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View Full Version : People can change their HMOs



NewsWhore
08-18-2008, 06:10 PM
Starting today, those enrolled in the Family Health Insurance program (SFS) that is deducted from payrolls, have the option to begin the process of switching health insurance providers (ARS in the Dominican Republic, or HMOs in United States parlance). This option is part of the Social Security Law that allows for free choice of ARS. In addition, this freedom of choice will intensify the fight between the health insurance providers to maintain their portfolios of clients to whom they will have to provide better service.
Nevertheless, the biggest fight will be with the National Health Insurance (Senasa) program that now has its doors open to receive around 300,000 persons on the public payrolls or on the payrolls of autonomous government institutions or decentralized entities, which by law they are supposed to register beginning 1 September.
According to the Diario Libre, three health insurers have gone ahead and filed appeals against the state-owned ARS, and worker's syndicates, such as that at the Autonomous University of Santo Domingo (UASD), have requested that the superintendent of Health and Labor Risks (Sisalril), Fernando Caamano, ask Congress to modify Article 31 of Law 87-01 on Social Security in order to remove the clause that establishes the obligatory move to Senasa. The three ARS that filed the appeal are the ARS Humano, La Colonial and La Monumental.

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