Contratos de assistência privada à saúde: estudo sobre a intervenção judicial para a ponderação dos interesses das operadoras e dos usuários de planos de saúde

Abstract

This study aims to position itself with respect to the possibility of intervention of the Judiciary in the contracts of private health care as a means effective for obtaining the fair balancing of interests securitized by the users and providers of health insurance in the light of the right to health and legitimate expectations generated from these contracts. In fact, the health plan contract is in Brazilian society, an instrument of paramount importance to ensure access to medical, hospital, due, notably, the failure of public health care. However, given the nature of this business adhesion legal and contractual position of dependence occupied by the user, there is a submission existential interest the right to health the achievement of equity interest profit taking which enables therefore the adoption of abusive practices by health plan operators. Thus, by carrying out documentary and bibliographical research and the adoption of deductive methodology was used, it will seek to demonstrate the legitimacy of the provocation of the Judiciary so that compliance with the fundamental right to health and social values of contract law, is imposed on the adequacy of the bond obligatory reformulating contractual vitiated imbalance/abusiveness or even determine its withdrawal from the contract, to obtain the substantial justice of the covenant and, as a result, the care of their existential purpose.