Health insurance and home care coverage

Authors

  • Augusto Franke Dahinten Pontifícia Universidade Católica do Rio Grande do Sul. Porto Alegre/RS
  • Bernardo Franke Dahinten Pontifícia Universidade Católica do Rio Grande do Sul. Porto Alegre/RS

DOI:

https://doi.org/10.11606/issn.2316-9044.v20i2p177-195

Keywords:

Compulsory Coverage, Health Insurance Contracts, Home Care, Home Health Care Services, Supplementary Health System

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.

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Author Biographies

  • Augusto Franke Dahinten, Pontifícia Universidade Católica do Rio Grande do Sul. Porto Alegre/RS

    Master of Law from the Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS); specialization in International Public and Private Law from Universidade Federal do Rio Grande do Sul (UFRGS); specialization in Domestic and International Environmental Law from UFRGS; MBA in Corporate Law with focus on  Tax Law from the Instituto de Desenvolvimento Cultural. Lawyer. Porto Alegre/RS.

  • Bernardo Franke Dahinten, Pontifícia Universidade Católica do Rio Grande do Sul. Porto Alegre/RS

    PhD Student of Law at the Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS); Master of Law from PUC-RS; specialization in Medical Law from Verbo Jurídico; specialization in Corporate Law from PUC-RS; specialization in Real Estate Law, Contracts and Civil Liability from the Instituto de Desenvolvimento Cultural. Lawyer. Porto Alegre/RS.

References

CARLINI, Angélica. Judicialização da saúde pública e privada. Porto Alegre: Livraria do Advogado, 2014.
FACCHINI NETO, Eugênio. Reflexões históricos-evolutivas sobre a Constitucionalização do Direito Privado. In: SARLET, Ingo Wolfgang (Org.). Constituição, direitos fundamentais e direito privado. 3. ed. Porto Alegre: Livraria do Advogado, 2010.
MIRAGEM, Bruno. O direito do consumidor como direito fundamental. In: MARQUES, Cláudia Lima; MIRAGEM, Bruno (Orgs.). Doutrinas Essenciais de Direito do Consumidor. São Paulo: Editora Revista dos Tribunais, 2010. v. 2.
SCAFF, Fernando Campos. Direito à saúde no âmbito privado: contratos de adesão, planos de saúde e seguro-saúde. São Paulo: Saraiva, 2010.
SCHULZE, Clenio Jair; NETO, João Pedro Gebran. Direito à saúde: análise à luz da judicialização. Porto Alegre: Verbo Jurídico, 2015.
TRETTEL, Daniela Batalha. Planos de saúde na visão do STJ e do STF. São Paulo: Verbatim, 2010.

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Published

2020-05-12

Issue

Vol. 20 No. 2 (2020)

Section

Original Articles

License

The Revista de Direito Sanitário/ Journal of Health Law adopts the conditions of the Creative Commons Attribution 4.0 Internacional. This license allows to share - "copy and redistribute the material in any medium or format for any purpose, even commercially" and adapt - "remix, transform, and build upon the material for any purpose, even commercially." Details at: https://creativecommons.org/licenses/by/4.0/deed.en

How to Cite

Dahinten, A. F., & Dahinten, B. F. (2020). Health insurance and home care coverage. Journal of Health Law, 20(2), 177-195. https://doi.org/10.11606/issn.2316-9044.v20i2p177-195