{"id":5978,"date":"2022-02-17T11:58:26","date_gmt":"2022-02-17T14:58:26","guid":{"rendered":"https:\/\/tnp.adv.br\/?p=5978"},"modified":"2022-02-17T21:03:54","modified_gmt":"2022-02-18T00:03:54","slug":"17-02-2022-saude-suplementar-em-pauta-no-stj","status":"publish","type":"post","link":"https:\/\/tnp.adv.br\/en\/17-02-2022-saude-suplementar-em-pauta-no-stj\/","title":{"rendered":"17\/02\/2022 &#8211; Sa\u00fade suplementar em pauta no STJ"},"content":{"rendered":"\n<p>A sa\u00fade suplementar vem sendo abordada pelos Tribunais superiores de forma cada vez mais expressiva.<\/p>\n\n\n\n<p>Reflexo da judicializa\u00e7\u00e3o da sa\u00fade, mas tamb\u00e9m da necessidade em regulamentar melhor o mercado regido pela Ag\u00eancia Nacional de Sa\u00fade Suplementar, discuss\u00f5es importantes est\u00e3o sendo aguardadas j\u00e1 a algum tempo. Na semana que vem dois assuntos estar\u00e3o novamente em pauta no STJ. S\u00e3o eles:<\/p>\n\n\n\n<p>i) o julgamento do Tema 1016, que aborda a validade da cl\u00e1usula contratual de plano de sa\u00fade coletivo que prev\u00ea reajuste por faixa et\u00e1ria. O tema \u00e9 aguardado principalmente pelas Operadoras que trabalham com contratos coletivos, sejam eles empresariais ou por ades\u00e3o, mas tamb\u00e9m pelas chamadas Administradoras de Benef\u00edcios, que atuam na esfera administrativa desses contratos. No cen\u00e1rio da pandemia os reajustes por faixa et\u00e1ria foram ainda mais abordados, pois desde 2020 vem crescendo o n\u00famero de contrata\u00e7\u00f5es de planos por pessoas acima de 59 anos.<\/p>\n\n\n\n<p>ii) retoma-se o julgamento do Recurso Especial 1886929 que discute o rol da Ag\u00eancia Nacional de Sa\u00fade Suplementar (ANS), se taxativo, exemplificativo ou ainda com uma taxatividade mitigada. O rol \u00e9 a listagem obrigat\u00f3ria para que os planos de sa\u00fade liberem tratamentos, medicamentos, procedimentos. Atualmente, quando recomendados tratamentos que n\u00e3o est\u00e3o no rol, muito se judicializa, para conseguir via esfera judicial o tratamento. Os reflexos dessa decis\u00e3o ser\u00e3o in\u00fameros, pois trar\u00e3o impactos para quem prescreve os tratamentos, para os pacientes, al\u00e9m de Operadoras, Seguradoras e Administradoras.<\/p>\n\n\n\n<p>Ambos os temas s\u00e3o relevantes para a sa\u00fade suplementar e merecem aten\u00e7\u00e3o. Por isso, o setor de <strong>Sa\u00fade e Life Sciences <\/strong>do<strong> <a href=\"https:\/\/tnp.adv.br\/en\/\" target=\"_blank\" rel=\"noreferrer noopener\">TNP<\/a><\/strong> seguir\u00e1 acompanhando as tem\u00e1ticas, que t\u00eam os julgamentos previstos para o pr\u00f3ximo dia 23\/02.<\/p>\n\n\n\n<p><strong>B\u00e1rbara Bowoniuk Wiegand<\/strong><\/p>\n\n\n\n<p><strong>Advogada &#8211; Trajano Neto e Paciornik Advogados<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A sa\u00fade suplementar vem sendo abordada pelos Tribunais superiores de forma cada vez mais expressiva. Reflexo da judicializa\u00e7\u00e3o da sa\u00fade, mas tamb\u00e9m da necessidade em regulamentar melhor o mercado regido pela Ag\u00eancia Nacional de Sa\u00fade Suplementar, discuss\u00f5es importantes est\u00e3o sendo aguardadas j\u00e1 a algum tempo. Na semana que vem dois assuntos estar\u00e3o novamente em pauta [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":5987,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","_joinchat":[],"footnotes":""},"categories":[22],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>17\/02\/2022 - Sa\u00fade suplementar em pauta no STJ - Trajano Neto &amp; Paciornik Advogados<\/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:\/\/tnp.adv.br\/en\/17-02-2022-saude-suplementar-em-pauta-no-stj\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"17\/02\/2022 - Sa\u00fade suplementar em pauta no STJ - Trajano Neto &amp; Paciornik Advogados\" \/>\n<meta property=\"og:description\" content=\"A sa\u00fade suplementar vem sendo abordada pelos Tribunais superiores de forma cada vez mais expressiva. 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