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Court orders health plan to reimburse R$120,000 to family who paid for air ICU for baby

Court of Justice of Rondônia Mateus Santos/g1 The Court of Rondônia upheld the conviction of the health plan operator Sul América Serviços de Saúde, which refused to pay for an air ICU for a baby. The company will have to reimburse the...

By 365 Breaking News Editorial Team 2 min read Rondônia
Court orders health plan to reimburse R$120,000 to family who paid for air ICU for baby
365 Summary

The two-month-old baby presented a very serious condition of necrotizing pneumonia and lung abscess. As there was no pediatric thoracic surgeon in Rondônia nor adequate local resources, the emergency transfer to São Paulo became essential to save the child's life.

  • The decision points out that the operator demanded highly complex evidence from the family, but this could not be done as the documents were under the control of the company itself.
  • The text of the decision highlights that demanding bureaucracy from the family in a moment of despair, with the baby in serious condition, was an unfair and abusive demand.

Editorial reading aid based only on information contained in this story and its identified source.

Court of Justice of Rondônia Mateus Santos/g1 The Court of Rondônia upheld the conviction of the health plan operator Sul América Serviços de Saúde, which refused to pay for an air ICU for a baby. The company will have to reimburse the family R$120,000 for transportation and pay another R$10,000 for moral damages. The decision was unanimous. The case occurred in July 2024. The two-month-old baby presented a very serious condition of necrotizing pneumonia and lung abscess. As there was no pediatric thoracic surgeon in Rondônia nor adequate local resources, the emergency transfer to São Paulo became essential to save the child's life. The decision points out that the operator demanded highly complex evidence from the family, but this could not be done as the documents were under the control of the company itself. The text of the decision highlights that demanding bureaucracy from the family in a moment of despair, with the baby in serious condition, was an unfair and abusive demand. See trending videos on g1:

READ ALSO: Why is there an Italian Vice Consulate in Porto Velho? Understand Registration for the Alto Paraíso City Hall selection process with salaries of up to R$2,100 ends on Wednesday Mega-Sena, 3039: bet made in RO is one number away from the millionaire prize Regarding moral damage, the judges understood that the anguish of the parents upon seeing their child's life at risk was aggravated by the need to bear a high cost after the operator's undue refusal. For the Court, the situation represented unacceptable suffering in contractual relations. In its defense, the company Sul América Serviços de Saúde claimed that the contract only provided for land removal and that air transport is not on the mandatory list of the National Supplementary Health Agency (ANS). The operator also argued that there was no moral damage, but just a contractual disagreement. g1 contacted the company's defense, but there was no response until the last update of this report.