He executive director of the National Health Insurance (SeNaSa), Edward Guzmanrecognized that there are drawbacks in the medication dispensing service in pharmaciesa situation that has caused delays for members. He assured that the institution works actively to streamline the authorization process.
“We recognize the issue that exists in pharmacies and we are working to make the service more agile. We are fully aware that SeNaSa affiliates They are waiting a significant amount of time to be able to receive their medications“, stated Guzmán when referring to the inconveniences that have affected users of the State ARS.
Guzmán explained that, since his arrival at the institution, they have canceled more than 60 private center codes who attended to subsidized regimeincluding independent doctors and various service centers.
He assured that SeNaSa will continue to guarantee the coverage of medical services to the population, preserving the right to social security. Likewise, he admitted that during the months of November and December there was a reduction in authorizations“perhaps a product of everything that has happened.”
Senasa ensures high-cost coverage superior to other insurers, guaranteeing two million in catastrophic illnesses
It should be noted that his predecessor, Santiago Hazimwas dismissed after a alleged embezzlement in the institution for more than 15 billion pesoscase for which they are being 10 people prosecuted.
In response to the concern of citizens who claim to have waited until three days without receiving your medications due to communication failures and lack of authorizationthe official explained that the situation is due, in part, to internal processes related to the medicine platform and the intermediaries.
“What we have tried is that a person with continuous treatmentafter validating the first month, you do not have to request validation in the second and third month, making the delivery more expeditious”explained the director.
He reiterated that the institution is aware of the drawbacks and works for reduce waiting times prolonged periods that members experience when withdrawing their drugs.
He specified that the authorization times for surgical procedures remain at normal levels, with an average of 36 to 72 hours depending on the complexity, while in emergency cases authorization is carried out immediate.
He highlighted that SeNaSa is the ARS with the largest number of specialist doctors working internally, specifically in the processes of preauthorization of medications and complex procedures.
“If a person needs a orthopedic surgerythe case goes through a specialist to validate the medical relevance of the procedure,” added Guzmán.
He noted that the institution carries out validation processes in areas such as orthopedics, urology, general surgery and hemodynamicscounting on specialists belonging to the medical societies corresponding.
He also indicated that SeNaSa has updated his service platform and continues working on the fixing technical errors that affect users.
Guzmán revealed that the institution carries out around three million monthly authorizationsa volume that exceeds that of the three main private ARS together. At the moment, SeNaSa has 7.5 million membersof which the 40% (1.8 million) belongs to contributory regime.
Finally, he highlighted that the institution offers an additional million pesos in high-cost coverage compared to other insurers. “While the others guarantee a million in catastrophic illnesses, SeNaSa guarantees two millionand that will continue,” he stated during his interview with journalists. Edith Febles and Amelia Deschamps in the program The Daytransmitted by Telesystem, channel 11.
