BRZ ANS Complex Biliary Stones Coverage

Published on: Oct 8, 2026

On Oct. 6, BRZ ANS amended coverage list for procedures and health events.

  • BRZ ANS published Normative Resolution ANS 681, amending mandatory coverage list for procedures and health events under supplementary healthcare.
  • Mandatory Peroral Cholangioscopy Coverage
  • Amends Resolution 465/2021 to include health insurance coverage for peroral cholangioscopy with laser or electrohydraulic lithotripsy, for complex biliary stones.
  • Mandatory coverage applies when conventional endoscopic retrograde cholangiopancreatography treatment has failed to adequately resolve the condition.
  • Procedure was incorporated into Annexes I and II of Resolution 465/2021, including specific utilization guidelines requirements.
  • Effectiveness
  • Normative Resolution 681 enters into force on Nov. 3, 2026.
Regulators
BRZ ANS
Entity Types
CNSM; Ins
Reference
OG, 10/6/2026; Res ANS 681, 10/2/2026
Functions
Claims/Accelerated Benefits; Compliance; Legal; Product Administration; Underwriting
Countries
Brazil
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Oct 6, 2026
Effective Date
Nov 3, 2026
Rule ID
315427
Linked to
N/A
Reg. Last Update
Oct 6, 2026
Report Section
International