In order to receive payment of their medical expenses, the insured, member or beneficiary must satisfy the basic eligibility conditions stipulated by the health insurance scheme.
If one of your patients has a condition requiring prolonged and costly treatment, they can apply for an exemption from patient contribution if their condition is included on the list established by Ministerial Decree:
If your patient's condition does not appear on this list, but still requires prolonged and costly treatment, you can contact the Medical Advisors.
In all cases, we suggest you to send a recommendation for exemption to the Medical Examinations Department.
You will receive a special examination form that you must send to the Medical Advisor.
The insured will be notified of the fund's decision, on the Medical Advisor's advice.