Vai Trocar de Plano de Saúde? Entenda Como Funciona o Processo de Rescisão no Plano de Saúde Empresarial

Vai Trocar de Plano de Saúde? Entenda Como Funciona o Processo de Rescisão no Plano de Saúde Empresarial

A rescisão é qualquer tipo de cancelamento ou rompimento de contrato. Contratar um convênio médico já é uma tarefa bastante desafiadora, pois demanda pesquisa e análise. Porém, trocar de plano pode ser ainda mais difícil e complexo. Neste artigo vamos explicar como funciona o processo de rescisão no plano de saúde empresarial.

Rescisão — Plano de saúde empresarial

Existem dois casos possíveis de serem encaixados nessa situação. O primeiro cenário envolve o beneficiário titular de um plano de saúde empresarial que quer a própria exclusão. Na segunda situação, a empresa deseja antepor um convênio por um novo, sendo obrigada a passar pelo processo de rescisão.

Ao longo deste artigo vamos explicar para você quais são os procedimentos cabíveis e também quais são os direitos e diretrizes assegurados pela ANS — Agência Nacional de Saúde Suplementar.

Beneficiário quer a exclusão

No caso de o próprio beneficiário do convênio desejar a rescisão do plano de saúde empresarial, o processo é mais simples. Há algum tempo a ANS ainda não havia publicado normas oficiais para padronizar esse processo, mas em novembro de 2016 foi publicada a Resolução Normativa n° 412.

Nela está explicitado que o beneficiário pode solicitar por meio de qualquer canal, o desejo de ter a si mesmo excluído do convênio. O beneficiário deve notificar a empresa em que trabalha, neste caso, e não diretamente a operadora. A empresa tem, a partir do momento da notificação, 30 dias corridos para informar o ato à operadora do plano de saúde.

Se a empresa não cumprir com o prazo estipulado, o próprio beneficiário passa a ter o direito de entrar em contato com a operadora para solicitar a exclusão. Ela terá, então, a obrigação de entregar um comprovante atestando a rescisão, sendo o plano cancelado a partir deste momento.

Empresa deseja a rescisão

Quando a empresa deseja a rescisão do plano de saúde empresarial você (o responsável pela contratação) precisará escrever uma carta de próprio punho e comparecer pessoalmente à seguradora com o documento. Neste documento devem estar contidas as seguintes informações:

  • nome fantasia e razão social;
  • CNPJ e código, se houver;
  • carimbo do CNPJ;
  • dados pessoais do responsável pela empresa;
  • data;
  • assinatura.

A carta não precisa ser reconhecida em cartório. Porém, antes de escrevê-la, fique atento ao tempo que possui o plano de saúde, pois muitas operadoras cobram multas altas para rescisões antes de um prazo estabelecido. O cancelamento é relacionado exclusivamente às regras que estão no contrato, portanto não deixe de checar.

Quer trocar de plano de saúde empresarial? Leia nosso artigo sobre como escolher o convênio ideal para o seu negócio e faça um orçamento com a Samel!

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    Selecting the Proper Captain for a Non-public
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    A regional captain with a lengthy background in the Florida Keys and Key West who has labored
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    Check with if he or she is available on a Wednesday. Even if you won’t be in city that day you have to
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    Quite number of, if any, charters “guarantee” fish but if
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    It is rare that a constitution captain would “get skunked.”
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    The Weather and Maritime Forecast

    In addition to the forecast from the sky you have to now take
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    Location, Location, Spot

    Say for case in point you booked a Key West fishing charter
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    You will very likely conclude up splitting the day’s catch
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    Alternatively, if you can come across a constitution up on Significant
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    Your Passions Subject Most When Booking a Key West Constitution Fishing Boat

    Having out on the drinking water in Important West
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    Ideally you can use these suggestions to find a constitution fishing boat that will make your
    following trip or working day off a amazing experience.

    Author Bio: As an avid angler and Florida Keys resident, I
    have experienced the option to spend quite a few days fishing
    in Vital West with pals and loved ones from all over the globe.
    It is my hope that my writings offer you perception into the fishing procedures, methods, and tactics
    that I have acquired in excess of the decades. You can see me fishing in Important West
    in some of the photos on the internet site beneath.

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