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Keys to understanding the law of prepaid

rejection is prevented members by age or preexisting conditions; standard shafts

THE NATION Photo / Marcelo Gomez

The law governing the prepaid system was approved yesterday by a large majority in Congress. Originally voted in the House of Representatives unanimously and amended in the Senate this year with the agreement of all blocks, yesterday won 190 votes in favor, none against and 29 abstentions mostly members of Pro and the Civic Coalition (CC).

The reform provides new benefits for users, but is strongly opposed by the largest companies in the sector.

In 31 articles, the law introduces the following modifications:

• obliges companies to cover medical insurance plans of care, the Compulsory Medical Plan (PMO) and the system with basic services for people with disabilities.

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• benefits companies may not be less than the PMO.

• performance contracts must be approved by the Ministry of Health, and users can terminate them at any time.

• Age can not be a litmus test for admissions.

• Companies can not refuse membership to people with preexisting conditions, but applying differential values \u200b\u200bproperly justified and approved.

• Those over 65 years, ten years old in coverage, they can not increase the quota.

• mechanisms to be imposed from the government authorizing or not the increase in quotas.

• contracts between companies and users can not include periods of absence or wait for those features that are included in the PMO.