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March 17, 2023
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They agree to expand the basic health plan for ARS affiliates

Acuerdan ampliar el plan básico salud afiliados ARS

The Basic Health Plan for members of the Social Security System will be expanded to include coverage for more diseases and expand the catalog of medicines, following an agreement between the Government and the Dominican Medical Association (CMD) that seeks to end the conflict with the Health Risk Administrators (ARS).

Senén Caba, president of the CMD, stressed that in the case of mental patients, the National Health Service (Senasa) began to care for them in the contributory regime and rigorous studies will also be carried out by the Superintendence of Health and Occupational Hazards (Sisalril) so that the Health Risk Administrators (ARS) also begin to provide them with services.

Likewise, when referring to disabled patients, Caba indicated that the rigorous studies will be carried out and Jesús Feris Iglesias, manager of Sisalril, was instructed to carry out the evaluations so that family doctors and geriatricians, in a first stage, attend to those users who cannot be moved.

He said that in terms of medicines, the CMD and the specialized medical societies will meet with the Minister of Public Health, Daniel Rivera, to find out the glossary of the new drugs that have reached the market, and then the corresponding instances will be summoned to make a reconsideration of those situations that do not are contemplated.

You may be interested in reading: ARS Senasa evaluates threat of clinics

«Everyone agreed that the Basic Health Plan has to be expanded, that no patient can or will ever be told: This or that disease is not covered for you; You will always have to look for an alternative. If the treatment, if the condition is not in the catalogs that are known, the insurance should at least cover the basic elementary level of care,” Caba emphasized.

Senén Caba also reported that next Wednesday there will be a meeting of the Salary Committee, convened by the Minister of Labor, Luis Miguel De Camps, to discuss matters concerning rates and increase in consultations or doctor’s fees. That same day, they will also meet with the Minister of Public Health to assess diseases and medicines.

“We want them to understand that this is a fight for the patient to have greater benefits and their ailments have been treated without setbacks when they go to a medical center,” he said.



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