The National Health Fund (Fonasa) is the public health insurance system in Chile, to which dependent workers, independent workers, retirees and people without resources can join. This membership offers a series of benefits that ensure extensive medical and financial coverage.
One of the most notable benefits is the Zero Copay, which provides free medical care provided in the public health system. This benefit It applies automatically to all members, without the need to apply, and covers a wide range of medical services.
The Universal Access Plan to Explicit Guarantees (AUGE) or General Regime of Explicit Guarantees in Health (GES) is another benefit crucial. This plan provides coverage for 87 pathologies, ensuring care from suspected diagnosis to treatment and follow-up, thus guaranteeing comprehensive care.
The Payment Associated with Diagnosis Bonus (PAD) allows members to access benefit packages and medical care at a fixed and known price. This bonus Fonasa covers various surgical interventions and medical procedures, providing transparency and predictability in costs.
Discounts on medications are an additional benefit for members of Fonasa, thanks to agreements with several pharmacy chains. These discounts are applied automatically, facilitating access to more than 6,900 medications at reduced prices.
The Ricarte Soto Law provides full financial coverage for the diagnosis and treatment of 27 high-cost diseases. This benefit is crucial for patients facing complex and expensive diseases, ensuring they receive the necessary treatment without worrying about the cost.
Fonasa It also offers financial benefits, such as medical leave and work disability subsidies, medical loans and payment forgiveness, to protect the financial stability of its members.
Finally, the Emergency Law guarantees immediate medical assistance in cases of emergencies with risk of death or serious consequences, regardless of the patient’s economic situation or their affiliation to Fonasaensuring critical medical care when it is needed most.
