{"id":2819,"date":"2018-08-09T17:00:23","date_gmt":"2018-08-09T20:00:23","guid":{"rendered":"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/?p=2819"},"modified":"2018-08-29T16:14:41","modified_gmt":"2018-08-29T19:14:41","slug":"cirurgia-plastica-plano-de-saude-e-obrigado-a-cumprir","status":"publish","type":"post","link":"https:\/\/segurosinteligentes.com.br\/oldrh\/cirurgia-plastica-plano-de-saude-e-obrigado-a-cumprir\/","title":{"rendered":"Cirurgia pl\u00e1stica: plano de sa\u00fade \u00e9 obrigado a cumprir?"},"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>COBERTURA DO SEU PLANO | 09.AGOSTO.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<p>Cirurgia pl\u00e1stica: plano de sa\u00fade \u00e9 obrigado a cumprir?<\/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>A cirurgia pl\u00e1stica \u00e9 um desejo de muitos, por\u00e9m, em alguns casos, a busca por um procedimento mais barato pode terminar em trag\u00e9dia, como vimos no notici\u00e1rio recente. \u00c9 essencial contar com profissionais id\u00f4neos e ambientes habilitados na hora de realizar qualquer a\u00e7\u00e3o deste tipo, mas a pergunta que fica \u00e9: posso ter acesso a tudo isso por meio do meu plano de sa\u00fade?<\/p>\n<p>Em primeiro lugar, os n\u00fameros comprovam que os brasileiros nunca recorreram tanto \u00e0 cirurgia pl\u00e1stica. O <a href=\"http:\/\/www2.cirurgiaplastica.org.br\/wp-content\/uploads\/2017\/12\/CENSO-2017.pdf\" target=\"_blank\">censo 2016<\/a> da SBCP (Sociedade Brasileira de Cirurgia Pl\u00e1stica) aponta que, na compara\u00e7\u00e3o com 2014, interven\u00e7\u00f5es para fins reconstrutores ou puramente est\u00e9ticos cresceram 23% e 8%, respectivamente \u2013 inclusive os procedimentos menos invasivos, como aplica\u00e7\u00e3o de botox e preenchimentos em geral, registraram alta de incr\u00edveis 390%.<\/p>\n<p>A procura pela cirurgia pl\u00e1stica \u00e9 alta, mas, como determina a <a href=\"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/na-hora-da-cirurgia\/\" target=\"_blank\">Lei n\u00ba 9656<\/a>, de 1998, os planos de sa\u00fade n\u00e3o est\u00e3o obrigados a cobrir procedimentos para fins est\u00e9ticos. Existem, no entanto, algumas exce\u00e7\u00f5es previstas na legisla\u00e7\u00e3o, justificadas pela liga\u00e7\u00e3o que t\u00eam com determinadas quest\u00f5es de sa\u00fade, a saber:<\/p>\n<p><strong>Cirurgia bari\u00e1trica<\/strong><br \/>\nTamb\u00e9m conhecida como gastroplastia, esse procedimento est\u00e1 ligado ao tratamento contra a obesidade m\u00f3rbida e consta no Rol da ANS com as especifica\u00e7\u00f5es e indica\u00e7\u00f5es para que haja cobertura<\/p>\n<p><strong>Remo\u00e7\u00e3o de excesso de pele<\/strong><br \/>\nO Rol da ANS prev\u00ea a cobertura para os casos ligados a tratamento cl\u00ednico da obesidade m\u00f3rbida ou cirurgia para redu\u00e7\u00e3o do est\u00f4mago, mas desde que haja alguma complica\u00e7\u00e3o associada (como h\u00e9rnia, por exemplo) <\/p>\n<p><strong>Reconstru\u00e7\u00e3o de mama<\/strong><br \/>\nPacientes com c\u00e2ncer de mama e que passaram por uma mastectomia (retirada dos seios) t\u00eam direito \u00e0 reconstru\u00e7\u00e3o de mama, j\u00e1 que a pr\u00f3pria Lei n\u00ba 9656, de 1998, prev\u00ea essa hip\u00f3tese<\/p>\n<p><strong>Redu\u00e7\u00e3o de mamas<\/strong><br \/>\nSomente a corre\u00e7\u00e3o de ginecomastia (agigantamento das mamas em homens por disfun\u00e7\u00e3o glandular) tem cobertura no Rol da ANS. \u00c9 necess\u00e1ria prescri\u00e7\u00e3o m\u00e9dica <\/p>\n<p><strong>Cirurgia de p\u00e1lpebra<\/strong><br \/>\nA blefarorrafia consta no Rol da ANS e \u00e9 indicada para pacientes que t\u00eam a pele frouxa ou fl\u00e1cida na regi\u00e3o, prejudicando a vista. Tamb\u00e9m \u00e9 preciso ter indica\u00e7\u00e3o m\u00e9dica<\/p>\n<p>Tamb\u00e9m h\u00e1 cobertura no caso de \u00f3rteses, pr\u00f3teses e acess\u00f3rios ligados ao ato cir\u00fargico, nos planos com cobertura prevista para interna\u00e7\u00e3o hospitalar, desde que a finalidade do procedimento n\u00e3o seja est\u00e9tica.<\/p>\n<p>Quando o benefici\u00e1rio do plano de sa\u00fade passa por uma cirurgia pl\u00e1stica com fins estritamente est\u00e9ticos, como no caso de uma lipoaspira\u00e7\u00e3o, por exemplo, h\u00e1 cobertura prevista para exames pr\u00e9-operat\u00f3rios e consultas m\u00e9dicas, mas n\u00e3o h\u00e1 cobertura para a lipoaspira\u00e7\u00e3o.<\/p>\n<p><strong>Importante:<\/strong> cada operadora administra o benef\u00edcio do plano de sa\u00fade de uma forma, ent\u00e3o, h\u00e1 contratos que podem cobrir cirurgias pl\u00e1sticas independentemente da necessidade do paciente. Sendo assim, vale a pena se informar com a operadora do seu plano sobre as coberturas \u00e0s quais voc\u00ea tem direito.<\/p>\n<p>Quer ler mais not\u00edcias como essa? <a href=\"http:\/\/segurosinteligentes.com.br\/portalrh\/category\/legislacao\/\">Clique aqui<\/a> e navegue pelo Portal RH It\u2019sSeg. Siga-nos tamb\u00e9m no <a href=\"https:\/\/www.facebook.com\/itsseg\/\" rel=\"noopener\" target=\"_blank\">Facebook<\/a> e no <a href=\"https:\/\/www.linkedin.com\/company\/9221126\/\" rel=\"noopener\" target=\"_blank\">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;]<\/p>\n<p>[\/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;]<\/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\" class=\"alignleft size-full wp-image-82\" \/><\/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;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;]<\/p>\n<p>PORTAL RH IT\u2019SSEG \u00e9 uma publica\u00e7\u00e3o da It\u2019sSeg Seguros Inteligentes. 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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_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>A procura por procedimentos est\u00e9ticos \u00e9 muito grande, contudo poucas pessoas sabem quais deles s\u00e3o cobertos pelos planos de sa\u00fade.<\/p>\n","protected":false},"author":1,"featured_media":2820,"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":[25],"_links":{"self":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/2819"}],"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=2819"}],"version-history":[{"count":2,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/2819\/revisions"}],"predecessor-version":[{"id":2822,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/2819\/revisions\/2822"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media\/2820"}],"wp:attachment":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media?parent=2819"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/categories?post=2819"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/tags?post=2819"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}