SUS has $ 2 billion to receive from health insurance operators

SUS has $ 2 billion to receive from health insurance operators

Law states that operators should reimburse the Union when a beneficiary uses SUS for a service provided in the health plan contract

Companies bet on the judicialization of the process to avoid paymentCarl Court / Getty ImagesAlmost R $ 2 billion due to the Unified Health System (SUS) have not been passed on by health insurance companies or are contingent on lawsuits filed by companies.The amount refers to care provided to supplementary health beneficiaries by public health units.Charging is provided for by Law 9,656 of 1998, which states that operators must reimburse the Union whenever one of its beneficiaries uses SUS for a service that is provided for in the health plan contract.Of this amount, R $ 346.27 million are suspended due to court decision.Another R $ 1.28 billion was simply not paid by the health insurance operators and was registered in the Active Debt of the Union. There are still about R $ 300 million that have not been paid but have not yet been registered in the Active Debt.Read also: Alzheimer's patch arrives at SUS two years lateThe data are from the National Agency of Supplementary ...


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