Brazilian Health Scenario

Transcrição

1 Brazilian Health Scenario

2 Sumário Medical Assistance in Brazil... 3 Brazilian Health Scenario... 3 Refund... 3 New Transit File - Process... 4 Medical Facilities... 4 Rio de Janeiro, RJ... 4 São Paulo, SP... 6 Belo Horizonte, MG... 6 Salvador, BA... 7 Brasília, DF... 8 Curitiba, PR... 8 Cuiabá, MT... 9 Manaus, AM Porto Alegre, RS Fortaleza, CE Recife, PE Natal, RN Medical Assistance in Brazil 2

3 Brazilian Health Scenario Brazil s health system is divided in two sectors of service: the public and the private. The country s medical infrastructure is formed of 33 thousand public hospitals and 18 thousand private ones. Despite the fact that 35% of the hospitals are private, only 25% of the population, which is about 200 million inhabitants, has access to private facilities through health insurances, therefore the majority of the population depends on the public service. The public sector is administrated by SUS (Sistema Único de Saúde), which provides free medical assistance to all Brazilian citizens. These SUS hospitals not commonly release medical information to third parties or assistance companies. Foreign citizens may also be assisted at SUS hospitals, however there s the possibility there will be charges after the assistance is final. EABR has agreements and partnerships with hospitals and clinics that belong to the private medical sector. Brazilian health system is regulated by ANS (Agência Nacional de Saúde), which is a federal organ. When handling a file in a Brazilian public hospital it is very important to keep in mind that they usually have poor infrastructure and do not cooperate with insurance companies providing written or verbal medical information. Another important information is that unlike other countries, in Brazil health insurances and/or covenants should ensure all medical treatment to their clients, which means they are responsible for the patient from admission until the discharge, with no financial limit for such service. This process is regulated by ANS (National Health Agency) and it demands registration and certification of a health insurance company. If these standard requirements are not met, the company will be sued in court. Even though EABR is not a medical insurance, however, works for and along international contracts of travel insurance, the company is subject to comply with ANS rules and regulations. In order to prevent financial loss hospitals require to be informed of, not only the values for initial care, but also coverage limit a well as contractual exclusions, as preexisting illnesses and so forth. Such measures are a financial protection for them, because, by law, once accepted, the hospital obligated to provide all the service. Besides that, for private hospitals it is common practice the breaking down of the costs between facility and physicians fee. Therefore, even if the facility is on our network we might have to do negotiations separately with the doctor s team in order to get the bill sent to us. In case the doctor team do not accept to bill us, subscriber has to pay for it and ask for reimbursement. Refund Regarding refund process EA Brazil is able to do them to foreigner subscribers on behalf of other EA companies, if the subscriber has an account in a Brazilian bank and we receive through regular mail the original invoices, original proof of payment and copy of passport. In case the subscriber does not have an account in a Brazilian bank, he has to send us a hand written and signed letter authorizing the payment in someone else s account. 3

4 New Transit File Process Medical Facilities - Brazil Rio de Janeiro, RJ Name: Hospital Riomar Address: Avenida Cândido Portinari, Condomínio Riomar - Barra da Tijuca Phone: 21_ Fax: 21_

5 Name: Americas Medical City OLYMPIC AND PARALYMPIC GAMES Address: Av. Jorge Cury, Barra da Tijuca, Rio de Janeiro - RJ Phone: 21_ Name: Hospital Barra D'or Address: Av. Ayrton Senna, 3079 Barra da Tijuca - RJ Phone: 21_ Name: Clínica Galdino Campos Address: Avenida Nossa Senhora de Copacabana, Copacabana - RJ Zip: Phone: Number: 21_ Fax: 21_2548_ sonia.bastos@galdinocampos.com.br Name: Clínica São Vicente Address: Rua João Borges, 204 Gávea - RJ Zip: Phone Number: 21_ Fax: 21_ patricia@clinicasaovicente.com.br Name: Clínica São Vicente Address: Rua Bambina, 98 Botafogo - RJ Zip: Phone: Number: 21_ Fax: 21_ gbianchini@hsamaritano.com.br 5

6 São Paulo, SP Name: Hospital Albert Einstein Address: Avenida Albert Einstein, Morumbi - SP Zip: Phone Number: (11)3747_0405/2151_0817 Fax: 11_ aline.bering@einstein.br Name: Hospital Sírio Libanês Address: Rua Adma Jafet, 91 - Bela Vista - SP Zip: Phone Number: (11)3155_0984/97635_8776 Fax: 11_ recepcao.pa@hsl.org.br international@hsl.org.br Name: Sociedade Hospital Samaritano Address: Rua Conselheiro Brotero, Higienópolis - SP Zip: Phone Number: (11)3821_5720/97646_6495 Fax: 11_ allison.auriema@samaritano.org.br Belo Horizonte, MG Name: Hospital Belo Horizonte Address: Av. Pres Antônio Carlos, Cachoeirinha, Belo Horizonte - MG Zip: Phone Number: (31)3449_7975 Fax: 31_ carla.hoffmam@hbh.com.br 6

7 Name: Hospital Belvedere - Sanitas Policlinica Ltda Address: R. Afonso Costa Reis, 65 - Belvedere, Belo Horizonte - MG Zip: Phone Number: (31)3228_3838/3228_3834 Fax: 31_ carmo@hospitalbelvedere.com.br Salvador, BA Name: Hospital Português Address: Av. Princesa Isabel, 2 Barra Avenida - Salvador - BA Zip: Phone Number: (71) / / Fax: 71_ ronivaldo.batista@hportugues.com.br Name: Hospital Da Bahia Address: Av. Magalhaes Neto, 1541 Pituba - Salvador - BA Zip: Phone Number: (71) / / Fax: 71_ giovanni.mura@hospitaldabahia.com.br Name: Hospital Aliança Address: Av. Juracy Magalhaes Junior, 2096 Rio Vermelho - Salvador - BA Zip: Phone Number: (71) / _(RAMAL 5824) Fax: 71_

8 Brasília, DF Name: Hospital Daher Address: SHIS QI 07 CONJ F COMERCIO LOCAL, 7 - Brasilia - DF Zip: Phone Number: (61) 3213_4892/3213_ patriciamendes@hospitaldaher.com.br Name: Hospital São Lucas Address: SHLS SEP/SUL - CONJUNTO C, BLOCO A Zip: Phone Number: (62)3445_5001/3445_5056 Fax: 61_ diretoria@hospitalsaolucasdf.com.br Name: Clínica SOS Check Up Address: SHIS QI 9 BL. E 1 SALA Brasilia -DF Zip: Phone Number: (61) 3248_4699 Fax: 61_ soscheckup@gmail.com Curitiba, PR Name: Hospital Vita - Bairro Alto Address: Rodovia BR Nr: 293 Zip: Phone Number: (41)3315_1881/3315_1948/9673_ jose.fonseca@hospitalvita.com.br 8

9 Name: Hospital Vita - Batel OLYMPIC AND PARALYMPIC GAMES Address: Rua Alferes Angelo Sampaio, Batel - Curitiba - PR Zip: Phone Number: (41)3883_ jose.fonseca@hospitalvita.com.br Name: Hospital Marcelino Champagnat Address: Avenida Presidente Afonso Camargo, Cristo Rei - Curitiba - PR Zip: Phone Number: (41)3087_ comercial@hospitalmarcelino.com.br Name: Hospital Santa Cruz Address: Avenida Batel, Batel - Curitiba - PR Zip: Phone Number: (41)3312_3000 Fax: 41_ rute@hospitalsantacruz.com.br Cuiabá, MT Name: Hospital Santa Rosa Address: Rua Adel Maluf, Centro - Cuiaba - MT Zip: Phone Number: (65) / Name: Complexo Hospitalar São Mateus Address: Avenida da Aclimação, Bosque da Saude - Cuiabá - MT Zip: Phone Number: (65)

10 Manaus, AM Name: Hospital Santa Júlia Address: Avenida Ayrão, Praça da Posse - Manaus - AM Zip: Phone Number: (92) Fax: 92_ Name: Hospital Beneficente Português Address: Avenida Joaquim Nabuco, Centro - Manaus - AM Zip: Phone Number: (92) Fax: 92_ Name: Hospital e Maternidade Samel Address: Avenida Joaquim Nabuco, Centro - Manaus - AM Zip: Phone Number: (92) // tania.moreira@samel.com.br Porto Alegre, RS Name: Hospital Moinhos De Vento Address: Rua Ramiro Barcelos, Moinhos de Vento - Porto Alegre - RS Zip: Phone Number: (51) leticia.maciel@hmv.org.br 10

11 Name: Hospital Mãe De Deus OLYMPIC AND PARALYMPIC GAMES Address: Rua José de Alencar, Menino de Deus - Porto Alegre - RS Zip: Phone Number: (51) Fax: 51_ giovana.jockman@maededeus.com.br Fortaleza, CE Name: Hospital Monte Klinikum Address: Rua Republica do Libano, Aldeota - Fortaleza - CE Zip: Phone Number: (85) / Fax: 85_ Name: Hospital São Carlos Address: Avenida Pontes Vieira, Aldeota - Fortaleza - CE Zip: Phone Number: (85) / Fax: 85_ marcia@hospitalsaocarlos.com.br Name: Hospital São Mateus Address: Avenida Santos Dumont, Papicu - Fortaleza - CE Zip: Phone Number: (85) / Fax: 85_ orlando@hsmce.com.br rafael@hsmce.com.br 11

12 Recife, PE Name: Real Hospital Português Address: Avenida Portugal, Boa Vista - Recife - PE Zip: Phone Number: (81) / comercialhospitalportugues@gmail.com Name: Hospital Santa Joana Address: Rua Joaquim Nabuco, Graças - Recife - PE Zip: Phone Number: (81) _R: 2344 Fax: 81_ checkup@santajoana.com.br Name: Boa Viagem Medical Center Ltda Hospital Alfa Address: Avenida Visconde de Jequitinhonha, Boa Viagem - Recife - PE Zip: Phone Number: (81) / Natal, RN Name: Casa De Saúde São Lucas Address: Rua Maxaranguape, Tirol, Natal - RN Zip: Phone Number: (84) Fax: 84_ administração@saolucasrn.com.br 12

13 Name: Hospital Promater OLYMPIC AND PARALYMPIC GAMES Address: Rua São José, Lagoa Nova - Natal - RN Zip: Phone Number: (84) Fax: 84_ humberto@promater.com Name: Natal Hospital Center Address: Avenida Afonso Pena, 754 Tirol Natal -RN Zip: Phone Number: (84) // / lucicleidegomes@nhc.com.br 13