Plans: ANS Expires Coverage Limit in 4 Categories – 07/11/2022 – Daily Life

after, after Expand coverage of health plans for users with pervasive developmental disordersLike the ASD (Autism Spectrum Disorder)On Monday (11) the collegiate board of the National Agency for Complementary Health (ANS) approved an end to limiting the number of consultations and sessions with psychologists, speech therapists, occupational therapists and physiotherapists.

The measure, taken at an extraordinary meeting, applies to users health insurance With any disease or health condition listed by the World Health Organization (WHO), such as cerebral palsy, Down syndrome and schizophrenia.

According to the entity’s statement, “The goal is to promote equal rights of complementary health users and standardize the form of procedures currently guaranteed, relating to these occupational groups. In this way, guidelines for use (conditions required for certain coverage) consultations and sessions with psychologists, speech therapists, occupational therapists and physical therapists, the department will now consider in the physician’s assistant’s prescription.”

This new rule becomes effective for patients with any diagnosis, according to the indication of the physician assisting them, as of August 1, after its publication in the Official Gazette of the Federation.

In a recent decision on June 8, the Supreme Court of Justice (STJ) Operators released To pay for actions not included in the coverage list ANS. One of the most affected treatments was the treatment of children With autism spectrum disorder, as many treatments are not on the list.

With the decision, in favor of the companies, an understanding was reached that The role of the ANS is taxation – It’s not typical.

Call List of health actions and eventsthe list defines the consultations, examinations, treatments and surgeries that constitute the mandatory coverage of organized health plans, that is, those contracted after January 2, 1999 or adapted to Law 9.656 / 98. According to the ANS, the list currently includes about 3,000 procedures.