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Moms will run in front of STJ to get health insurance coverage
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The court will decide whether the list of procedures for air navigation services will remain standard or become comprehensive
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If they become taxes, no plans will be required to cover actions not included in the ANS . list
Activist Andrea Werner announced on social media that on Wednesday (23) protesters will restrain themselves before the Superior Court of Justice of Brasilia against the “Mamata Health Plans”. She will participate in the protest and associate herself with other mothers.
The law aims to put pressure on the court so that the list of mandatory procedures, examinations and treatments that must be covered by the agreements is not restricted.
On that day, STJ will decide whether the ANS (National Agency for Complementary Health) Action List, that is, whether the mandatory coverage list for health plans, remains standard or comprehensive.
Today, if the treatment is not on the ANS list, the patient can judge the case, and if the judge agrees, the plan is obliged to implement coverage.
If the list of actions becomes exhaustive, plan operators will not be required to cover actions not on the regulatory agency’s list, which is associated with the Ministry of Health.
According to Andrea, if the court’s decision is to make the role of the ANS taxable, this should primarily affect seriously ill people, for example.
Currently, if you have cancer and your doctor recommends immunotherapy, it is [o procedimento] It’s not on the ANS list, which is old and outdated. But if you go to court, the plan covers it. If STJ decides that this old role is inclusive, it is over. Andrea explained that plans would not be required to cover anything off the list.
The trial began in September last year, and the rapporteur, Minister Felipe Salumao, voted the list to be exhaustive, meaning not give way to recourse to justice when plans deny some treatment.
