ANS decree suspends 18 health plans and affects Unimed

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Home » health insurance » URGENT decree from ANS imposes MASS suspension of 18 health plans and hits Unimed hard

ANS, doctor and health plan illustration (Photos: Reproductions / Internet / Canva)

Brazil has a series of regular bodies and in recent months one in particular ended up making the news. We are talking about the National Supplementary Health Agency (ANS), which on December 21, 2023, published a list of health plans that will have sales temporarily suspended due to complaints related to healthcare coverage.

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At the time, even Unimed, which is one of the largest health plan companies in Brazil, was also affected by the ANS decree. According to the Federal Government’s Gov.com portal, the measure is part of the Service Guarantee Monitoring, which regularly monitors the sector’s performance and works to protect consumers.

ANS and Unimed (Reproduction – Internet)

At the time, the ANS determined the suspension of 18 plans from three operators due to complaints made in the third quarter of 2023. In total, 183,690 beneficiaries are protected by the measure, as these plans can only be sold again to new customers if the operators show improved monitoring results.

“The main objective of suspending plans is consumer protection. With it, ANS prevents more people from entering a plan that is not serving its users satisfactorily”, said Alexandre Fioranelli, one of the directors of ANS. He explained that the expectation is to reduce the number of complaints in order to return to normal sales.

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ANS and Unimed (Photos: Reproductions / Internet)

Service Guarantee Monitoring Results (3th quarter)

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  • 18 plans with suspended commercialization
  • 27 plans with commercialization released
  • 183,690 protected beneficiaries
  • 61,369 Total complaints in the period from 07/01/2023 to 09/30/2023.

The Government portal also published the spreadsheet with suspended health plan services:

Product Registration Commercial name
473360156 COLLECTIVE UNIVIDA BY MEMBERSHIP – APARTMENT
473363151 BUSINESS UNIVIDA III – NURS
474119156 UNIVIDA COLLECTIVE BY MEMBERSHIP II – NURS
401806981 UNIMED PERSONAL COLLECTIVE ROOM
467669126 UNIMED PERSONAL COLLECTIVE ROOM 2 PPE
467675121 UNIMED ALFA 2 PPE
467677127 UNIMED BETA 2 PPE
467679123 UNIMED DELTA 2 PPE
467687124 UNIMED DELTA 2
467689121 UNIMED PERSONAL COLLECTIVE ROOM 2
467691122 UNIMED ALFA 2
467694127 UNIMED DELTA 2
475671161 BETA 2 REGIONAL
487586209 ALPHA 2 AD
435791014 SANTARIS

It is worth remembering that no update was found about the return of these 18 agreements, the last update is about the suspension given directly on the Federal Government portal. However, our space remains open for companies that want to get in touch with a note or announcement.

ANS and health plan (Reproduction - Internet)
ANS and health plan (Reproduction – Internet)

What documents are needed to contract a health plan?

According to the official ‘Unimed’ portal, it is mandatory to purchase the health plan for all beneficiaries and dependents, as required by the National Supplementary Health Agency (ANS):

  • ID or Driver’s License
  • CPF (regardless of age)
  • SUS card (regardless of age)
  • Proof of residence
  • Marriage or birth certificate for inclusion of dependents

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