Convênio Sami Saúde - 1 ano depois: vale a pena? - Alana Bastos

Summary

In this video, the speaker shares a detailed one-year experience using the Summer Saúde health plan. They describe the ease of signing up, using digital features, and how the plan offers excellent access to healthcare services. From consultations to exams, the plan provided smooth services, including virtual consultations and quick access to specialists. Despite some minor bureaucratic steps, the speaker highlights the positive outcomes, particularly for non-chronic patients. They also mention a new feature allowing direct access to certain services. Overall, the speaker's experience has been overwhelmingly positive, offering helpful insights for others considering the plan.

Takeaways

• 😀 The Summer Saúde health plan is a digital and modern insurance option available in São Paulo, including the Greater São Paulo area, catering to individuals and small businesses.
• 😀 The user focused on maternity and hospitalization coverage when choosing the plan, as they had previously experienced a good plan through their spouse’s company.
• 😀 The plan's process is entirely digital, allowing users to sign up, access services, and consult healthcare providers through WhatsApp and the app.
• 😀 The user had a smooth first experience with the plan, including an easy registration process and a helpful initial consultation with their health team.
• 😀 The plan offers teleconsultations for general medical needs, making it easy for the user to get referrals for exams without needing to see a general practitioner first.
• 😀 The user received necessary health services like blood tests, eye exams, and gynecological consultations through the plan’s network, all at convenient locations.
• 😀 After one year, the user received additional services like pelvic physiotherapy for vaginismus, which was covered by the plan and provided excellent care.
• 😀 Summer Saúde has made improvements over time, such as allowing direct access to dermatology consultations without going through the health team first.
• 😀 Despite some negative feedback online, the user found their experience to be overwhelmingly positive with no major issues in accessing care or services.
• 😀 The user highlights the bureaucratic nature of the plan, requiring users to go through a health team before accessing certain services, but this did not pose a problem for them personally.
• 😀 Overall, the user recommends Summer Saúde for those seeking affordable coverage for maternity and hospitalization, though it may not be ideal for individuals with chronic conditions or long-term treatments.

Q & A

Why did you choose the Summer Saúde health plan?

I chose Summer Saúde because I was looking for a health plan that offered good maternity and hospitalization coverage. My focus was on services like private rooms for hospitalization, as I had a previous experience where I needed such facilities.

How does Summer Saúde handle its consultations and medical services?

Summer Saúde is a digital health plan, which means everything is handled online via WhatsApp and the app. You first meet with a health team, which includes a doctor, nurse, and health agent, who review your medical history and help with any needs you have.

Did you face any issues with the bureaucracy of using the plan?

While there is some bureaucracy involved, such as the requirement to pass through the health team for referrals, I didn’t find it to be a major issue. The process was smooth and not overly complicated, especially since I’ve used other plans with similar requirements.

What was your experience with the care team and the services they provided?

The care team was very attentive and professional. They helped me schedule all necessary exams, such as for vitamin B12 and vitamin D, and provided quick referrals to specialists, like gynecologists and ophthalmologists, all within the plan’s network.

How accessible were the medical services and consultations with Summer Saúde?

The medical services were easily accessible. I was able to schedule appointments close to home, even though I live on the outskirts of São Paulo. The app and website made it simple to book exams and consultations.

Did you face any challenges when trying to use the health plan?

The only challenge was a few times when my card didn’t go through, but I was able to resolve the issue quickly via email or WhatsApp, which was very convenient. Otherwise, the plan functioned smoothly, and I had no significant problems.

How has the plan evolved over time since you first signed up?

Since I first signed up, there have been improvements, like the ability to directly access certain specialists without having to go through the health team first. This change has made things even more convenient for me.

What types of medical conditions and treatments does Summer Saúde cover?

Summer Saúde covers a wide range of medical services, including consultations, exams, hospitalization, maternity care, and specialist treatments like dermatology and physiotherapy. It even helped me with a condition called vaginismus, offering pelvic physiotherapy sessions.

What has been your overall experience with the Summer Saúde health plan?

My overall experience has been very positive. The services I needed were covered, the customer support was great, and I had no issues accessing care. Despite some initial bureaucracy, the process was manageable, and I felt well taken care of throughout the year.

Would you recommend Summer Saúde to others, and why?

Yes, I would recommend Summer Saúde, especially to people who are looking for a modern, digital plan with good coverage for maternity and hospitalization. It’s ideal for those who don’t mind some initial steps for referrals, as it offers excellent customer service and broad access to medical care.