{"id":11986,"date":"2025-01-16T00:00:00","date_gmt":"2025-01-16T03:00:00","guid":{"rendered":"https:\/\/staging.portaltela.com\/noticias\/2025\/01\/16\/tribunal-determina-que-plano-de-saude-mantenha-home-care-24h-para-paciente-de-85-anos\/"},"modified":"2025-01-16T00:00:00","modified_gmt":"2025-01-16T03:00:00","slug":"tribunal-determina-que-plano-de-saude-mantenha-home-care-24h-para-paciente-de-85-anos","status":"publish","type":"post","link":"http:\/\/54.92.202.131\/brasil\/2025\/01\/16\/tribunal-determina-que-plano-de-saude-mantenha-home-care-24h-para-paciente-de-85-anos\/","title":{"rendered":"Tribunal determina que plano de sa\u00fade mantenha home care 24h para paciente de 85 anos"},"content":{"rendered":"<p>O Tribunal de Justi\u00e7a do Distrito Federal e Territ\u00f3rios (TJDFT) decidiu que a <strong>Amil Assist\u00eancia M\u00e9dica Internacional S.A.<\/strong> e a <strong>Qualicorp Administra\u00e7\u00e3o e Servi\u00e7os Ltda.<\/strong> devem manter a cobertura total de um plano de sa\u00fade para uma paciente de 85 anos, diagnosticada com Alzheimer e pneumonia. A a\u00e7\u00e3o foi motivada por um e-mail enviado em 31 de maio de 2024, informando que o contrato seria rescindido no dia seguinte, o que resultaria na interrup\u00e7\u00e3o de servi\u00e7os essenciais, como o home care 24h.<\/p>\n<p>A paciente solicitou \u00e0 Justi\u00e7a a manuten\u00e7\u00e3o da cobertura e a condena\u00e7\u00e3o das empresas a pagarem cerca de <strong>R$ 30 mil<\/strong> em danos materiais e morais. A Amil n\u00e3o contestou a a\u00e7\u00e3o, enquanto a Qualicorp alegou que sua fun\u00e7\u00e3o era apenas administrativa e que a responsabilidade pela cobertura era da operadora. A empresa tamb\u00e9m afirmou que o cancelamento seguiu as normas da Ag\u00eancia Nacional de Sa\u00fade (ANS).<\/p>\n<p>O juiz considerou que houve descumprimento do prazo de notifica\u00e7\u00e3o para a rescis\u00e3o do contrato e determinou a continuidade do servi\u00e7o conforme contratado. Ambas as empresas foram condenadas a pagar <strong>R$ 15 mil<\/strong> em danos morais e a manter o plano de sa\u00fade com todas as coberturas, incluindo o home care. A decis\u00e3o ainda pode ser contestada.<\/p>\n<p>Em nota, a Amil afirmou que respeitar\u00e1 o contrato e as decis\u00f5es judiciais, enquanto a Qualicorp reiterou que o cancelamento foi feito de acordo com as regras contratuais e que o plano j\u00e1 foi reativado ap\u00f3s a liminar.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>O Tribunal de Justi\u00e7a do Distrito Federal e Territ\u00f3rios (TJDFT) decidiu que a Amil Assist\u00eancia M\u00e9dica Internacional S.A. e a Qualicorp Administra\u00e7\u00e3o e Servi\u00e7os Ltda. devem manter a cobertura total de um plano de sa\u00fade para uma paciente de 85 anos, diagnosticada com Alzheimer e pneumonia. A a\u00e7\u00e3o foi motivada por um e-mail enviado em [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"summary":"- O TJDFT determinou que Amil e Qualicorp mantenham cobertura de paciente idosa.\n- A paciente, de 85 anos, tem Alzheimer e pneumonia, necessitando de home care.\n- O plano tentou cancelar o contrato sem notifica\u00e7\u00e3o adequada, desrespeitando normas.\n- Ambas as empresas foram condenadas a pagar R$ 15 mil em danos morais.\n- A decis\u00e3o reafirma a prote\u00e7\u00e3o dos direitos dos consumidores em sa\u00fade.","footnotes":""},"categories":[8969],"tags":[100],"class_list":["post-11986","post","type-post","status-publish","format-standard","hentry","category-brasil","tag-noticia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Tribunal determina que plano de sa\u00fade mantenha home care 24h para paciente de 85 anos - Portal Tela (STAGING)<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tribunal determina que plano de sa\u00fade mantenha home care 24h para paciente de 85 anos\" \/>\n<meta property=\"og:description\" content=\"O Tribunal de Justi\u00e7a do Distrito Federal e Territ\u00f3rios (TJDFT) decidiu que a Amil Assist\u00eancia M\u00e9dica Internacional S.A. e a Qualicorp Administra\u00e7\u00e3o e Servi\u00e7os Ltda. devem manter a cobertura total de um plano de sa\u00fade para uma paciente de 85 anos, diagnosticada com Alzheimer e pneumonia. 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