{"id":75930,"date":"2022-08-01T18:35:48","date_gmt":"2022-08-01T21:35:48","guid":{"rendered":"https:\/\/regiaonews.net.br\/2022\/?p=75930"},"modified":"2022-08-01T18:35:48","modified_gmt":"2022-08-01T21:35:48","slug":"planos-de-saude-acaba-hoje-limite-de-sessoes-para-quatro-categorias","status":"publish","type":"post","link":"https:\/\/regiaonews.net.br\/2022\/2022\/08\/01\/planos-de-saude-acaba-hoje-limite-de-sessoes-para-quatro-categorias\/","title":{"rendered":"Planos de sa\u00fade: acaba hoje limite de sess\u00f5es para quatro categorias"},"content":{"rendered":"

A nova resolu\u00e7\u00e3o normativa da Ag\u00eancia Nacional de Sa\u00fade Suplementar (ANS) que determinou o fim da limita\u00e7\u00e3o do n\u00famero de consultas e sess\u00f5es com psic\u00f3logos, fonoaudi\u00f3logos, terapeutas ocupacionais e fisioterapeutas come\u00e7a valer a partir de hoje (1\u00ba) para todos os planos de sa\u00fade regulamentados, contratados ap\u00f3s a Lei 9.656\/1998 ou adaptados \u00e0 lei,\u00a0que tiverem cobertura ambulatorial, ou seja, de consultas e exames.\u00a0<\/p>\n

A decis\u00e3o foi tomada no dia 11 de julho em\u00a0reuni\u00e3o extraordin\u00e1ria<\/a>\u00a0da diretoria colegiada da ag\u00eancia.<\/p>\n

\u201cCom essa medida, as operadoras dos planos de sa\u00fade passam a ter que cobrir todas as consultas ou sess\u00f5es com profissionais dessas quatro categorias que forem prescritas pelo m\u00e9dico assistente para pacientes com qualquer doen\u00e7a ou condi\u00e7\u00e3o de sa\u00fade listada pela Organiza\u00e7\u00e3o Mundial da Sa\u00fade (OMS), como, por exemplo, o transtorno do espectro autista, a paralisia cerebral, a s\u00edndrome de\u00a0Down<\/em>, a esquizofrenia\u201d, disse o diretor-presidente da ANS, Paulo Rebello.<\/p>\n

Segundo Rebello, este ano, houve 22 inclus\u00f5es de procedimentos, entre exames, tratamentos, e medicamentos, no rol de procedimentos obrigat\u00f3rios da ANS.<\/p>\n

Consumidor<\/h2>\n

Para a coordenadora do Programa de Sa\u00fade do Instituto Brasileiro de Defesa do Consumidor (Idec), Ana Carolina Navarrete, essa resolu\u00e7\u00e3o ocorre ap\u00f3s intensa cobran\u00e7a de diferentes institui\u00e7\u00f5es de pacientes e consumidores que j\u00e1 chamavam a aten\u00e7\u00e3o para a \u201cabusividade\u201d de limitar o n\u00famero de consultas com essas categorias.<\/p>\n

\u201cAntes, essa lista limitava o n\u00famero de consultas com esses profissionais a 12 no ano. Se precisasse mais, o consumidor pagava ou acionava a Justi\u00e7a, que, na maioria dos casos, determinava a cobertura pelo plano de sa\u00fade\u201d, disse Ana Carolina.<\/p>\n

A especialista lembra que se o plano negar a cobertura ou impuser algum limite a consultas e sess\u00f5es com as quatro categorias profissionais, o consumidor deve tentar resolver em primeiro lugar com a operadora. \u201cSe isso n\u00e3o resolver, a\u00ed deve fazer uma reclama\u00e7\u00e3o no Procon do seu estado ou munic\u00edpio ou ent\u00e3o diretamente na pr\u00f3pria ANS\u201d.<\/p>\n

Ag\u00eanciaBrasil<\/p>\n","protected":false},"excerpt":{"rendered":"

A nova resolu\u00e7\u00e3o normativa da Ag\u00eancia Nacional de Sa\u00fade Suplementar (ANS) que determinou o fim da limita\u00e7\u00e3o do n\u00famero de consultas e sess\u00f5es com psic\u00f3logos,…<\/p>\n","protected":false},"author":2,"featured_media":75931,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[24,25],"tags":[],"class_list":["post-75930","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-brasil","category-cidades"],"yoast_head":"\nPlanos de sa\u00fade: acaba hoje limite de sess\u00f5es para quatro categorias - Regi\u00e3o News<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/regiaonews.net.br\/2022\/2022\/08\/01\/planos-de-saude-acaba-hoje-limite-de-sessoes-para-quatro-categorias\/\" 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