{"id":2803,"date":"2018-07-31T16:00:56","date_gmt":"2018-07-31T19:00:56","guid":{"rendered":"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/?p=2803"},"modified":"2021-07-30T17:40:16","modified_gmt":"2021-07-30T20:40:16","slug":"regras-coparticipacao-e-franquia","status":"publish","type":"post","link":"https:\/\/segurosinteligentes.com.br\/oldrh\/regras-coparticipacao-e-franquia\/","title":{"rendered":"ANS cancela novas regras para coparticipa\u00e7\u00e3o e franquia"},"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>LEGISLA\u00c7\u00c3O | 31.JULHO.2018<\/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<h1>ANS cancela novas regras para coparticipa\u00e7\u00e3o e franquia<\/h1>\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_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>A ANS (Ag\u00eancia Nacional de Sa\u00fade Suplementar) decidiu reabrir as discuss\u00f5es envolvendo a RN 433, que atualizaria as regras para a aplica\u00e7\u00e3o da <a href=\"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/entenda-como-funciona-a-coparticipacao\/\" target=\"_blank\" rel=\"noopener\">coparticipa\u00e7\u00e3o<\/a> e franquia em planos de sa\u00fade no Brasil. A normativa, publicada no fim de junho, foi suspensa logo depois pela presidente do STF (Supremo Tribunal Federal), a ministra Carmen L\u00facia.<\/p>\n<p>De acordo com a ANS, ser\u00e1 realizada uma \u201cnova Audi\u00eancia P\u00fablica, com amplo acesso de todas as partes interessadas no assunto, como primeiro passo para que sejam retomados os debates e sejam colhidas novas contribui\u00e7\u00f5es que permitam o aprimoramento da proposta em discuss\u00e3o\u201d. A data desse encontro ser\u00e1 divulgada em breve, promete a ag\u00eancia.<\/p>\n<p>\u201cEsta decis\u00e3o foi tomada em respeito e aten\u00e7\u00e3o \u00e0s preocupa\u00e7\u00f5es demonstradas pela sociedade desde a publica\u00e7\u00e3o da citada norma. Dessa forma, a diretoria revogou a decis\u00e3o que aprovou a norma e deliberou pela realiza\u00e7\u00e3o de audi\u00eancia p\u00fablica\u201d, explica em nota.<\/p>\n<p>A ag\u00eancia tamb\u00e9m promete se reunir com as principais institui\u00e7\u00f5es p\u00fablicas que se manifestaram sobre a mat\u00e9ria, com o objetivo de ouvir suas sugest\u00f5es para a constru\u00e7\u00e3o de um entendimento uniforme sobre o assunto.<\/p>\n<p>A RN 433 determinava limites (mensal e anual) para exposi\u00e7\u00e3o financeira do consumidor e isentava a incid\u00eancia de coparticipa\u00e7\u00e3o e franquia em mais de 250 procedimentos, como exames preventivos e tratamentos de doen\u00e7as cr\u00f4nicas, entre eles, tratamentos de c\u00e2ncer e hemodi\u00e1lise.<\/p>\n<p>Outro aspecto importante era a determina\u00e7\u00e3o de um percentual m\u00e1ximo de coparticipa\u00e7\u00e3o a ser cobrado do benefici\u00e1rio, que n\u00e3o poderia ultrapassar 40% do valor monet\u00e1rio do procedimento ou evento em sa\u00fade efetivamente pago pela operadora ao prestador, ou do valor da tabela de refer\u00eancia de procedimentos, sobre os quais incidiria a coparticipa\u00e7\u00e3o.<\/p>\n<p>https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/entenda-como-funciona-a-coparticipacao\/<\/p>\n<p>&nbsp;<\/p>\n<p>Quer ler mais not\u00edcias como essa? <a href=\"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/suaempresa\/category\/bem-estar\/\">Clique aqui<\/a> e navegue pelo Portal RH It\u2019sSeg. Siga-nos tamb\u00e9m no <a href=\"https:\/\/www.facebook.com\/itsseg\/\" target=\"_blank\" rel=\"noopener\">Facebook<\/a> e no <a href=\"https:\/\/www.linkedin.com\/company\/9221126\/\" target=\"_blank\" rel=\"noopener\">Linkedin<\/a>.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_sidebar admin_label=&#8221;Barra Lateral&#8221; global_module=&#8221;399&#8243; orientation=&#8221;left&#8221; area=&#8221;sidebar-1&#8243; background_layout=&#8221;light&#8221; remove_border=&#8221;on&#8221; body_line_height=&#8221;1.5em&#8221; custom_css_widget=&#8221;margin-bottom: 30px !important;&#8221; saved_tabs=&#8221;all&#8221;] [\/et_pb_sidebar][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section admin_label=&#8221;Se\u00e7\u00e3o&#8221; global_module=&#8221;93&#8243; fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221; transparent_background=&#8221;off&#8221; background_color=&#8221;#f9f9f9&#8243; 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;20px||20px|&#8221;][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_class=&#8221;footer&#8221; module_id_1=&#8221;coluna_1&#8243; module_id_2=&#8221;coluna_2&#8243; module_id_3=&#8221;coluna_3&#8243; module_id=&#8221;footer_1&#8243;][et_pb_column type=&#8221;1_4&#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;] <img decoding=\"async\" class=\"alignleft size-full wp-image-82\" src=\"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/wp-content\/uploads\/logo-seguros-inteligentes.png\" width=\"270\" \/> [\/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;copyright&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;right&#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_padding=&#8221;|||20%&#8221; text_font=&#8221;Abel||||&#8221;] PORTAL RH IT\u2019SSEG \u00e9 uma publica\u00e7\u00e3o da It\u2019sSeg Seguros Inteligentes. 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[\/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;] <img decoding=\"async\" class=\"alignleft size-full wp-image-82\" src=\"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/wp-content\/uploads\/logo-seguros-inteligentes.png\" width=\"270\" \/> [\/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;] <img decoding=\"async\" src=\"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/wp-content\/uploads\/logo-seguros-inteligentes-mobile.png\" alt=\"logo_footer_2\" width=\"70\" \/> [\/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;] <img decoding=\"async\" class=\"alignright size-full wp-image-83\" src=\"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/wp-content\/uploads\/portalrh-footer.png\" alt=\"logo_portal_footer\" width=\"270\" \/> [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ag\u00eancia anuncia que vai reabrir as discuss\u00f5es envolvendo a RN 433, que atualizaria as regras para a aplica\u00e7\u00e3o da coparticipa\u00e7\u00e3o e franquia em planos de sa\u00fade no Brasil.<\/p>\n","protected":false},"author":1,"featured_media":2804,"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":[224],"_links":{"self":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/2803"}],"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=2803"}],"version-history":[{"count":3,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/2803\/revisions"}],"predecessor-version":[{"id":8408,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/2803\/revisions\/8408"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media\/2804"}],"wp:attachment":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media?parent=2803"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/categories?post=2803"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/tags?post=2803"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}