This Monday (27), the National Supplementary Health Agency (ANS) announced the temporary suspension of 70 health insurance from eight different operators.
For this, more than 37,000 consumer complaints were taken into account, registered from January to March of this year. The measure is valid from June 30th and should protect around 1,400.00 beneficiaries.
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Among the operators that had plans suspended are Amil, Santo André, Esmale, Saúde Brasil, Biovida, Unimed Norte/Nordeste and Unimed-Rio. Even so, according to the agency, current users of the plans will not be harmed and will be able to continue using the services normally. You can access the complete list of suspended plans here, at official note from ANS.
Analysis of complaints
To the 37 thousand complaints were analyzed through the Care Guarantee Monitoring, which monitors the health plan sector and protects consumers from abusive practices. In general, complaints related to exams and surgeries, maximum deadlines for consultations and denial of assistance coverage are registered. Thus, an evaluation and classification of operators into bands is carried out, and finally a comparative analysis is carried out on them.
From then on, the results are released quarterly, resulting in the suspension of the plans with the highest record of complaints from the operators classified in the risk ranges. When this happens, these operators will not be able to register any new plans that are analogous to those on the list of suspension and not even receive new beneficiaries, with the exception of a new spouse or child and former employees dismissed or retirees.
When will health plans be released?
In order for the plans to return and the operator to be able to receive new customers, it is necessary to present an improvement in its assistance performance. Therefore, every quarter there is a reassessment, and those that meet the monitoring standard will be released to offer new sales. Also, in addition to the suspension of the services of some operators, in this cycle, 4 other plans were announced that will be released for sale.