NewsWhore
01-29-2008, 05:20 PM
The Superintendence of Health and Work Risks (SISALRIL) agreed to increase the Family Health Insurance Plan medical coverage for catastrophic illnesses. The new plan stipulates RD$500,000 in catastrophic illness coverage for all SFS affiliates registered as of 31 December 2007, including dependents, for health procedures established by the Health Services Plan. The agreement reduces the catastrophic coverage to RD$150,000 for new affiliates. This will increase RD$29,000 each month until reaching the RD$500,000 limit to coverage in a 12-month period. The agreement is retroactive to 1 January 2008.
Resolution 149-08 that replaces Resolution 147-07 also states that SISALRIL will maintain the increase in the fees charged by doctors affiliated to the SFS. CNUS labor unions' representative, Rafael Abreu welcomed the decision. Dominican Medical College (CMD) president Waldo Ariel Suero and National Private Clinic Association (ANDECLIP) president Rafael Mena announced that as a result of the progress made, the doctors strike scheduled for 30 January would be canceled. Hoy also writes that the expectation is that the Social Security Treasury will pay out the RD$800 million pending to the Health Risk Administrators (ADARS).
The 18-month grace period for parents of affiliates to have access to the coverage has been removed. Likewise, it was determined that affiliates will pay 20% for dentistry visits. The SFS will cover up to 100% for hospital room charges of up to RD$1,200 and 90% on the difference for coverage for rooms costing up to RD$1,800. In the negotiations, the increase in payments for workers' parents was maintained at the RD$433 to RD$640 to be paid to the ARS as stipulated in Resolution 147-07. -Kill Law 87-01 Former director of the Dominican Institute of Social Security Julian Serulle told El Caribe that Law 87-01 that creates the Family Health Insurance Plan (SFS) should be revoked. He considered it is detrimental to businesses, and especially affects small businesses and only serves to benefit individuals, not the generality of those who seek health services. "Social security cannot penalize production, as is the case of Law 87-01, that has become a heavy burden for our business sector, and affects micro and medium sized companies because they are not able to carry the 16 or 27% contribution required for the health plan," he said. In his opinion, individual business interests prevail, not those of whom seek health services. "Now everyone wants a piece of the cake or seeks to make their cake bigger. But meanwhile, the workers, the rural and urban poor are the big losers because they are not getting the promised services. There are hundreds of specialists that are not seeing the workers," he denounced.
More... (http://www.dr1.com/index.html#1)
Resolution 149-08 that replaces Resolution 147-07 also states that SISALRIL will maintain the increase in the fees charged by doctors affiliated to the SFS. CNUS labor unions' representative, Rafael Abreu welcomed the decision. Dominican Medical College (CMD) president Waldo Ariel Suero and National Private Clinic Association (ANDECLIP) president Rafael Mena announced that as a result of the progress made, the doctors strike scheduled for 30 January would be canceled. Hoy also writes that the expectation is that the Social Security Treasury will pay out the RD$800 million pending to the Health Risk Administrators (ADARS).
The 18-month grace period for parents of affiliates to have access to the coverage has been removed. Likewise, it was determined that affiliates will pay 20% for dentistry visits. The SFS will cover up to 100% for hospital room charges of up to RD$1,200 and 90% on the difference for coverage for rooms costing up to RD$1,800. In the negotiations, the increase in payments for workers' parents was maintained at the RD$433 to RD$640 to be paid to the ARS as stipulated in Resolution 147-07. -Kill Law 87-01 Former director of the Dominican Institute of Social Security Julian Serulle told El Caribe that Law 87-01 that creates the Family Health Insurance Plan (SFS) should be revoked. He considered it is detrimental to businesses, and especially affects small businesses and only serves to benefit individuals, not the generality of those who seek health services. "Social security cannot penalize production, as is the case of Law 87-01, that has become a heavy burden for our business sector, and affects micro and medium sized companies because they are not able to carry the 16 or 27% contribution required for the health plan," he said. In his opinion, individual business interests prevail, not those of whom seek health services. "Now everyone wants a piece of the cake or seeks to make their cake bigger. But meanwhile, the workers, the rural and urban poor are the big losers because they are not getting the promised services. There are hundreds of specialists that are not seeing the workers," he denounced.
More... (http://www.dr1.com/index.html#1)