{"id":18455,"date":"2021-04-19T09:15:56","date_gmt":"2021-04-19T08:15:56","guid":{"rendered":"https:\/\/www.previsorageneral.com\/?p=18455"},"modified":"2021-04-22T15:01:38","modified_gmt":"2021-04-22T14:01:38","slug":"que-fa-el-defensor-del-mutualista","status":"publish","type":"post","link":"https:\/\/www.previsorageneral.com\/ca\/que-fa-el-defensor-del-mutualista\/","title":{"rendered":"Qu\u00e8 fa el defensor del mutualista?"},"content":{"rendered":"<p>El defensor del pacient. El s\u00edndic de greuges. El defensor del poble en l\u2019\u00e0mbit estatal. Fa temps que existeixen aquestes figures administratives imprescindibles per a garantir el bon estat de salut d\u2019una democr\u00e0cia i el compliment de tots els drets. Quan alguna persona es veu perjudicada davant d\u2019una injust\u00edcia s\u00f3n aquestes institucions les que han de defensar-la. De forma semblant funciona el Defensor del Mutualista a Previsora General, aprofitant que el 18 d&#8217;abril es va commemorar el Dia Mundial dels Drets dels Pacients, a continuaci\u00f3 t\u2019expliquem com funciona aquest servei. Recorda que amb <a href=\"https:\/\/www.previsorageneral.com\/ca\/asseguranca-salut-families\/\"><strong>l\u2019asseguran\u00e7a de Previsora Genera<\/strong><\/a>l tens cobert l\u2019acc\u00e9s a una <a href=\"https:\/\/www.previsorageneral.com\/ca\/quan-demanar-una-segona-opinio-medica\/\"><strong>segona opini\u00f3 i diagn\u00f2stic m\u00e8dic<\/strong><\/a>.<\/p> <p>&nbsp;<\/p> <h3><strong>Com treballa el defensor del mutualista de Previsora General<\/strong><\/h3> <p>Aquesta figura externa a la mutualitat at\u00e9n i soluciona queixes i reclamacions d\u2019assegurats, prenedors, beneficiaris i tercers perjudicats, derivades de:<\/p> <ul> <li>Contractes.<\/li> <li>Normativa de transpar\u00e8ncia i protecci\u00f3 dels mutualistes.<\/li> <li>Bones pr\u00e0ctiques i usos financers.<\/li> <li>Equitat.<\/li> <\/ul> <h3><em>\u00a0<\/em><\/h3> <h3><strong>Quan puc adre\u00e7ar-me?<\/strong><\/h3> <p>Si no s\u2019est\u00e0 conforme amb la decisi\u00f3 que adopta el servei d\u2019atenci\u00f3 al client en relaci\u00f3 amb una sol\u00b7licitud i acaba en denegaci\u00f3, sigui total o parcial, com a mutualista es pot rec\u00f3rrer al defensor.<\/p> <p>La queixa o reclamaci\u00f3 la recollir\u00e0 el defensor, una persona aliena a l\u2019entitat que estudiar\u00e0 el cas. Despr\u00e9s d\u2019un per\u00edode de 2 mesos des del seu registre d\u2019entrada es far\u00e0 p\u00fablica la decisi\u00f3. El m\u00e9s important d\u2019aquesta figura \u00e9s que la decisi\u00f3 presa \u00e9s vinculant per a l\u2019entitat, \u00e9s a dir, l\u2019ha d\u2019aplicar.<\/p> <p><strong>\u00a0<\/strong><\/p> <h3><strong>Com em dirigeixo al defensor del mutualista?<\/strong><\/h3> <p>Es pot fer per correu ordinari indicant en el sobre i a l\u2019escrit \u201cReclamaci\u00f3 per al defensor del mutualista\u201d i enviar-ho a la seg\u00fcent direcci\u00f3:<\/p> <p><strong>Defensor del mutualista de Previsora General<br \/> C \/ Balmes, 28-08007 Barcelona<\/strong><\/p> <p>En <a href=\"https:\/\/previsorageneral.com\/wp-content\/uploads\/2020\/10\/Reglament-Defensor-del-Mutualista_T.pdf\"><strong>aquest document<\/strong><\/a> es pot trobar el reglament complet d&#8217;aquesta figura externa a Previsora General.<\/p> <p>&nbsp;<\/p> <p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>El defensor del pacient. El s\u00edndic de greuges. El defensor del poble en l\u2019\u00e0mbit estatal. Fa temps que existeixen aquestes figures administratives imprescindibles per a garantir el bon estat de salut d\u2019una democr\u00e0cia i el compliment de tots els drets.&hellip;<\/p>\n","protected":false},"author":9,"featured_media":18458,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[2321],"tags":[3022,234,1291,3023],"post_series":[],"class_list":["post-18455","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ser-previsor","tag-defensor-mutualista","tag-mutualista","tag-mutualitats","tag-mutues","entry","has-media"],"_links":{"self":[{"href":"https:\/\/www.previsorageneral.com\/ca\/wp-json\/wp\/v2\/posts\/18455","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.previsorageneral.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.previsorageneral.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.previsorageneral.com\/ca\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/www.previsorageneral.com\/ca\/wp-json\/wp\/v2\/comments?post=18455"}],"version-history":[{"count":9,"href":"https:\/\/www.previsorageneral.com\/ca\/wp-json\/wp\/v2\/posts\/18455\/revisions"}],"predecessor-version":[{"id":18538,"href":"https:\/\/www.previsorageneral.com\/ca\/wp-json\/wp\/v2\/posts\/18455\/revisions\/18538"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.previsorageneral.com\/ca\/wp-json\/wp\/v2\/media\/18458"}],"wp:attachment":[{"href":"https:\/\/www.previsorageneral.com\/ca\/wp-json\/wp\/v2\/media?parent=18455"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.previsorageneral.com\/ca\/wp-json\/wp\/v2\/categories?post=18455"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.previsorageneral.com\/ca\/wp-json\/wp\/v2\/tags?post=18455"},{"taxonomy":"post_series","embeddable":true,"href":"https:\/\/www.previsorageneral.com\/ca\/wp-json\/wp\/v2\/post_series?post=18455"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}