a melhorar o atendimento prestado aos seus clientes para evitar as reclama\u00e7\u00f5es. <\/p>\n

No \u00faltimo ciclo de monitoramento, a ANS buscou proteger os 180,9 mil atuais clientes das operadoras penalizadas. J\u00e1 que a comercializa\u00e7\u00e3o dos planos suspensos s\u00f3 \u00e9 retomada se, no pr\u00f3ximo ciclo de avalia\u00e7\u00e3o, a operadora melhorar a sua qualidade de atendimento assistencial na avalia\u00e7\u00e3o. Ou seja, n\u00e3o pode receber muitas reclama\u00e7\u00f5es dos benefici\u00e1rios.<\/p>\n

Na \u00faltima avalia\u00e7\u00e3o, 5 operadoras tiveram a comercializa\u00e7\u00e3o dos planos totalmente reativadas e outras 15 tiveram reativa\u00e7\u00e3o parcial, de alguns produtos suspensos no ciclo anterior. Os planos que melhoraram a qualidade de atendimento no \u00faltimo trimestre e foram reativados voltam a ser comercializados tamb\u00e9m a partir do dia 9. <\/p>\n

 <\/p>\n

Planos Suspensos<\/p>\n

Salutar Sa\u00fade Seguradora S.A. – 4 planos<\/p>\n

Good Life Sa\u00fade Ltda. \u2013 4 planos<\/p>\n

Unimed de Manaus Coop. do Trabalho M\u00e9dico Ltda. \u2013 7 planos<\/p>\n

Sa\u00fade SIM Ltda. \u2013 4 planos<\/p>\n

Ameron \u2013 Assist\u00eancia M\u00e9dica Rond\u00f4nia S.A. \u2013 3 planos<\/p>\n

Unimed Angra dos Reis Cooperativa de Trabalho M\u00e9dico \u2013 1 planos<\/p>\n

Unimed Norte\/ Nordeste – Federa\u00e7\u00e3o Interfederativa das Sociedades Cooperativas de Trabalho M\u00e9dico \u2013 2 planos<\/p>\n

Caixa de Assist\u00eancia \u00e0 Sa\u00fade \u2013 Caberj \u2013 1 planos<\/p>\n

AMI \u2013 Assist\u00eancia M\u00e9dica Infantil Ltda. \u2013 3 planos<\/p>\n

Associa\u00e7\u00e3o Auxiliadora das Classes Laboriosas – 2 planos<\/p>\n

PAME \u2013 Associa\u00e7\u00e3o de Assist\u00eancia Plena em Sa\u00fade \u2013 1 planos<\/p>\n

GAMEC \u2013 Grupo de Assist\u00eancia M\u00e9dica Empresarial do Cear\u00e1 \u2013 4 planos <\/p>\n

Unihosp Sa\u00fade S.A. \u2013 1 planos<\/p>\n

Santa Rita Sistema de Sa\u00fade Ltda. \u2013 1 planos<\/p>\n

Uni\u00e3o M\u00e9dica \u2013 Cooperativa de Trabalho M\u00e9dico de Feira de Santana – 2 planos<\/p>\n

Lotus Operadora de Planos Odontol\u00f3gicos Ltda. \u2013 1 planos<\/p>\n

Green Life Plus Planos M\u00e9dicos Ltda. EPP \u2013 3 planos<\/p>\n

 <\/p>\n

Planos Reativados<\/p>\n

Samoc S.A. \u2013 Sociedade Assistencial M\u00e9dica e Odonto Cir\u00fargica \u2013 1 planos<\/p>\n

Unimed do Rio Grande do Norte – Federa\u00e7\u00e3o das Sociedades Cooperativas de Trabalho M\u00e9dico \u2013 2 planos<\/p>\n

Caberj Integral Sa\u00fade S.A. \u2013 2 planos<\/p>\n

 <\/p>\n

Motivos das Reclama\u00e7\u00f5es <\/p>\n

Salutar Sa\u00fade Seguradora S.A. \u2013 5 planos<\/p>\n

Unimed de Manaus Coop. do Trabalho M\u00e9dico Ltda. \u2013 2 planos<\/p>\n

Unimed Norte\/ Nordeste Federa\u00e7\u00e3o Interfederativa das Sociedades Cooperativas de Trabalho M\u00e9dico \u2013 4 planos<\/p>\n

Associa\u00e7\u00e3o Auxiliadora das Classes Laboriosas \u2013 2 planos<\/p>\n

Pame \u2013 Associa\u00e7\u00e3o de Assist\u00eancia Plena em Sa\u00fade – 2 planos<\/p>\n

 <\/p>\n

Motivos das Reclama\u00e7\u00f5es <\/p>\n

40,6% Gerenciamento das A\u00e7\u00f5es de Sa\u00fade por Parte da Operadora (autoriza\u00e7\u00f5es pr\u00e9vias, franquia, coparticipa\u00e7\u00e3o e outros) <\/p>\n

16,0% Rol de procedimentos e Coberturas<\/a> (geogr\u00e1fica e assistencial) <\/p>\n

15,2% Prazos M\u00e1ximos para Atendimento <\/p>\n

12,2% Reembolso<\/p>\n

11,9% Rede de Atendimento (rede conveniada) <\/p>\n

2,6% Car\u00eancia <\/p>\n

1,5% Doen\u00e7as ou Les\u00e3o Preexistente, Cobertura Parcial Tempor\u00e1ria e Agravo <\/p>\n

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As operadoras foram penalizadas pela ANS ap\u00f3s receberem um grande n\u00famero de reclama\u00e7\u00f5es.<\/p>\n","protected":false},"author":1,"featured_media":2544,"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\/2538"}],"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=2538"}],"version-history":[{"count":10,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/2538\/revisions"}],"predecessor-version":[{"id":2552,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/2538\/revisions\/2552"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media\/2544"}],"wp:attachment":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media?parent=2538"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/categories?post=2538"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/tags?post=2538"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}