The National Agency for Complementary Health (ANS) has identified the suspension of 12 health plans from 6 operators. Sale will be temporarily suspended due to claims for assistance coverage.
The ban on selling will take effect from next Tuesday (22). This measure is part of the agency’s oversight, which monitors the sector’s performance regularly and publishes a list of suspended plans every three months.
“In total, 83,286 beneficiaries are protected from this measure, as these plans can only be marketed to new customers if operators demonstrate an improvement in outcome in monitoring,” according to the ANS.
In addition to the suspensions, the ANS on Wednesday (16) released a list of plans that may be commercialized again. In this cycle, 11 plans from 4 operators will be put up for sale. See the list here.
The ANS Service Assurance Monitoring Program regularly monitors sector performance with respect to plan beneficiaries’ access to contracted coverage. Non-compliance with the maximum deadlines for consultations, tests or surgeries or refusal of certain types of contracted coverage is taken into account.
When the operator receives an ANS suspension through the monitoring software, it cannot record any new plans of suspended types.
Between October and December last year, ANS received 33377 complaints through its service channels.
Banned from marketing 12 health plans
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