{"title":"健康计划和家庭护理覆盖范围","authors":"A. Dahinten, Bernardo Franke Dahinten","doi":"10.11606/issn.2316-9044.v20i2p177-195","DOIUrl":null,"url":null,"abstract":"Demands for home care coverage are stirring the most complex discussions currently existing in the legal universe of health insurance contracts. Based on a normative-jurisprudential study, this essay's scope examines home health care services in light of the coverage of health insurance contracts. With this goal, several topics on the subject are dealt with, including certain juridical and social phenomena that facilitate its understanding, as well as the legal regime that regulates this matter. It follows focusing on home health care services, with emphasis on those that, in light of the applicable regulatory standards, are considered to be of compulsory coverage. Next, the terminological complexity that involves this subject is also commented. At the end, the existing jurisprudence regarding health care insurances and the coverage for home health care services is examined, highlighting recent precedents that, in the authors' opinion, adopt an acceptable and reasonable position, capable of representing a true balance point for this controversial matter.","PeriodicalId":42266,"journal":{"name":"Revista de Direito Sanitario-Journal of Health Law","volume":"20 1","pages":"177-195"},"PeriodicalIF":0.1000,"publicationDate":"2020-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Os planos de saúde e a cobertura de home care\",\"authors\":\"A. Dahinten, Bernardo Franke Dahinten\",\"doi\":\"10.11606/issn.2316-9044.v20i2p177-195\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Demands for home care coverage are stirring the most complex discussions currently existing in the legal universe of health insurance contracts. Based on a normative-jurisprudential study, this essay's scope examines home health care services in light of the coverage of health insurance contracts. With this goal, several topics on the subject are dealt with, including certain juridical and social phenomena that facilitate its understanding, as well as the legal regime that regulates this matter. It follows focusing on home health care services, with emphasis on those that, in light of the applicable regulatory standards, are considered to be of compulsory coverage. Next, the terminological complexity that involves this subject is also commented. At the end, the existing jurisprudence regarding health care insurances and the coverage for home health care services is examined, highlighting recent precedents that, in the authors' opinion, adopt an acceptable and reasonable position, capable of representing a true balance point for this controversial matter.\",\"PeriodicalId\":42266,\"journal\":{\"name\":\"Revista de Direito Sanitario-Journal of Health Law\",\"volume\":\"20 1\",\"pages\":\"177-195\"},\"PeriodicalIF\":0.1000,\"publicationDate\":\"2020-05-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista de Direito Sanitario-Journal of Health Law\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.11606/issn.2316-9044.v20i2p177-195\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"LAW\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista de Direito Sanitario-Journal of Health Law","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11606/issn.2316-9044.v20i2p177-195","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"LAW","Score":null,"Total":0}
Demands for home care coverage are stirring the most complex discussions currently existing in the legal universe of health insurance contracts. Based on a normative-jurisprudential study, this essay's scope examines home health care services in light of the coverage of health insurance contracts. With this goal, several topics on the subject are dealt with, including certain juridical and social phenomena that facilitate its understanding, as well as the legal regime that regulates this matter. It follows focusing on home health care services, with emphasis on those that, in light of the applicable regulatory standards, are considered to be of compulsory coverage. Next, the terminological complexity that involves this subject is also commented. At the end, the existing jurisprudence regarding health care insurances and the coverage for home health care services is examined, highlighting recent precedents that, in the authors' opinion, adopt an acceptable and reasonable position, capable of representing a true balance point for this controversial matter.