More than 290,000 Golden Cross customers will have to change health insurance until May; understand

Users can take any option available on the market without respecting the new grace periods

THE Additional National Agency (ANS) granted a special portability to all customers of Gold cross Due to “serious administrative and economic and financial anomalies of the operator and its inability to regularize these problems”. Users have time until 11 May to migrate to others health plans or dental.

According to data from ANSIn January of this year, the Gold cross He had 192,205 beneficiaries in the medical assistance plans and 102,187 in the dental plans. The company states that, so far, all customers have their “active contractual coverage and are served normally” (Read further below).

“The resolution determines a special portability. It differs from common portability because it does not require compliance with the usual requirements. That is, it does not have a minimum of permanence in the plan and the financial equity of the origin and the destination plan is not necessary,” says Caio Henrique Fernandes, partner of Vilhena Silva Advogados.

After May 11, the operator will have the registration of ANS Canceled and the activities will be closed. “This means that Gold cross You can no longer market health plans. It is almost as if he had stopped working. This does not mean, however, that the company will cease to exist. If someone adapts to a cause to continue a specific treatment, for example, he will have to finance. It is not as if he were declaring failure, “explains Fernandes.

In a note, the ANS He underlines that “customers will be able to take any plan available on the market without respecting the new periods of grace or the temporary partial coverage. If they are still in grace in the current plan, the remaining period can be fulfilled to the new operator. In the special portability of the beneficiaries of the subsidies it can choose any plan in marketing, in all their price, to any other operator.”

What does Golden Cross say?

THE Gold cross He says that, despite the decision, “follows the normal course of his activity and all his beneficiaries, to date, have their contractual coverage active and normally frequented”.

The company underlines that, on February 3, he presented an administrative appeal to contest another decision of the ANSwhich determined the compulsory alienation of the operator’s health and dental portfolio.

On portability, the Gold cross He says he only had access to the decision on Wednesday, the 19th.

How to find a health plan?

Customers should go to the chosen operator with the following documents:

• RG;
• CPF;
• Proof of the residence;
• Copies of at least three paid briefs at the origin of origin in the last six months.

ANS does not participate directly in the hiring of health plans. The general rules for exercising the needs of needs are available in Regulatory resolution 438/2018. In the agency’s portal, There is an explanatory booklet on portability.

According to Fernandes, if the customer has difficulty taking a new plan, the first step is to contact the ANS And if the problem persists, the alternative becomes justice. If portability is not practicable for patients undergoing continuous treatment, such as cancer, the lawyer recommends that the customer requests Gold cross Maintain therapeutic costs.

To help choose a new operator, ANS also provides the Guide of the health plans. For questions or portability problems, customers have the following service channels available:

• Compose ANS (0800 701 9656): free telephone service, from Monday to Friday, from 9:00 to 17:00, with the exception of national holidays;
• Electronic form?Contact us at the consumer call center;
• Packaging call center: 0800 021 2105;
• ANS Nuclei available in the five regions of the country.

Source: Terra

Ben

Ben Stock is a lifestyle journalist and author at Gossipify. He writes about topics such as health, wellness, travel, food and home decor. He provides practical advice and inspiration to improve well-being, keeps readers up to date with latest lifestyle news and trends, known for his engaging writing style, in-depth analysis and unique perspectives.