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View Full Version : Family Health Plan doesn't cover much



NewsWhore
04-25-2007, 05:40 PM
Lack of primary care facilities, no definition on coverage for traffic accidents and the non-existence of any agreement covering the doctor and private clinic fees are just three of the sticking points delaying the start-up of the National Family Health Plan. Even so, the government is insisting that the program should start on 1 May, but it is precisely the government's portions that need to be resolved. Business and government representatives on the National Social Security Council (CNSS) met with Monsignor Agripino Nunez Collado, who, together with Vice-President Rafael Alburquerque, spent nearly four hours ironing out the pending items. According to Diario Libre, the VP explained just how far the government's issues have progressed, while CONEP president Lisandro Macarrulla criticized the lack of an efficient information flow on the issues.
What is certain is that the new Family Insurance Plan (SFS) does not cover traffic accident victims despite the fact that workers contribute 2.5% of their salaries towards the service. One proposal forwarded was that the Labor Accident Insurance could be applied to traffic accident victims if they occur on the way to or from the workplace. Management representatives, who contribute 5.9% of each worker's salary to the system, are demanding that accident coverage should come from central health insurance funds.
In another area of contention, plan members cannot attend the medical center of their choice, but must use so-called "Primary Assistance Centers" for a doctor to refer the patient to a specialist. Unfortunately, the Health Superintendent and Public Health Ministry have not identified or created any of these Primary Assistance Centers. While the meeting, which lasted for over three hours, failed to reach an agreement, all the participants expressed a commitment to resolving the issues.

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