Health Plan I

 What should your health plan cover?


First of all, you who use health plans need to know what your health plan should cover, during which establishment, during which period and during which location in Brazil.


Let's talk a touch bit about what you're entitled to regarding your health plan : in theory you're entitled to consultations, tests and coverings.


According to the National Supplementary Health Agency ( ANS ), which defines an inventory of consultations, exams and coverings, which is decided through the List of Procedures and Events in Health , both within the Outpatient and within the Hospital with or without obstetrics, reference or Dental . This list is valid for all health plans that were contracted as of January 2, 1999, which was the regulatory date for all health plans . Even so, those health plans that were contracted before that date had no losses, but just for people who were adapted to the law of health plans .


So before checking if you're entitled to any procedure, make certain to see what sort of health plans you've got, because it's from there that it'll make all the difference.


There is also the Hospital, Laboratories and Doctors section, you've got to notice two details about the Hospital, Laboratories and Doctors network related to your health plan .


First of all, not all health plans are entitled to hospitalization. The health plans that give rights to Hospitalization are those of the Hospital with Obstetrics, Hospital without Obstetrics types or a reference plan.


Second is that the accredited network that your health plan covers. you've got to guage when hiring your health plan , which are the Hospitals, Laboratories and Doctors that you simply are going to be entitled to for your health plan . Always keep an eye fixed on the hospitals, because its operator health plans can only descredencia them exceptionally. In these cases, it's mandatory to exchange the hospital with disqualification from health plans with the same one and communicate this alteration to the health plan user and therefore the National Supplementary Health Agency ( ANS) ) 30 days beforehand, except within the case of fraud or sanitary or fiscal infraction by the Hospital portrayed within the agreement. Thus, if the health plan operator chooses to de-accredit a Hospital without replacing it with another equivalent Hospital, it'll only be ready to effect and communicate the reduction of the Hospital network 

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Plano de Saúde Bradesco no Nordeste

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