{"id":37547,"date":"2024-07-04T13:38:06","date_gmt":"2024-07-04T16:38:06","guid":{"rendered":"https:\/\/justicapotiguar.com.br\/?p=37547"},"modified":"2024-07-04T13:38:06","modified_gmt":"2024-07-04T16:38:06","slug":"plano-de-saude-deve-pagar-terapia-multidisciplinar-sem-limite-de-sessoes-decide-stj","status":"publish","type":"post","link":"https:\/\/justicapotiguar.com.br\/index.php\/2024\/07\/04\/plano-de-saude-deve-pagar-terapia-multidisciplinar-sem-limite-de-sessoes-decide-stj\/","title":{"rendered":"Plano de sa\u00fade deve pagar terapia multidisciplinar sem limite de sess\u00f5es, decide STJ"},"content":{"rendered":"\n<p>A aus\u00eancia de previs\u00e3o no rol da Ag\u00eancia Nacional de Sa\u00fade Suplementar (ANS) de determinada t\u00e9cnica ou m\u00e9todo a ser adotado pelo profissional habilitado n\u00e3o afasta a obriga\u00e7\u00e3o de cobertura pela operadora de plano de sa\u00fade.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"954\" height=\"499\" src=\"https:\/\/justicapotiguar.com.br\/wp-content\/uploads\/2019\/08\/plano-de-sa\u00fade.png\" alt=\"\" class=\"wp-image-661\" srcset=\"https:\/\/justicapotiguar.com.br\/wp-content\/uploads\/2019\/08\/plano-de-sa\u00fade.png 954w, https:\/\/justicapotiguar.com.br\/wp-content\/uploads\/2019\/08\/plano-de-sa\u00fade-300x157.png 300w, https:\/\/justicapotiguar.com.br\/wp-content\/uploads\/2019\/08\/plano-de-sa\u00fade-768x402.png 768w\" sizes=\"(max-width: 954px) 100vw, 954px\" \/><\/figure>\n\n\n\n<p>Com esse entendimento, a 3\u00aa Turma do Superior Tribunal de Justi\u00e7a manteve a obriga\u00e7\u00e3o de um plano de sa\u00fade de arcar com os custos de um tratamento multidisciplinar para distrofia muscular.<\/p>\n\n\n\n<p>O caso trata da prescri\u00e7\u00e3o m\u00e9dica para fisioterapia motora neuromuscular, fisioterapia respirat\u00f3ria neuromuscular, terapia ocupacional neuromuscular, fonoterapia neuromuscular e acompanhamento nutricional especializado em defici\u00eancia neuromuscular.<\/p><div class=\"xjncm69e28d8fbdcac\" ><!--<a href=\"https:\/\/bit.ly\/3QdrqTZ\" target=\"_blank\">\n<img src=\"https:\/\/justicapotiguar.com.br\/wp-content\/uploads\/2023\/09\/mobile-geral.gif\"\/><a\/>--><\/div><style type=\"text\/css\">\r\n.xjncm69e28d8fbdcac {\r\ntext-align: center;\r\n}\r\n@media screen and (min-width: 1201px) {\r\n.xjncm69e28d8fbdcac {\r\ndisplay: none;\r\n}\r\n}\r\n@media screen and (min-width: 993px) and (max-width: 1200px) {\r\n.xjncm69e28d8fbdcac {\r\ndisplay: none;\r\n}\r\n}\r\n@media screen and (min-width: 769px) and (max-width: 992px) {\r\n.xjncm69e28d8fbdcac {\r\ndisplay: none;\r\n}\r\n}\r\n@media screen and (min-width: 768px) and (max-width: 768px) {\r\n.xjncm69e28d8fbdcac {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (max-width: 767px) {\r\n.xjncm69e28d8fbdcac {\r\ndisplay: block;\r\n}\r\n}\r\n<\/style>\r\n<div class=\"pcssd69e28d8fbdc8e\" ><!--<a href=\"https:\/\/bit.ly\/3QdrqTZ\" target=\"_blank\">\n<img src=\"https:\/\/justicapotiguar.com.br\/wp-content\/uploads\/2023\/09\/desktop-geral.gif\"\/><a\/>--><\/div><style type=\"text\/css\">\r\n.pcssd69e28d8fbdc8e {\r\ntext-align: center;\nmargin-bottom: 1em;\r\n}\r\n@media screen and (min-width: 1201px) {\r\n.pcssd69e28d8fbdc8e {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (min-width: 993px) and (max-width: 1200px) {\r\n.pcssd69e28d8fbdc8e {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (min-width: 769px) and (max-width: 992px) {\r\n.pcssd69e28d8fbdc8e {\r\ndisplay: block;\r\n}\r\n}\r\n@media screen and (min-width: 768px) and (max-width: 768px) {\r\n.pcssd69e28d8fbdc8e {\r\ndisplay: none;\r\n}\r\n}\r\n@media screen and (max-width: 767px) {\r\n.pcssd69e28d8fbdc8e {\r\ndisplay: none;\r\n}\r\n}\r\n<\/style>\r\n\n\n\n\n<p>O plano de sa\u00fade se recusou a pagar parte dessas terapias e imp\u00f4s limite para outra parte. O paciente, ent\u00e3o, ajuizou a a\u00e7\u00e3o para pedir a cobertura e teve decis\u00f5es favor\u00e1veis nas inst\u00e2ncias ordin\u00e1rias.<\/p>\n\n\n\n<p>Conjur<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A aus\u00eancia de previs\u00e3o no rol da Ag\u00eancia Nacional de Sa\u00fade Suplementar (ANS) de determinada t\u00e9cnica ou m\u00e9todo a ser adotado pelo profissional habilitado n\u00e3o afasta a obriga\u00e7\u00e3o de cobertura pela operadora de plano de sa\u00fade. Com esse entendimento, a 3\u00aa Turma do Superior Tribunal de Justi\u00e7a manteve a obriga\u00e7\u00e3o de um plano de sa\u00fade<br \/><a class=\"more-link\" href=\"https:\/\/justicapotiguar.com.br\/index.php\/2024\/07\/04\/plano-de-saude-deve-pagar-terapia-multidisciplinar-sem-limite-de-sessoes-decide-stj\/\">Mais&#8230;<\/a><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/justicapotiguar.com.br\/index.php\/wp-json\/wp\/v2\/posts\/37547"}],"collection":[{"href":"https:\/\/justicapotiguar.com.br\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/justicapotiguar.com.br\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/justicapotiguar.com.br\/index.php\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/justicapotiguar.com.br\/index.php\/wp-json\/wp\/v2\/comments?post=37547"}],"version-history":[{"count":1,"href":"https:\/\/justicapotiguar.com.br\/index.php\/wp-json\/wp\/v2\/posts\/37547\/revisions"}],"predecessor-version":[{"id":37548,"href":"https:\/\/justicapotiguar.com.br\/index.php\/wp-json\/wp\/v2\/posts\/37547\/revisions\/37548"}],"wp:attachment":[{"href":"https:\/\/justicapotiguar.com.br\/index.php\/wp-json\/wp\/v2\/media?parent=37547"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/justicapotiguar.com.br\/index.php\/wp-json\/wp\/v2\/categories?post=37547"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/justicapotiguar.com.br\/index.php\/wp-json\/wp\/v2\/tags?post=37547"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}