Right
the health
Área dedicada ao acesso justo e adequado aos serviços e tratamentos médicos e odontológicos, buscando a obtenção de autorizações para procedimentos, medicamentos e próteses através de coberturas pelo Plano de Saúde ou SUS
:Essential procedures and medications, even outside the ANS list, must, in general, be covered by health plans.
Denial of coverage for procedures, medications and exams
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We challenged in court the denial of the health plan for oral and xillofacial procedures and customized TMJ prostheses
Negativa de cobertura de procedimento bucomaxilo e Prótese Customizada ATM
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Appealing against the refusal of expensive medicines is crucial, as court decisions guarantee rights to essential treatments.
Denial of high-cost medication
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Excessive increases in monthly fees can be challenged, protecting consumers against abusive practices.
Action against abusive adjustment of Health Plan portion
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Questions about changing plans, deficiencies and pre-existing illnesses must be resolved in accordance with contracts and legislation.
Portability contractual discussion,
deficiency and pre-existing illness
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Participation in medical or dental boards ensures that decisions are fair and patients' rights are respected.
Monitoring of a Medical and/or Dental Board
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What is a preventive and consultative medical service for?This service is essential to minimize legal risks, preserve professional integrity, respond efficiently to incidents, and save financial resources. To do so, we identify and address potential problems, ensuring ethical practices and emergency preparedness.
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What sanctions can be applied in an administrative process?The sanctions and penalties that can be applied to the doctor, as established by Law No. 3,268/1957, are diverse. They include confidential warning in a reserved notice, confidential censure in a reserved notice, public censorship in an official publication, suspension of professional practice for up to 30 days and, in extreme cases, revocation of professional practice, ad referendum of the Federal Council.
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What is the deadline for defense in judicial or administrative proceedings?It depends on some circumstances, but in general, the standard deadline for presenting a judicial defense is 15 working days, while administrative ones have deadlines such as 15 calendar days for an appeal against a CRM/CRO inquiry and a 30 calendar day deadline for prior defense in the PEP.
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What are the possible legal consequences of medical malpractice lawsuits and how could this affect my assets as a doctor?Medical malpractice lawsuits can result in convictions such as material, moral, aesthetic damages, alimony and lost profits, which can significantly impact the professional's assets if they are not instructed and defended by a qualified professional.
