The chairman of a dentist today accused insurance companies of deceiving patients seeking only profit, seeks to combat the situation by creating a table that defines the medical and dental instruments. It happens to some health insurance where the patient is absolutely wrong. It is common to have insurance that advertise free treatments, but there is free medical care, said Orlando Monteiro da Silva, told Lusa.
The chairman speaks in cases of lack of transparency and a marshy situation, stressing the need to create legislation including health insurance. We are in the realm of dictatorship strongest link, which are insurance companies and conventions which seek to impose their rules on medical-dental practice seeking only profit lamented.
The chairman reported receiving complaints from several people who convince themselves that adhere to a plan of coverage for oral health when, after all, are only covered by half a dozen acts.
We intend to uniform criteria for ending free will and make it easier for patients to know what they're covered and can compare, choose and decide, explains Monteiro da Silva, who will leave these concerns in the XX Congress of the Order, which runs from Lisbon until Saturday. It was created for a table naming the acts proper to dentists, covering 786 acts, and that will have to be adopted by clinicians, insurance companies and conventions.
In this table, that will be adopted over the next year, will be detailed to all medical acts that each can be assigned a value. The Order of Dentists gives the example of a simple restoration of a tooth, which in medical terminology can mean 46 different acts. We aim to ensure that all physicians, insurers and conventions, use the same language when referring to dental treatments, says Monteiro da Silva.
The chairman also shows the case of ADSE Subsystem (health officials), who claims to have a table of acts covered very small and outdated, not allowing even performing a biopsy if the doctor suspects an oral cancer.
The Medical Association also calls for legislation to regulate and circumscribe the world of insurance and conventions: Insurers do not take account whatsoever of the quality of care. Aim condition only patients for treatments they are entitled.
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