{"id":12487,"date":"2020-02-03T16:41:45","date_gmt":"2020-02-03T19:41:45","guid":{"rendered":"http:\/\/controversia.com.br\/?p=12487"},"modified":"2020-02-02T19:19:06","modified_gmt":"2020-02-02T22:19:06","slug":"planos-de-saude-em-divida-com-o-sus","status":"publish","type":"post","link":"https:\/\/controversia.com.br\/pt\/2020\/02\/03\/planos-de-saude-em-divida-com-o-sus\/","title":{"rendered":"Planos de sa\u00fade em d\u00edvida com o SUS"},"content":{"rendered":"
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AMANDA ROSSI E RENATA BUONO<\/strong> – <\/span>O<\/span>s planos de sa\u00fade brasileiros s\u00e3o obrigados por lei a reembolsar o Sistema \u00danico de Sa\u00fade (SUS) quando seus usu\u00e1rios s\u00e3o atendidos na rede p\u00fablica \u2013 desde que o servi\u00e7o seja coberto pelo conv\u00eanio. A regra j\u00e1 foi contestada na Justi\u00e7a, mas, em 2018, o Supremo Tribunal Federal decidiu que o reembolso \u00e9 constitucional: j\u00e1 que o plano pagaria pelo atendimento particular, \u00e9 correto tamb\u00e9m que pague ao SUS. O reembolso \u00e9 cobrado por interna\u00e7\u00f5es e atendimentos de m\u00e9dia e alta complexidade. Nem sempre, por\u00e9m, a fatura \u00e9 liquidada. O SUS j\u00e1 cobrou R$ 5,7 bilh\u00f5es dos planos, desde 2001 a 2019. At\u00e9 agora, R$ 1,7 bilh\u00e3o n\u00e3o foi pago. De 2001 a 2018, o SUS realizou mais de 6 milh\u00f5es de atendimentos a pessoas com plano de sa\u00fade. A principal causa de atendimento foi o c\u00e2ncer de mama. O\u00a0=igualdades<\/i> desta semana mostra os dados sobre o ressarcimento dos planos de sa\u00fade ao SUS.\"\"<\/p>\n<\/div>\n<\/div>\n

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O valor que o SUS cobrou dos planos de sa\u00fade foi de\u00a05,7 bilh\u00f5es de reais<\/strong>\u00a0entre 2001 e 2019. Desse total,\u00a04 bilh\u00f5es<\/strong>\u00a0foram pagos ou est\u00e3o parcelados. J\u00e1\u00a01,7 bilh\u00e3o<\/strong>\u00a0n\u00e3o foi pago \u2013\u00a0 foi inscrito na d\u00edvida ativa da Uni\u00e3o ou suspenso judicialmente.\u00a0A cada 10 reais<\/strong>\u00a0cobrados,\u00a07<\/strong>\u00a0foram pagos ou parcelados e\u00a03<\/strong>\u00a0n\u00e3o foram pagos.<\/p>\n

\"\"<\/p>\n

O valor que os planos de sa\u00fade\u00a0deixaram de pagar<\/strong>\u00a0equivale aos\u00a0gastos do SUS<\/strong>\u00a0com todas as\u00a0v\u00edtimas de tr\u00e2nsito<\/strong>\u00a0de 2013 a 2018 \u2013 mais de\u00a01 milh\u00e3o de pessoas<\/strong>.<\/p>\n

\"\"<\/p>\n

O SUS pediu ressarcimento a\u00a01.598<\/strong>\u00a0planos de sa\u00fade desde 2001. Desses,\u00a0321<\/strong>\u00a0n\u00e3o pagaram<\/strong>\u00a0nada. Outros\u00a0344 pagaram tudo<\/strong>. No meio do caminho, est\u00e3o\u00a0577<\/strong>\u00a0que\u00a0pagaram mais da metade<\/strong>, mas n\u00e3o tudo; e\u00a0356<\/strong>\u00a0que\u00a0pagaram menos da metade<\/strong>.<\/p>\n

\"\"<\/p>\n

Os planos de sa\u00fade cujos usu\u00e1rios mais foram atendidos no SUS s\u00e3o: Amil, Bradesco Sa\u00fade, Hapvida, Unimed Belo Horizonte e Notre Dame Interm\u00e9dica. Os dois primeiros j\u00e1 pagaram 99% da fatura. Hapvida e Notre Dame Interm\u00e9dica nunca pagaram nada do que o SUS cobrou. J\u00e1 a Unimed Belo Horizonte pagou 17%.<\/p>\n

\"\"<\/p>\n

O\u00a0c\u00e2ncer de mama<\/strong>\u00a0foi o principal motivo de atendimento no SUS para usu\u00e1rios de planos de sa\u00fade, entre 2001 e o primeiro semestre de 2018 (\u00faltimo per\u00edodo com dados dispon\u00edveis).\u00a0A cada 100 casos<\/strong>\u00a0com causa de atendimento informada, o c\u00e2ncer de mama representou\u00a018<\/strong>. Em segundo lugar, vieram\u00a0partos e gravidez<\/strong>, com\u00a012 de cada 100<\/strong>. Em seguida, c\u00e2ncer de pr\u00f3stata, insufici\u00eancia renal, perda de audi\u00e7\u00e3o e pneumonia.<\/p>\n

\"\"<\/p>\n

O SUS fez\u00a06,5 milh\u00f5es de atendimentos<\/strong>\u00a0a benefici\u00e1rios de planos de sa\u00fade, entre 2001 e o primeiro semestre de 2018.\u00a0Em cada 10<\/strong>\u00a0pacientes,\u00a06<\/strong>\u00a0eram\u00a0mulheres<\/strong>.<\/p>\n

\"\"<\/p>\n

Somados, os usu\u00e1rios de planos de sa\u00fade ficaram\u00a0449.888<\/strong>\u00a0dias<\/strong>\u00a0internados no SUS apenas no primeiro semestre de 2018. \u00c9 um n\u00famero de dias equivalente a\u00a01,2 mil anos<\/strong>.<\/p>\n

Fontes:\u00a0<\/strong>Ag\u00eancia Nacional de Sa\u00fade Suplementar (ANS), Conselho Federal de Medicina (CFM).<\/p>\n

Dados abertos:<\/strong>\u00a0acesse\u00a0planilha<\/a>\u00a0com os dados utilizados pela reportagem.<\/p>\n

*<\/p>\n

Nota: O Grupo NotreDame\u00a0Interm\u00e9dica enviou nota afirmando que depositou em ju\u00edzo cerca de R$\u00a0240 milh\u00f5es por cobran\u00e7as que considera indevidas. A reportagem foi atualizada no dia 28 de janeiro para incluir tais esclarecimentos.<\/p>\n

https:\/\/piaui.folha.uol.com.br\/planos-de-saude-em-divida-com-o-sus\/?utm_campaign=oqel&utm_source=Newsletter<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

AMANDA ROSSI E RENATA BUONO – Os planos de sa\u00fade brasileiros s\u00e3o obrigados por lei a reembolsar o Sistema \u00danico de Sa\u00fade (SUS) quando seus usu\u00e1rios s\u00e3o atendidos na rede p\u00fablica \u2013 desde que o servi\u00e7o seja coberto pelo conv\u00eanio. A regra j\u00e1 foi contestada na Justi\u00e7a, mas, em 2018, o Supremo Tribunal Federal decidiu […]<\/p>\n","protected":false},"author":1,"featured_media":954,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[7],"tags":[41],"class_list":["post-12487","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saude","tag-mercantilizacao"],"yoast_head":"\nPlanos de sa\u00fade em d\u00edvida com o SUS - Controversia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/controversia.com.br\/pt\/2020\/02\/03\/planos-de-saude-em-divida-com-o-sus\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Planos de sa\u00fade em d\u00edvida com o SUS - Controversia\" \/>\n<meta property=\"og:description\" content=\"AMANDA ROSSI E RENATA BUONO – Os planos de sa\u00fade brasileiros s\u00e3o obrigados por lei a reembolsar o Sistema \u00danico de Sa\u00fade (SUS) quando seus usu\u00e1rios s\u00e3o atendidos na rede p\u00fablica \u2013 desde que o servi\u00e7o seja coberto pelo conv\u00eanio. 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