{"id":1476,"date":"2021-08-26T07:00:00","date_gmt":"2021-08-26T10:00:00","guid":{"rendered":"http:\/\/blog.bfsadvocacia.com.br\/?p=1476"},"modified":"2021-08-17T17:00:10","modified_gmt":"2021-08-17T20:00:10","slug":"plano-de-saude-indenizara-paciente-por-nao-cobrir-internacao-para-tratamento-da-covid-19","status":"publish","type":"post","link":"https:\/\/blog.bfsadvocacia.com.br\/index.php\/2021\/08\/26\/plano-de-saude-indenizara-paciente-por-nao-cobrir-internacao-para-tratamento-da-covid-19\/","title":{"rendered":"Plano de sa\u00fade indenizar\u00e1 paciente por n\u00e3o cobrir interna\u00e7\u00e3o para tratamento da Covid-19"},"content":{"rendered":"\n<p>A 7\u00aa C\u00e2mara de Direito Privado do Tribunal de Justi\u00e7a de S\u00e3o Paulo manteve senten\u00e7a proferida pelo juiz Fernando Henrique de Oliveira Biolcati, da 22\u00aa Vara C\u00edvel Central da Capital, que condenou plano de sa\u00fade a indenizar paciente que teve cobertura de tratamento para a Covid-19 negada. Al\u00e9m da repara\u00e7\u00e3o, fixada em R$ 10 mil, a empresa dever\u00e1 ressarcir os custos referentes \u00e0s despesas m\u00e9dicas da segurada.<\/p>\n\n\n\n<p><br>Segundo consta nos autos, a autora da a\u00e7\u00e3o firmou contrato com plano de sa\u00fade em 9\/6\/20 e precisou de interna\u00e7\u00e3o em decorr\u00eancia da Covid-19 em 24\/6\/20. Por\u00e9m, a r\u00e9 n\u00e3o custeou o tratamento sob o argumento de que o contrato s\u00f3 passaria a valer 15 dias depois de assinado, ou seja, no pr\u00f3prio dia da interna\u00e7\u00e3o, e que, a partir dessa data, seria necess\u00e1rio aguardar 24 horas para que a requerente estivesse habilitada a utilizar os servi\u00e7os de interna\u00e7\u00e3o de urg\u00eancia.<\/p>\n\n\n\n<p>Para o relator do recurso, desembargador Lu\u00eds M\u00e1rio Galbetti, a recusa da r\u00e9 ocorreu sem qualquer observa\u00e7\u00e3o \u00e0 legisla\u00e7\u00e3o e n\u00e3o considerou o quadro cl\u00ednico da paciente, uma vez que \u00e9 obrigat\u00f3ria a cobertura de atendimento nos casos de urg\u00eancia e emerg\u00eancia. \u201cN\u00e3o parece minimamente razo\u00e1vel fixar per\u00edodo t\u00e3o extenso para a vig\u00eancia do contrato, ainda mais se considerarmos que a r\u00e9 exigiu o pagamento da mensalidade de imediato. Incide a regra do artigo 51, inciso IV e \u00a7 1\u00ba do C\u00f3digo de Defesa do Consumidor, que n\u00e3o admite que se coloque a requerente em desvantagem exagerada\u201d, escreveu o magistrado.<\/p>\n\n\n\n<p><br>Completaram o julgamento, de vota\u00e7\u00e3o un\u00e2nime, os desembargadores Mary Gr\u00fcn e R\u00f4molo Russo. <\/p>\n\n\n\n<p>Apela\u00e7\u00e3o n\u00b0&nbsp;<a href=\"https:\/\/esaj.tjsp.jus.br\/cposg\/search.do?conversationId=&amp;paginaConsulta=0&amp;cbPesquisa=NUMPROC&amp;numeroDigitoAnoUnificado=1053573-29.2020&amp;foroNumeroUnificado=0100&amp;dePesquisaNuUnificado=1053573-29.2020.8.26.0100&amp;dePesquisaNuUnificado=UNIFICADO&amp;dePesquisa=&amp;tipoNuProcesso=UNIFICADO&amp;uuidCaptcha=sajcaptcha_a301259eb4b4498699ac59de256f4b82&amp;g-recaptcha-response=03AGdBq24llls1eD0-1ujpyW-UxUWFYFvocXLHc8Fp3CJyQgx1Vle6tasz2D4iNQJtb-54Atc3WiYV584hvo9soPy2uVnYLAXvvsEh8xJtjsyYMV_veOg-C3x3Rn8otW1QMqN-pckct7klG7aCqA7gMwSDCB1OzC_WKLdHDUiy6-Nd3oUK0-bW0x898vCAMQw4cNlga7MTdQjPA-UgnDpCl7pMRGzrvrXQKxyMZNAXTsf9N5jjpgHZfAAGCW40YjaogXCY6TEPBaTv9BfK7bjHEgEyxHSseINyMPSpYPc-j44SUUKbXjkNUnnayI1RNSNbTisPnePrpZW8aXQElZmPgf9vNLZgE_PFCLP0Q3VLq21V_lERHR_EUtJWaDl0t2YfmZctUKLfo9EbCmZwgNk2EdYgIuoalliWhDhmZwvjsK1q9zgKZVvw1G5YMIeuvCaEag7E_05kTbhJocl-hBobGgS5qWMO7iv-lMmCxrWkaOKDzJQMugpUoOakavGFJZd8b0CIaO8uOhXhP6_IrM3_GTwab9aQmuXloA\">1053573-29.2020.8.26.0100<\/a><\/p>\n\n\n\n<p>TJSP 06.08.2021<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Danos morais fixados em R$ 10 mil<\/p>\n","protected":false},"author":1,"featured_media":1477,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","jetpack_publicize_message":"","jetpack_is_tweetstorm":false,"jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[11,28],"tags":[625,1244,468,1243,406],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/blog.bfsadvocacia.com.br\/wp-content\/uploads\/2021\/08\/pexels-photo-127873.jpeg?fit=1733%2C1300&ssl=1","featured_image_urls":{"full":["https:\/\/i0.wp.com\/blog.bfsadvocacia.com.br\/wp-content\/uploads\/2021\/08\/pexels-photo-127873.jpeg?fit=1733%2C1300&ssl=1",1733,1300,false],"thumbnail":["https:\/\/i0.wp.com\/blog.bfsadvocacia.com.br\/wp-content\/uploads\/2021\/08\/pexels-photo-127873.jpeg?resize=150%2C150&ssl=1",150,150,true],"medium":["https:\/\/i0.wp.com\/blog.bfsadvocacia.com.br\/wp-content\/uploads\/2021\/08\/pexels-photo-127873.jpeg?fit=300%2C225&ssl=1",300,225,true],"medium_large":["https:\/\/i0.wp.com\/blog.bfsadvocacia.com.br\/wp-content\/uploads\/2021\/08\/pexels-photo-127873.jpeg?fit=640%2C480&ssl=1",640,480,true],"large":["https:\/\/i0.wp.com\/blog.bfsadvocacia.com.br\/wp-content\/uploads\/2021\/08\/pexels-photo-127873.jpeg?fit=640%2C480&ssl=1",640,480,true],"1536x1536":["https:\/\/i0.wp.com\/blog.bfsadvocacia.com.br\/wp-content\/uploads\/2021\/08\/pexels-photo-127873.jpeg?fit=1536%2C1152&ssl=1",1536,1152,true],"2048x2048":["https:\/\/i0.wp.com\/blog.bfsadvocacia.com.br\/wp-content\/uploads\/2021\/08\/pexels-photo-127873.jpeg?fit=1733%2C1300&ssl=1",1733,1300,true],"covernews-slider-full":["https:\/\/i0.wp.com\/blog.bfsadvocacia.com.br\/wp-content\/uploads\/2021\/08\/pexels-photo-127873.jpeg?resize=1077%2C715&ssl=1",1077,715,true],"covernews-slider-center":["https:\/\/i0.wp.com\/blog.bfsadvocacia.com.br\/wp-content\/uploads\/2021\/08\/pexels-photo-127873.jpeg?resize=522%2C500&ssl=1",522,500,true],"covernews-featured":["https:\/\/i0.wp.com\/blog.bfsadvocacia.com.br\/wp-content\/uploads\/2021\/08\/pexels-photo-127873.jpeg?fit=1024%2C768&ssl=1",1024,768,true],"covernews-medium":["https:\/\/i0.wp.com\/blog.bfsadvocacia.com.br\/wp-content\/uploads\/2021\/08\/pexels-photo-127873.jpeg?resize=540%2C285&ssl=1",540,285,true],"covernews-medium-square":["https:\/\/i0.wp.com\/blog.bfsadvocacia.com.br\/wp-content\/uploads\/2021\/08\/pexels-photo-127873.jpeg?resize=375%2C250&ssl=1",375,250,true]},"author_info":{"display_name":"bfsadvocacia","author_link":"https:\/\/blog.bfsadvocacia.com.br\/index.php\/author\/bfsadvocacia\/"},"category_info":"<a href=\"https:\/\/blog.bfsadvocacia.com.br\/index.php\/category\/advogado-sp\/\" rel=\"category tag\">advogado sp<\/a> <a href=\"https:\/\/blog.bfsadvocacia.com.br\/index.php\/category\/atualidades-juridicas\/\" rel=\"category tag\">atualidades jur\u00eddicas<\/a>","tag_info":"atualidades jur\u00eddicas","comment_count":"0","amp_enabled":true,"_links":{"self":[{"href":"https:\/\/blog.bfsadvocacia.com.br\/index.php\/wp-json\/wp\/v2\/posts\/1476"}],"collection":[{"href":"https:\/\/blog.bfsadvocacia.com.br\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.bfsadvocacia.com.br\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.bfsadvocacia.com.br\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.bfsadvocacia.com.br\/index.php\/wp-json\/wp\/v2\/comments?post=1476"}],"version-history":[{"count":2,"href":"https:\/\/blog.bfsadvocacia.com.br\/index.php\/wp-json\/wp\/v2\/posts\/1476\/revisions"}],"predecessor-version":[{"id":1500,"href":"https:\/\/blog.bfsadvocacia.com.br\/index.php\/wp-json\/wp\/v2\/posts\/1476\/revisions\/1500"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.bfsadvocacia.com.br\/index.php\/wp-json\/wp\/v2\/media\/1477"}],"wp:attachment":[{"href":"https:\/\/blog.bfsadvocacia.com.br\/index.php\/wp-json\/wp\/v2\/media?parent=1476"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.bfsadvocacia.com.br\/index.php\/wp-json\/wp\/v2\/categories?post=1476"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.bfsadvocacia.com.br\/index.php\/wp-json\/wp\/v2\/tags?post=1476"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}