After the Chamber ‘destroyed’ your complete listing of well being plans, the ANS president says he’ll reverse the choice.

After the Chamber ‘destroyed’ your complete listing of well being plans, the ANS president says he’ll reverse the choice.

Medical health insurance acquired a brand new chapter this week. On Wednesday (3), the Chamber of Deputies accepted a invoice that obliges operators within the sector to pay the monetary prices of procedures and / or therapies that aren’t on the listing of the ANS (Further Nationwide Company for Well being).

The invoice now goes to the Senate for consideration. The accepted textual content is contained in PL 2033/22, offered by the Chamber’s working group analyzing the difficulty. In actual fact, the measure adjustments the function of taxation, the tactic that received opinion and the results of the nation within the current resolution within the STJ (Supreme Court docket of Justice).

On Thursday (4), someday after the invoice was handed within the Chamber, Paulo Rebelo, the president of the ANS, the governing physique for extra well being within the nation, criticized the textual content that, in his evaluation, ought to be modified.

Rebelo spoke about this situation in a debate held at Knowledgeable XP, an funding occasion (click on right here to observe the talks). In line with the supervisor, the company “clearly must work” and “different situations have to be seen” relating to the undertaking accepted by the Chamber. However Rebelo insists: the function stays fully with the company.

“We’ll proceed to judge the applied sciences which are offered to conduct a examine to search out out whether or not they are often included or not, considering all the necessities, all of the traits that we all the time search for, akin to efficiency, effectivity, security. , an important factor for the affected person”, he stated.

Arthur Lira (PP-AL), president of the Chamber, stated, in accordance with Folha de S.Paulo, that the undertaking ought to be voted on within the Senate as early as subsequent Tuesday (9). Lira burdened that parliamentarians should perceive that any adjustments made to the listing of well being plans have to be accompanied by a report from the regulatory company.

“However the fact is that there are points past our management since we’re within the election interval. It’s essential to make a small modification to the textual content given and accepted yesterday [na quarta] within the Chamber, and I consider we will reverse it,” stated Rebelo.

Choice of the STJ

In June, the STJ determined that operators shouldn’t pay for packages that aren’t on the ANS listing.

Rebelo, talking in Knowledgeable XP, assesses the Court docket’s resolution as “dangerous”.

“There was a change in STJ, which I see as very dangerous. It retains the company answerable for conducting technical well being checks, however some exceptions depart the door open. […] I believe it was too broad, it ought to have been restricted a little bit bit, that is what we’ll attempt to change, both by the Senate or by laws, to indicate what methodology must be analyzed for this inclusion to occur,” he stated. .

Political teams and organizations appealed to the Supreme Court docket to overturn the choice, saying it harms sufferers, who could also be denied therapy and stopped.

What’s the function of taxation?

The ANS listing establishes the minimal protection that personal plans should supply shoppers. Formally, the identify “Rol of Procedures and Occasions in Well being”.

Right now the listing has greater than 3 thousand procedures, along with the ailments listed within the ICD (Worldwide Statistical Classification of Ailments and Associated Well being Issues), of the WHO (World Well being Group).

Rebelo defended it by saying that calling the function “a tax finally ends up creating confusion”.

“It’s a dynamic listing, that’s, an inventory that may, with every technological take a look at that’s carried out and accepted, be included. This yr alone now we have created 28 new entities, which exhibits that the function is versatile and never restricted, it’s as talked about”, defended the chief.

Because it was created in 1998, the listing of packages that require medical insurance protection has been up to date, ANS says on its web site.

Anybody who criticizes the complete function defends the exemplary format. In it, the listing of procedures is open and permits interpretation on a case-by-case foundation, enabling the availability of protection past what’s specified within the ANS listing.

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