he Comprehensive medical care program PAMI confirmed that more than 5 million members will continue to receive free medicines to treat various diseases.
However, social work Requirements have been modified In December after irregularities in prescriptions and medical licenses were discovered. Changes refer to socioeconomic status, validity of prescriptions, and updating of medical certificates.
Requirements for obtaining free medicines
To maintain full coverage, members must comply with these conditions:
- Net income is less than 1.5 minimum retirement benefits (or up to 3 benefits if someone living with CUD).
- Not be affiliated with a prepaid company at the same time.
- – He must not own more than one property.
- Don’t own planes or luxury boats.
- Do not own a car that is less than 10 years old (except for families living with CUD, who may have one).
- He must not own company assets that demonstrate its full economic capacity.
If you do not comply with points 1 and 2 but the cost of the medications specified for your treatment is equal to or greater than 15% of your income, the member can request 100% drug coverage. For social reasons Through the exception path mechanism.
On the other hand, Veterans of the South Atlantic War are not subject to these requirementsbut they must complete the application process.
Documents needed to access remedies
To enter the free medicine program, you must provide the following: Documents:
- Affiliate ID.
- An electronic prescription issued by a family doctor or specialist, with a detailed diagnosis or ICD-10 coding.
- If more than 4 medications are needed to receive social assistance, a medication form signed by a PAMI doctor must be submitted to your designated agency.
What medications have a discount?
100% free medicines
- Treatment of diabetes
- Oncology drugs
- Hematological oncology drugs
- Hemophilia treatment
- Treatment of HIV, hepatitis B and C
- Organ transplant medications
- Medicines for blood formation disorders
- Medications for rheumatoid arthritis
- Medications for fibroid diseases
- Intravitreal ophthalmic medications
- Osteoporosis medications
- Medications for chronic kidney failure and hyperparathyroidism
Coverage from 50% to 80%
Coverage for Chronic and acute diseases. Coverage is applied to the sales price of PAMI. This is an added advantage for the member who gets his medications at a final price that is lower on average than any other Obra Social or prepaid health system.
40% coverage
on Occasional use medications. These are medications that the member uses locally or occasionally for time-limited treatments.
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