The measure was published this Wednesday in the Official Gazette. The resolution recognizes the need for additional time for prepaid medicine companies to adapt to changes in billing systems.
The Superintendence of Health Services extended the deadline for companies to prepaid medicine apply adjustments to coverage plan fees according to certain conditions, such as the existence of co-payments and regional characteristics of medical care. Thus, the new deadline is until December 1, 2024.
The Resolution 3,386/2024 published this Wednesday in the Official Gazette allows variable increases in health plan fees, depending on the characteristics of the plan and the region in which the service is provided. It also highlights that entities must inform the Superintendency about the increases applied, specifying the criteria used and if there are co-payments.
As mentioned in the official text, the measure comes after the request of several entities that requested extensions to comply with the new requirements, which led the Superintendency to consider that the changes in the billing systems would not be immediate.
Prepaid: objectives and details of the regulations
Likewise, it mentions that the main objective of the extension is to allow prepaid medicine companies to adapt to the new requirements in an orderly and efficient manner. This, in turn, would benefit the users of these services by ensuring greater transparency in fee increases and better quality in the information provided.
Therefore, the extension now gives more time to the companies involved to adapt to the new standards, without compromising the initial objectives of the resolution.
It should be remembered that copayments are additional payments that health plan users must make at each medical visit or for certain procedures. These amounts, although they are usually lower than the total cost of medical care, can have a significant impact on the family economy and on the users’ decision to access certain services.
Source: Ambito
