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スペインでは2012年7月1日から、医療費削減のために、今まで無料だった65歳以上の年金生活者(基礎(最低)年金者を抜く)は、薬代の10%を払う(収入により月額最高額限度は8'00、18'00、60'00ユーロ)、65歳以下は、収入により40%、50%、60%、(まんせいの病気などや、無失業手当の失業者を抜く)[スペインの社会保険料は、給料の25%、雇用主が払う]
Las claves del copago
Las prisas ponen a prueba los distintos sistemas de salud y las farmacias
Jaime Prats Valencia30 JUN 2012 - 18:19 CET
The keys to the copayment
The rush to test the different health systems and pharmacies
Jaime Prats Valencia 30 JUN 2012 - 18:19 CET
The rush to test the different health systems and pharmacies
Jaime Prats Valencia 30 JUN 2012 - 18:19 CET
It's here. The new pharmaceutical copayment, which sets different rates of payment for drugs based on income and provides for the first time that pensioners pay a portion of the price, comes into effect today. It will do after a headlong rush against the clock to try to be ready on Sunday all the complex technical and administrative structure needed to implement the measure announced just two months by the Government. And amid doubts about the preparedness of the various stakeholders so that everything works fine.
Source: Valencia Health Agency and the author. / COUNTRYThis day is a dress rehearsal before the premiere on Monday, the first working day in the copay and will be effective, which will really test the response capacity of regional health services and pharmacies. Of opposition has been useless in the Basque Country and Andalusia to the new system. Or the complaints of Catalonia and Asturias, on the view that the time allowed to adapt software applications: the Ministry of Health moved two weeks ago the information to apply the measure. Neither the cries of the pharmacists, who must adapt their charging mechanisms. "[The new system] has been adopted too hastily and without sufficient time for all concerned to prepare properly," he said Friday the school of Valencia, who was taking no chances: "We will try to have as few potential problems. "
Here are some things that includes the new copayment.
The Basque Country and Catalonia will not apply it is not quite ready until October
"It becomes a function of income. Gone is the flat rate of 40% of people active (working or unemployed) and the total free pensioners. Depending on income levels set by the Ministry of Health, the assets will pay 40%, 50% or 60% of the drug. Pensioners pay 10%, except those with incomes over € 100,000, in which case it will advance 60%.
"Drug free standing without subsidy. This is another difference with the current copayment today. Unemployed people, whatever their condition, so far paid 40%, the same percentage as the employed. As of today, who are exempt from contribution and unsubsidized.
"The Basque Country, disobedient. The measure does not apply in Euskadi, and that his Government had approved a decree to keep the old copay conditions and prevent their citizens to pay more for drugs. However, the Basque Government does introduce some aspects of the measure, such as exemption of payment for unemployed without benefits.
"Catalonia is not normally apply the system until October. The Government reported Friday that does not have the applications ready. Therefore, until October and to avoid charging more than it should (especially pensioners) will launch an interim arrangement is to defer payment. Every time you buy a drug, citizens will receive a receipt with the money to be paid in one or two months.
"Refund or not. The rule states that the money that pensioners pay over their contributions caps (8, 18 or 60 euros) will be refunded within a maximum of six months. It is what will happen, for example in Castile and León Valencia. Andalusia will collect when users reach their contribution limits, allowing you to its high degree of implementation of electronic prescriptions.
Source: Valencia Health Agency and the author. / COUNTRYThis day is a dress rehearsal before the premiere on Monday, the first working day in the copay and will be effective, which will really test the response capacity of regional health services and pharmacies. Of opposition has been useless in the Basque Country and Andalusia to the new system. Or the complaints of Catalonia and Asturias, on the view that the time allowed to adapt software applications: the Ministry of Health moved two weeks ago the information to apply the measure. Neither the cries of the pharmacists, who must adapt their charging mechanisms. "[The new system] has been adopted too hastily and without sufficient time for all concerned to prepare properly," he said Friday the school of Valencia, who was taking no chances: "We will try to have as few potential problems. "
Here are some things that includes the new copayment.
The Basque Country and Catalonia will not apply it is not quite ready until October
"It becomes a function of income. Gone is the flat rate of 40% of people active (working or unemployed) and the total free pensioners. Depending on income levels set by the Ministry of Health, the assets will pay 40%, 50% or 60% of the drug. Pensioners pay 10%, except those with incomes over € 100,000, in which case it will advance 60%.
"Drug free standing without subsidy. This is another difference with the current copayment today. Unemployed people, whatever their condition, so far paid 40%, the same percentage as the employed. As of today, who are exempt from contribution and unsubsidized.
"The Basque Country, disobedient. The measure does not apply in Euskadi, and that his Government had approved a decree to keep the old copay conditions and prevent their citizens to pay more for drugs. However, the Basque Government does introduce some aspects of the measure, such as exemption of payment for unemployed without benefits.
"Catalonia is not normally apply the system until October. The Government reported Friday that does not have the applications ready. Therefore, until October and to avoid charging more than it should (especially pensioners) will launch an interim arrangement is to defer payment. Every time you buy a drug, citizens will receive a receipt with the money to be paid in one or two months.
"Refund or not. The rule states that the money that pensioners pay over their contributions caps (8, 18 or 60 euros) will be refunded within a maximum of six months. It is what will happen, for example in Castile and León Valencia. Andalusia will collect when users reach their contribution limits, allowing you to its high degree of implementation of electronic prescriptions.
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