Operators are canceling health plans for some individuals: Find out who is affected!

The situation of health plans for the elderly in Brazil has raised great concern. Recently, several cases of unilateral cancellation of health plans offered to this age group have been reported. These measures, which mainly target the elderly and people with autism spectrum disorder (ASD), are on the agenda of the National Congress, and several negotiations are underway to resolve the issue.

Rep. Duarte Jr. (PSB-MA) has been one of the main opponents of these practices. A true consumer advocate, Duarte spoke out against the changes in his report on the health plans bill, which specifically aims to protect these individuals from arbitrary cancellation.

Why are health plans canceling contracts with seniors?

The main reason for eliminating health plans is the financial impact. As people age, medical costs increase, placing a greater burden on health care providers. However, this practice can be considered unethical and is being hotly debated in Congress.

What is Rep. Duarte Jr.'s position on this issue?

Representative Duarte Junior was adamant about changing his report on the health plans bill. Duarte, a lawyer and former president of Procon do Maranhão, has a history of fighting for consumer protection. He stressed in a memorandum that suspending unilateral cancellations and resuming contracts is vital to protecting beneficiaries’ rights.

How did health workers react to this criticism?

The Brazilian Association of Health Plans (ABSP) issued a statement, stating that this issue is internal to the Chamber of Deputies, but that it is willing to cooperate in the discussion. The entity affirmed its respect for the President of the Chamber of Deputies, Arthur Lira, and confirmed its commitment to providing information to seek balance and sustainability for the complementary health care system in Brazil.

What are the proposed solutions to this problem?

Some proposed solutions to address the issue of unilateral cancellation of health plans include:

Stricter regulation of health care contract cancellations.

Long-term contracts protect consumers from arbitrary increases and cancellations.

Imposing heavy fines on operators who cancel without valid justification.

During a meeting in May between Arthur Lira, Duarte Jr., and representatives of the largest health care providers, an agreement was signed temporarily suspending unilateral cancellations, until a final solution could be discussed. However, progress has been slow, with the chamber focusing on other issues.

What are the next steps?

The debate over health plans is expected to pick up steam after the municipal elections. During this waiting period, it is essential that the community continues to demand a fair and final solution. Protecting the elderly and people with autism spectrum disorder must be a priority, ensuring that everyone has access to decent and continuous health care.

This issue is crucial to the future of complementary health care in Brazil. While we await concrete progress, public pressure and continued exposure of the issue should keep the issue in the spotlight. Every voice counts in the fight for a more equitable and accessible health care system for all. Let’s stay tuned for upcoming developments and actively participate in this discussion.