Comprehensive medical care program (Pammy) stated that it would implement a More stringent scheme To reach medication reimbursement, After detection Irregularities in medical prescriptions and medical licenses Within your network. This measure aims to improve the use of resources without affecting the continuity of essential treatments, a sensitive aspect for millions of people Retirees and retirees Who rely on this coverage to support high-cost treatments.
PAMI: Which credentials will still be valid for treatment in December 2025
Although the changes are still in the process of amendment, Social Work has already announced that it will tighten controls on the socio-economic profile of members, the validity of prescriptions and the updating of medical certificates.
Who will be able to get drug reimbursements from PAMI?
Refunds will still be available, but only to those who meet the updated requirements:
– Income is less than 1.5 percent of the retirement age.
In cases of disability, it can be extended up to 3 minimum wages.
-There is no prepaid medical coverage or other concurrent medical coverage.
Double coverage renders the benefit void.
-No high value assets or vehicles that are less than 15 years old.
PAMI will review the financial position of the subsidiary.
– One property registered in your name.
Additional features may void your refund.
The organization explained that these standards seek to ensure that the benefit reaches those who really need it, and to avoid abuses in drug billing.
PAMI is redefining its coverage: Who will be able to get drug reimbursements this month
Medications that maintain complete coverage
Despite the amendments, the General Authority for Military Industries confirmed this Complex or very basic treatments continue with 100% coverage.provided that updated controls and corresponding medical licenses are presented.
Fully covered medications include treatments related to:
– Diabetes
– Human immunodeficiency virus
– Cancer
– Hemophilia
– Hepatitis B and C
– Kidney failure
– Organ transplantation
In these cases, medical teams must do this Regular updatesHe presents Certificates of continuity of treatment Submit the documents required by the institute.
What about the rest: discounts from 40% to 60%
Medicines for diseases Not severe will keep Partial coveragewhich varies between 40% and 60%. In these cases:
– The member purchases the medicine from the pharmacy.
– Then ask recoverysubject to review.
– The treating physician must do this Updated recipes Follow treatment according to PAMI guidelines.
And the entity warns against that Expired prescriptions, lack of medical examinations or incomplete documentation It may cause refunds to be delayed or denied.
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