The limit of sessions in health plans comes to an end

On July 11 of this year, the Collegiate Board of the National Supplementary Health Agency (ANS) established the end of the session limit in health plans. The measure, which applies to clients of health plans with any disease listed by the World Health Organization, came into effect last Monday, 1st, for four categories.

Read more:See how to consult the list of procedures that your health plan covers

The resolution applies to consultations and sessions with psychologists, occupational therapists, physiotherapists and speech therapists. According to the agency, the regulation is the result of a constant charge of several patients and consumers who found the limit of consultations as abusive. Know more.

national mobilization

During his speech, Paulo-Rebello, director-president of ANS mentions how much the group of Mothers and National Mobilizers, with the help of presenter Marcos Mion, were important for the decision: “With this measure, health plan operators now have to cover all appointments or sessions with professionals from these four categories that are prescribed by the treating physician for patients with any disease or health condition listed by the World Health Organization (WHO), such as autism spectrum disorder, cerebral palsy, Down syndrome and schizophrenia,” he said. rebel.

If the plan refuses to cover queries or even maintains a limit on the four categories, the consumer can try to solve the problem with the operator. In addition, you can resort to the Procon of your federative unit or to the ANS itself.

value of plans

Due to the end of the coverage limit, plan operators must increase the costs of their services. Thus, every year, on the anniversary date of signature of the contracts, there may be an adjustment. Even in 2022, the increase in individual plans was already quite large compared to the previous ones, with an increase in costs of 15.5%. For this reason, the ANS has also been criticized due to the increase in monthly plan fees.