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スペインの医療費削減で、65歳以上の年金生活者は、以前は無料だった薬代の10%を払い、年金額に応じて最高額を月に8'00、18'88、60'00ユーロとする
EL AJUSTE EN SANIDAD
El jubilado adelantará el 10% de los fármacos aunque exceda su límite
La Administración tiene un plazo de hasta seis meses para reintegrarle la diferencia
El copago ampliado se extiende a férulas y sillas de ruedas o al transporte sanitario no urgente
Jaime Prats Valencia24 ABR 2012 - 21:44 CET
ADJUSTMENT IN HEALTH
The retiree will advance 10% of the drugs even if it exceeds its limit
The Administration has a period of six months to reimburse the difference
The copayment extended stretches splints and wheelchairs or transport non-emergency health
All measures of the government decree
Jaime Prats Valencia 24 ABR 2012 - 21:44 CET
The retiree will advance 10% of the drugs even if it exceeds its limit
The Administration has a period of six months to reimburse the difference
The copayment extended stretches splints and wheelchairs or transport non-emergency health
All measures of the government decree
Jaime Prats Valencia 24 ABR 2012 - 21:44 CET
The Ministry of Health had more surprises reserved for retirees between the package of measures designed to save € 7,000 million in health spending. And the news is not exactly favorable to their interests. Not only have to pay a portion of the medication you need (except those with minimum pensions). The Technical administrative may take up to six months to return to pensioners who have the money upfront and in excess of the ceilings of monthly drug costs (8, 18 and 60 euros, depending on income) set by the department heads Ana Mato.
As announced last Wednesday the Minister of Health, the new pharmaceutical copayment will increase the percentage of patients with paid work or provide for their medications (40%, 50% or 60%, depending on your income), while retirees will have to forget about the free drugs. All retirees, except those with incomes exceeding 100,000 euros will pay the same: 10% of the cost of the prescription. But with a monthly limit that varies depending on your income.
Who exceeding € 100,000 will pay up to 60 euros per month, who enter between 18,000 and 100,000 to 18 euros and 18,000 euros below the maximum to be paid shall be EUR 8 per month.
more informationHow does it affect the new pharmaceutical copay?Health is committed to pay for medications based on incomeExperts warn of impact of the new co-payment on the health of the poorestThe government restricts access to health care to illegal immigrants
Is recognized in the Royal Decree Law 16/2012 April Urgent action to ensure the sustainability of national health system and improve the quality and safety performance, which was published on Tuesday Gazette four days late. The text adds a modification of the Law of Guarantees and Rational Use of Medicines and Health Products-"The amount of contributions that exceed these amounts [in relation to the slats maximum contribution] shall be subject to reimbursement by the community corresponding autonomous semester at intervals. "
The average consumption of drugs in a person over 65 years is about 780 per year (65 month), as the president of the Spanish Society of Family and Community Medicine, Josep Basra. No wonder, therefore, that a person with more complications than the average spend about 200 euros per month. If this patient has an annual income of 15,000 euros carries a cap of 8 per month. As would pay 10% of actual expenditure, paid 20 euros a month, 12 more than the limit set by the decree. The standard allows this person to receive the refund within six months.
A semester is the deadline established by the Ministry for reimbursement. But given the financial situation of the regions, it seems unreasonable to think that many of them choose to stretch to the limit the latency period that allows the royal decree.
Payment is limited to outpatient orthopedics at the hospital not
In the inaugural address, the prime minister, Mariano Rajoy, has already made its intention to regulate the health benefits and create a "core portfolio of health services," as he called it, in order to close a package of care common closed for all the public and regulate offered by the different autonomous communities.
The text published Tuesday in the BOE addresses this issue. Along with the basic common portfolio of healthcare services of the national health, the royal decree regulating the payment of which benefits unifies the regions under the heading of additional portfolio of the NHS. From now on, the prescription of nutritional supplements, orthotics, material (crutches, wheelchairs) or non-emergency medical transportation shall be subject to common rules, which are the same that affect drug copayment.
The situation called dietoterápicos is complex and a lot of difference between communities, and supports the President of the Spanish Society of Parenteral and Enteral Nutrition, Abelardo Garcia de Lorenzo. These products are "complete liquid diets" (eg, for administration by gavage) or nutritional supplements. Many hospital dispensing, and these measures do not affect the copayment. But others are sold in pharmacies or prescription, and it is they who will implement the new decree.
In what refers to the provision of outpatient orthoprosthetic (not the hospital, such as hip or knee implant in surgery), the change is remarkable. So far, splints, walkers, wheelchairs, special shoes or external breast prostheses on medical prescription were free in Andalusia as point sources of the Board. The patients in Galicia, Catalonia and Valencia, meanwhile, paid a maximum of 30 euros, as indicated from the Spanish Federation of Prosthetists Orthotists.
Autonomy shouldensure that they cantake extra features
In the rest of autonomy, as well as the maximum rate of 30 euros will be guided by the reference prices of the old Insalud, so that when the official price was below the market (and is relatively common because this list is not updated from 1999), the patient had to pay the difference.
From now on, the rules are the same for everyone in Spain: pensioners will assume 10% of the cost and workforce 40%, 50 or 60% depending on income. And the process of acquiring a drug is the same as that of having a wheelchair. "The administration will have to set maximum prices for each product and the patient will pay your share," said Rose Fernandez, general secretary of the Spanish Federation of Prosthetists Orthotists.
Something similar will happen with non-emergency medical transportation, consisting of round trips from home to health center, either to attend a session of dialysis, rehabilitation, to undergo chemotherapy or radiotherapy, to attend a consultation hospital or back to home after discharge. Coverage is provided either by public prescription, as indicated from the Federation of Employers of Ambulances.
The rearrangement (and extension of co-payment) of benefits which raised health service portfolios includes two more. A third is called the portfolio of ancillary services, and refers to benefits that are not considered essential, such as cosmetics for patients with rare diseases.
The fourth refers to services which may include the regions outside the basic benefits package, the common portfolio system. To do this, must have "prior guarantee of sufficient funding" to ensure that they can bear the cost of these benefits.
As announced last Wednesday the Minister of Health, the new pharmaceutical copayment will increase the percentage of patients with paid work or provide for their medications (40%, 50% or 60%, depending on your income), while retirees will have to forget about the free drugs. All retirees, except those with incomes exceeding 100,000 euros will pay the same: 10% of the cost of the prescription. But with a monthly limit that varies depending on your income.
Who exceeding € 100,000 will pay up to 60 euros per month, who enter between 18,000 and 100,000 to 18 euros and 18,000 euros below the maximum to be paid shall be EUR 8 per month.
more informationHow does it affect the new pharmaceutical copay?Health is committed to pay for medications based on incomeExperts warn of impact of the new co-payment on the health of the poorestThe government restricts access to health care to illegal immigrants
Is recognized in the Royal Decree Law 16/2012 April Urgent action to ensure the sustainability of national health system and improve the quality and safety performance, which was published on Tuesday Gazette four days late. The text adds a modification of the Law of Guarantees and Rational Use of Medicines and Health Products-"The amount of contributions that exceed these amounts [in relation to the slats maximum contribution] shall be subject to reimbursement by the community corresponding autonomous semester at intervals. "
The average consumption of drugs in a person over 65 years is about 780 per year (65 month), as the president of the Spanish Society of Family and Community Medicine, Josep Basra. No wonder, therefore, that a person with more complications than the average spend about 200 euros per month. If this patient has an annual income of 15,000 euros carries a cap of 8 per month. As would pay 10% of actual expenditure, paid 20 euros a month, 12 more than the limit set by the decree. The standard allows this person to receive the refund within six months.
A semester is the deadline established by the Ministry for reimbursement. But given the financial situation of the regions, it seems unreasonable to think that many of them choose to stretch to the limit the latency period that allows the royal decree.
Payment is limited to outpatient orthopedics at the hospital not
In the inaugural address, the prime minister, Mariano Rajoy, has already made its intention to regulate the health benefits and create a "core portfolio of health services," as he called it, in order to close a package of care common closed for all the public and regulate offered by the different autonomous communities.
The text published Tuesday in the BOE addresses this issue. Along with the basic common portfolio of healthcare services of the national health, the royal decree regulating the payment of which benefits unifies the regions under the heading of additional portfolio of the NHS. From now on, the prescription of nutritional supplements, orthotics, material (crutches, wheelchairs) or non-emergency medical transportation shall be subject to common rules, which are the same that affect drug copayment.
The situation called dietoterápicos is complex and a lot of difference between communities, and supports the President of the Spanish Society of Parenteral and Enteral Nutrition, Abelardo Garcia de Lorenzo. These products are "complete liquid diets" (eg, for administration by gavage) or nutritional supplements. Many hospital dispensing, and these measures do not affect the copayment. But others are sold in pharmacies or prescription, and it is they who will implement the new decree.
In what refers to the provision of outpatient orthoprosthetic (not the hospital, such as hip or knee implant in surgery), the change is remarkable. So far, splints, walkers, wheelchairs, special shoes or external breast prostheses on medical prescription were free in Andalusia as point sources of the Board. The patients in Galicia, Catalonia and Valencia, meanwhile, paid a maximum of 30 euros, as indicated from the Spanish Federation of Prosthetists Orthotists.
Autonomy shouldensure that they cantake extra features
In the rest of autonomy, as well as the maximum rate of 30 euros will be guided by the reference prices of the old Insalud, so that when the official price was below the market (and is relatively common because this list is not updated from 1999), the patient had to pay the difference.
From now on, the rules are the same for everyone in Spain: pensioners will assume 10% of the cost and workforce 40%, 50 or 60% depending on income. And the process of acquiring a drug is the same as that of having a wheelchair. "The administration will have to set maximum prices for each product and the patient will pay your share," said Rose Fernandez, general secretary of the Spanish Federation of Prosthetists Orthotists.
Something similar will happen with non-emergency medical transportation, consisting of round trips from home to health center, either to attend a session of dialysis, rehabilitation, to undergo chemotherapy or radiotherapy, to attend a consultation hospital or back to home after discharge. Coverage is provided either by public prescription, as indicated from the Federation of Employers of Ambulances.
The rearrangement (and extension of co-payment) of benefits which raised health service portfolios includes two more. A third is called the portfolio of ancillary services, and refers to benefits that are not considered essential, such as cosmetics for patients with rare diseases.
The fourth refers to services which may include the regions outside the basic benefits package, the common portfolio system. To do this, must have "prior guarantee of sufficient funding" to ensure that they can bear the cost of these benefits.
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