Health plans will attend SUS patients: see how it will work

The measure focuses on six specific medical areas: Oncology, gynecology, cardiology, orthopedics, otorhinolaryngology and ophthalmology, which are the most lacking in SUS. The demand of states and municipalities will also be considered, which will present their needs.

The offer involves consultations, exams and surgeries, and the forecast is for patients to receive care from September. The adhesion of health plans to the program, according to Ministry of Health, should be done by the end of August.

R $ 750 million in plans’ debt is expected to be converted to the population. Rather, the debts of health insurance operators with SUS go to the National Health Fund.

How will it work for plans?

To participate in the initiative, interested health plans must join a announcement of the Ministry of Health and ANS (National Agency for Supplementary Health). In addition to voluntary adherence to the program, operators must prove technical and operational capacity and provide an offer matrix that meets SUS needs.

To receive the program, health plans need to perform more than 100,000 calls/month. According to the folder, exceptionally, a minimum value of 50 thousand/month for smaller health plans will be considered. This in the case of medium and low complexity care performed in regions whose demand for this type of service is not fully met.