<\/p>\n
G1<\/em><\/strong><\/p>\n A Ag\u00eancia Nacional de Sa\u00fade Suplementar (ANS<\/a>) anunciou nesta quarta-feira (13) a suspens\u00e3o da venda, por tr\u00eas meses, de mais 150 planos de sa\u00fade, administrados por 41 operadoras. Esse \u00e9 o s\u00e9timo ciclo de suspens\u00f5es realizado pela ANS e come\u00e7ar\u00e1 a valer a partir desta segunda-feira (18).<\/p>\n Veja a lista dos planos ao final desta reportagem.<\/strong><\/p>\n A medida foi tomada por descumprimento de prazos estabelecidos para atendimento m\u00e9dico, realiza\u00e7\u00e3o de exames e interna\u00e7\u00f5es, al\u00e9m de negativas indevidas de cobertura.<\/p>\n Nesta quarta-feira, a ANS anunciou tamb\u00e9m que, ao todo, 37 planos de 7 operadoras que solucionaram totalmente seus problemas assistenciais est\u00e3o sendo reativados.<\/p>\n Segundo a ag\u00eancia, a atual suspens\u00e3o beneficia 4,1 milh\u00f5es de consumidores, que j\u00e1 contrataram esses planos mais reclamados.\u00a0No \u00faltimo ciclo de suspens\u00f5es<\/a>, em agosto, a ag\u00eancia suspendeu 212 planos de 21 operadoras.<\/p>\n De acordo com a divulga\u00e7\u00e3o mais recente do Minist\u00e9rio da Sa\u00fade, at\u00e9 agosto,\u00a0 618 planos de sa\u00fade, de 73 operadoras, foram punidos com suspens\u00e3o de venda. A medida, segundo afirmou o ministro Alexandre Padilha na ocasi\u00e3o, levou \u00e0 prote\u00e7\u00e3o de 7,9 milh\u00f5es de consumidores (16,3% do total).<\/p>\n Ainda segundo o ministro, no primeiro semestre de 2013 a ANS recebeu 33.567 notifica\u00e7\u00f5es de negativas de cobertura por planos de sa\u00fade, sendo que 27.491 foram resolvidas por media\u00e7\u00e3o de conflito.<\/p>\n Como funciona<\/strong> Em agosto, foi realizado o primeiro ciclo de avalia\u00e7\u00e3o feito pela ANS com a incorpora\u00e7\u00e3o donovo crit\u00e9rio para suspens\u00e3o dos planos<\/a>: a negativa de cobertura indevida. Antes, as operadoras eram punidas somente com base no descumprimento de prazo para consultas e realiza\u00e7\u00e3o de exames.<\/p>\n Quem \u00e9 punido<\/strong> Uma resolu\u00e7\u00e3o normativa publicada em dezembro de 2011 estabeleceu tempo m\u00e1ximo para marca\u00e7\u00e3o de exames, consultas e cirurgias. O prazo para uma consulta com um cl\u00ednico-geral, pediatra ou obstetra, por exemplo, n\u00e3o pode passar de sete dias. Justamente para verificar o cumprimento desta resolu\u00e7\u00e3o \u00e9 que a ANS faz esse monitoramento.<\/p>\n S\u00e3o punidas com a suspens\u00e3o da venda todas as operadoras que atingiram, por dois trimestres consecutivos, um \u00edndice de reclama\u00e7\u00e3o superior a 75% da mediana do setor apurada pela ANS. A puni\u00e7\u00e3o dura tr\u00eas meses, at\u00e9 que um novo relat\u00f3rio seja divulgado.<\/p>\n Al\u00e9m da proibi\u00e7\u00e3o, \u00e9 aplicada multa de R$ 80 mil por descumprimento da norma para cada reclama\u00e7\u00e3o comprovada. Se for um caso de urg\u00eancia ou emerg\u00eancia, a multa sobe para R$ 100 mil. Existem hoje no pa\u00eds 1.503 operadoras ativas com benefici\u00e1rios de planos m\u00e9dicos e hospitalares.<\/p>\n PLANOS DE SA\u00daDE SUSPENSOS PELA ANS<\/strong><\/p>\n AMEPLAN ASSIST\u00caNCIA M\u00c9DICA PLANEJADA LTDA\u00a0<\/strong> AMICO SA\u00daDE LTDA<\/strong> AMIL ASSIST\u00caNCIA M\u00c9DICA INTERNACIONAL S.A.<\/strong> BENEPLAN PLANO DE SA\u00daDE LTDA.<\/strong> CASA DE SA\u00daDE S\u00c3O BERNARDO S\/A<\/strong> CENTRO TRASMONTANO DE SAO PAULO<\/strong> CONMED S\u00c3O LUIS – CONV\u00caNIOS M\u00c9DICOS DE SA\u00daDE SUPLEMENTAR LTDA<\/strong> COOPUS – COOPERATIVA DE USU\u00c1RIOS DO SISTEMA DE SA\u00daDE DE CAMPINAS<\/strong> ECOLE SERVI\u00c7OS M\u00c9DICOS LTDA<\/strong> EXCELSIOR MED S\/A<\/strong> FUNDA\u00c7\u00c3O ASSISTENCIAL DOS SERVIDORES DO MINIST\u00c9RIO DA FAZENDA<\/strong> GEAP FUNDA\u00c7\u00c3O DE SEGURIDADE SOCIAL<\/strong> GREEN LINE SISTEMA DE SA\u00daDE S.A<\/strong> GOLDEN CROSS ASSISTENCIA INTERNACIONAL DE SA\u00daDE LTDA<\/strong> IRMANDADE SANTA CASA MISERICORDIA DE S\u00c3O JOS\u00c9 DOS CAMPOS<\/strong> MH VIDA – OPERADORA DE PLANOS DE SA\u00daDE LTDA.<\/strong> PLAMED PLANO DE ASSISTENCIA MEDICA LTDA<\/strong> PRONTOMED ASSIST\u00caNCIA MEDICA LTDA.<\/strong> SANAMED – SA\u00daDE SANTO ANTONIO LTDA<\/strong> SANTA RITA SISTEMA DE SAUDE S\/C LTDA<\/strong> SANTAMALIA SA\u00daDE S\/A<\/strong> SANTO ANDR\u00c9 PLANOS DE ASSISTENCIA M\u00c9DICA LTDA.<\/strong> SAUDE ASSISTENCIA MEDICA INTERNACIONAL LTDA<\/strong> SA\u00daDE MEDICOL S\/A.<\/strong> SEISA SERVI\u00c7OS INTEGRADOS DE SA\u00daDE LTDA.<\/strong> SMEDSJ – SERVI\u00c7OS M\u00c9DICOS S\u00c3O JOSE S\/C LTDA<\/strong> SMS – ASSIST\u00caNCIA M\u00c9DICA LTDA<\/strong> SOCIEDADE PORTUGUESA DE BENEFICENCIA<\/strong> SOMEL – SOCIEDADE PARA MEDICINA LESTE LTDA.<\/strong> SOSAUDE ASSIST\u00caNCIA M\u00c9DICO HOSPITALAR LTDA<\/strong> TEMPO SA\u00daDE SEGURADORA S.A.<\/strong> TERRAMAR ADMINISTRADORA DE PLANO DE SAUDE LTDA<\/strong> UNIMED CUIABA COOPERATIVA DE TRABALHO M\u00c9DICO<\/strong> UNIMED DAS EST\u00c2NCIAS PAULISTAS OPERADORA DE PLANOS DE SA\u00daDE, SOCIEDADE COOPERATIVA<\/strong> UNIMED DO ABC – COOPERATIVA DE TRABALHO M\u00c9DICO<\/strong> UNIMED DO ESTADO DE SP – FEDERA\u00c7\u00c3O ESTADUAL DAS COOP. M\u00c9DICAS<\/strong> UNIMED GRANDE FLORIAN\u00d3POLIS-COOPERATIVA DE TRABALHO MEDICO<\/strong> 450630048\u00a0 UNIFLEX REGIONAL 50% CO-PARTICIPA\u00c7\u00c3O INDIVIDUAL E FAMILIAR\u00a0 10933<\/p>\n UNIMED MONTES CLAROS COOPERATIVA DE TRABALHO M\u00c9DICO LTDA.<\/strong> UNIMED NORTE CAPIXABA- COOPERATIVA DE TRABALHO M\u00c9DICO<\/strong> UNIMED SERGIPE – COOPERATIVA DE TRABALHO M\u00c9DICO<\/strong> VIVA PLANOS DE SA\u00daDE LTDA<\/strong> OPERADORAS LIBERADAS PARA COMERCIALIZA\u00c7\u00c3O<\/strong><\/p>\n ASSOCIA\u00c7\u00c3O DE BENEFIC\u00caNCIA E FILANTROPIA S\u00c3O CRISTOV\u00c3O<\/strong> FUNDA\u00c7\u00c3O SA\u00daDE ITA\u00da<\/strong> G&M ASSESSORIA M\u00c9DICA EMPRESARIAL LTDA – EPP<\/strong> PREVENT SENIOR PRIVARE OPERADORA DE SA\u00daDE LTDA<\/strong> PROM\u00c9DICA – PROTE\u00c7\u00c3O M\u00c9DICA A EMPRESAS S.A<\/strong> SUL AMERICA COMPANHIA DE SEGURO SA\u00daDE<\/strong> UNIVERSAL SA\u00daDE ASSIST\u00caNCIA M\u00c9DICA S\/A<\/strong> G1 A Ag\u00eancia Nacional de Sa\u00fade Suplementar (ANS) anunciou nesta quarta-feira (13) a suspens\u00e3o da venda, por tr\u00eas meses, de mais 150 planos de sa\u00fade, administrados por 41 operadoras. Esse \u00e9 o s\u00e9timo ciclo de suspens\u00f5es realizado pela ANS e come\u00e7ar\u00e1 a valer a partir desta segunda-feira (18). Veja a lista dos planos ao final desta reportagem. A medida foi tomada por descumprimento de prazos estabelecidos para atendimento m\u00e9dico, realiza\u00e7\u00e3o de exames e interna\u00e7\u00f5es, al\u00e9m de negativas indevidas de cobertura. Nesta quarta-feira, a ANS anunciou tamb\u00e9m que, ao todo, 37 planos de 7 operadoras que solucionaram totalmente seus problemas…<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[6],"tags":[],"class_list":["post-52667","post","type-post","status-publish","format-standard","hentry","category-noticias"],"acf":[],"views":593,"_links":{"self":[{"href":"https:\/\/www.walcordeiro.com.br\/v1\/wp-json\/wp\/v2\/posts\/52667","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.walcordeiro.com.br\/v1\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.walcordeiro.com.br\/v1\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.walcordeiro.com.br\/v1\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.walcordeiro.com.br\/v1\/wp-json\/wp\/v2\/comments?post=52667"}],"version-history":[{"count":1,"href":"https:\/\/www.walcordeiro.com.br\/v1\/wp-json\/wp\/v2\/posts\/52667\/revisions"}],"predecessor-version":[{"id":52668,"href":"https:\/\/www.walcordeiro.com.br\/v1\/wp-json\/wp\/v2\/posts\/52667\/revisions\/52668"}],"wp:attachment":[{"href":"https:\/\/www.walcordeiro.com.br\/v1\/wp-json\/wp\/v2\/media?parent=52667"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.walcordeiro.com.br\/v1\/wp-json\/wp\/v2\/categories?post=52667"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.walcordeiro.com.br\/v1\/wp-json\/wp\/v2\/tags?post=52667"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nA suspens\u00e3o das vendas n\u00e3o afeta o atendimento aos atuais usu\u00e1rios desses planos de sa\u00fade, mas impede a inclus\u00e3o de novos clientes.<\/p>\n\n
\nA ANS vem monitorando os planos de sa\u00fade por meio de reclama\u00e7\u00f5es feitas em seus canais de relacionamento. E, a cada tr\u00eas meses, publica um relat\u00f3rio.<\/p>\n
\n428613998\u00a0 Plano Executivo 33895<\/p>\n
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\n467301128\u00a0 Coletivo Ades\u00e3o Unimaster Enfermaria\u00a0 6940
\n467302126\u00a0 Coletivo Ades\u00e3o Unimaster Apartamento\u00a0 956<\/p>\n
\n410850997\u00a0 UNIPARTICIPLAN C\/OBSTETRICIA EM APARTAMENTO C\/ REMO\u00c7\u00c3O P.J.\u00a0 3336<\/p>\n
\n409024991\u00a0 UNIVIDA ESPECIAL PLUS 1\u00a0 1293
\n703788991\u00a0 UNIVIDA ESPECIAL PLUS 1\u00a0 17013
\n703790992\u00a0 UNIVIDA BASICO PLUS 1\u00a0 14231
\n703792999\u00a0 UNIVIDA ESPECIAL ADES\u00c3O PARTICIPATIVO\u00a0 10344<\/p>\n
\n460037091\u00a0 SA\u00daDE QC – 12\u00a0 641
\n460040091\u00a0 SA\u00daDE QP – 11\u00a0 11040
\n460042098\u00a0 SAUDE PE210 QC\u00a0 953
\n460047099\u00a0 SAUDE PE110 QC\u00a0 10068
\n460051097\u00a0 SA\u00daDE PE 11 QC\u00a0 5899
\n468020121\u00a0 PREFERENCIAL II\u00a0 918
\n468025121\u00a0 EXTRA\u00a0 1016
\n460039098\u00a0 SA\u00daDE QC – 11\u00a0 2502
\n460050099\u00a0 SAUDE PE120 QP\u00a0 1577<\/p>\n
\n454912061\u00a0 SC EMPRESARIAL 1A\u00a0 10891
\n454913069\u00a0 SC EMPRESARIAL 1E\u00a0 8198
\n463169102\u00a0 S\u00c3O CRIST\u00d3V\u00c3O 20 A\u00a0 7604
\n463170106\u00a0 S\u00c3O CRIST\u00d3V\u00c3O 20 E\u00a0 7964
\n465674111\u00a0 S\u00c3O CRIST\u00d3V\u00c3O EMPRESARIAL 10 A\u00a0 1876<\/p>\n
\n450510047\u00a0 PLANO DE SA\u00daDE ITAU\u00a0 27768
\n462162100\u00a0 BASICO\u00a0 13834
\n462163108\u00a0 ESPECIAL I\u00a0 104497
\n462164106\u00a0 EXECUTIVO I\u00a0 12555
\n462166102\u00a0 ESPECIAL\u00a0 8155
\n468519139\u00a0 UBBAT Especial V\u00a0 2198
\n468529136\u00a0 UBBAP Executivo V\u00a0 111
\n468530130\u00a0 UBBAP Especial V\u00a0 156<\/p>\n
\n432785003\u00a0 Plano Ambulatorial Coletivo por Ades\u00e3o\u00a0 661<\/p>\n
\n444213030\u00a0 PREVENT SENIOR ESMERALDA ENFERMARIA\u00a0 99729
\n444214038\u00a0 PREVENT SENIOR ESMERALDA APARTAMENTO\u00a0 56209<\/p>\n
\n402792982\u00a0 Plano Especial\u00a0 11589
\n433786007\u00a0 Co-Participado Referencia Promedica\u00a0 6247
\n433792001\u00a0 Co-Participado Especial\u00a0 745
\n433793000\u00a0 Co-Participado Essencial\u00a0 10057
\n459136084\u00a0 Plano Ambulatorial\u00a0 2350
\n700252991\u00a0 Standard Plus\u00a0 1043<\/p>\n
\n431427001\u00a0 B\u00e1sico PME Tradicional AHO QC\u00a0 30183
\n431428000\u00a0 Especial PME Tradicional AHO QP\u00a0 65674
\n432411001\u00a0 B\u00e1sico Ades\u00e3o Tradicional AHO QP COP\u00a0 36772
\n445324037\u00a0 Beta Ades\u00e3o AHO QP\u00a0 2340
\n445497039\u00a0 Beta Empresarial AHO QP COP\u00a0 8556
\n463400104\u00a0 B\u00e1sico 10 Empresarial\/PME Trad.10 AHO QP\u00a0 32201
\n463401102\u00a0 B\u00e1sico 10 Empresarial\/PME Trad.10 AHO QC\u00a0 27179
\n466058117\u00a0 505 – Especial 100 QP\u00a0 22433
\n466064111\u00a0 505 – Exato QP\u00a0 14851
\n466065110\u00a0 505 – Exato QC\u00a0 14802
\n700473997\u00a0 B\u00e1sico Ades\u00e3o Tradicional AHO QC\u00a0 47849
\n700474995\u00a0 Especial Ades\u00e3o Tradicional AHO QP\u00a0 187542
\n700476991\u00a0 Executivo\/M\u00e1ximo Ades\u00e3o Tradicional AHO QP\u00a0 11074<\/p>\n
\n464727111\u00a0 CONTRATO COLETIVO EMPRESARIAL – PRATA 275\u00a0 2772<\/p>\n","protected":false},"excerpt":{"rendered":"