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FONASA
fondo nacionalDescripción completa
Fondo Nacional de Salud TRAMOS A-B
Contenido Reseña Histórica....................3 ¿Qué es Fonasa?....................5 Visión.....................................5 Misión.....................................5 Funciones principales.............6
INTEGRANTES
CAMILA AGUILERA LUISA GODOY CECILIA HERNÁNDEZ
Objetios !straté"icos............6 #ro$uctos !straté"icos%..........6 Re$ $e &ericios.....................' #rincipales !jes%.....................( )obertura * a+liación.............(
PROFESORA:
CAROLINA AGUILAR CARRERA:
TÉCNICO EN REGISTROS E INFORMACIÓN BIOMÉDICA
,ene+ciari ,ene+ciarios os no coti-antes.. coti-antes.. . .( os bene+ciarios * bene+ciarias.........................../ )aracteri-ación &ocio $e0o"r1+ca * 2rupos............/ Mo$ali$a$ $e atención......... ,onos Fonasa.......................4 ,ene+ciarios ra0o ra0o ...........4 ,ene+ciarios tra0o ,...........7 8erec9os $e a+lia$os * bene+ciarios :plan $e salu$; 6 #résta0os $e salu$..............4<
Valori-ación $e un pro"ra0a $e atención $e salu$...........................................44 salu$...........................................44 Obli"aciones $el a+lia$o............................................. a+lia$o................................................................................... ...................................... 44
Reseña Histórica Nuestr Nue stro o p! p!ss "o# "o#$e% $e%& & su per pere'r$ e'r$%r %r "o% e( Se' Se'uro uro So" So"$( $( O)($'to O)($'tor$o r$o e% e( *o+,. / se "re e( M$%$ster$o 0e H$'$e%e1 As$ste%"$ / 2re3$s$4% So"$(1 e%te 5ue "o%'re'4 (os ser3$"$os s$ste%"$(es / 0e s(u0 0e( p!s6 E% e( *o +,78 se pro#u(' u% 0e (s pr$#ers (e/es e% e( #u%0o re(t$3 ( #e0$"$% pre3e%t$31 ( "u( te%! por o)9et$3o pro#o3er e( 0$'%4st$"o pre"o& / e( trt#$e%to 0e (s e%:er#e00es #;s $#port%tes 0e ese #o#e%to6 E% e( *o +,.1 se "re e( Ser3$" Ser3$"$o $o M<0$"o N"$o%( 0e E#p(e0os =SERMENA>1 =SERMENA>1 e( "u( se reor'%$&4 e% ( 0<"0 0e( sese%t #e0$%te ( pu)($""$4% 0e ( Le/ N?+@6+6 E% e( *o +, se pro#u(' ( Le/ +6787 5ue "re e( e( Ser3$"$ Ser3$"$o o N"$o% N"$o%( ( 0e S(u01 or'%$s#o e%"r'0o 0e ( prote""$4% 0e ( s(u0 pr to0 ( po)("$4% / 0e( :o#e%to / re"uper"$4% 0e ( s(u0 0e (os o)reros1 espos e $9os st (os + *os6 2r su "re"$4% se :us$o%ro% ( D$re""$4% Ge%er( 0e Be%e:$"e%"$ / As$ste%"$ So"$( e( Ser3$"$o M<0$"o 0e ( C9 0e Se'uro O)rero1 e( Ser3$"$o N"$o%( 0e S(u)r$001 ( D$re""$4% Ge%er( 0e 2rote""$4% ( I%:%"$ / ( A0o(es"e%"$ ( se""$4% t<"%$" 0e H$'$e%e / Se'ur$00 I%0ustr$( 0e ( D$re""$4% Ge%er( 0e( Tr)9o (os ser3$"$os #<0$"os / s%$tr$os 0e (s #u%$"$p($00es / e( I%st$tuto B"ter$o(4'$"o 0e C$(e6 ue te%0! (os o)reros1 5u$e%es 9u%to sus :#$($s ""e0!% trt#$e%tos #<0$"os / 5u$rr'$"os / te%"$4% 0e%t( $%"(u! ( s$ste%"$ 0e( e#)r&o1 prto / puerper$o 0e ( "4%/u'e E% "u%to (os e#p( e# p(e e0o 0os1 s1 se se% % p p)( )($" $"os os o pr pr$3 $30 0os1 os1 se "o "o%t %te# e#p( p() )% % (o (oss )e )e%e: %e:$" $"$o $oss 0e
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6 Los or'%$s#os #e%"$o%0os :uero% st :$%es 0e ( 0<"0 0e (os sete%t1 (s e%t$00es 5ue "o%:or#)% e( s$ste# 0e s(u06 E% +,, se pro0u"e u% pr$#er 'r% re:or# e% #ter$ 0e s(u01 "o% (
0$"t"$4% 0e( De"reto Le/ N 6@71 3$'e%te prt$r 0e e%ero 0e +,81 se :us$o%% e( SNS / Ser#e%1 "o% (o "u( se reor'%$& e( M$%$ster$o 0e S(u06 Se "re% (os Ser3$"$os 0e S(u01 e( Fo%0o N"$o%( 0e S(u0 =Fo%s>1 ( Ce%tr( N"$o%( 0e A)ste"$#$e%to =Ce%)st> / e( I%st$tuto 0e S(u0 2)($" =IS2>6 L %ue3 $%st$tu"$o%($00 per#$te e( ""eso )e%e:$"$os s$ste# 0e ($)re e(e""$4%6 E% +,8 "re% (os Co%su(tor$os 0e Ate%"$4% 2r$#r$1 0epe%0$e%tes 0e (s #u%$"$p($00es6 Co#$e%& ( "ot$&"$4% o)($'tor$ 0e( . 0e (s re#u%er"$o%es pr s(u06 E% +,8 (s (e/es +86.+8 / +86.@, "re% e( Fo%0o J%$"o 0e 2rest"$o%es F#$($res / Su)s$0$os6 Se reor'%$& e( se"tor p)($"o e% #o0($00es 0e te%"$4% $%st$tu"$o%( / ($)re e(e""$4%6 Se e($#$% ( 0$:ere%"$ e%tre r<'$#e% 0e s(u0 / "($00 pre3$s$o%(6 Est)(e"e e( porte :$%%"$ero se'% "p"$00 e"o%4#$" / e( ""eso ($)re e $'u($tr$o ""$o%es 0e s(u06 E% este "o%teKto1
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/ 0#$%$strr ( Mo0($00 0e L$)re E(e""$4% =$%ter#e0$r$o e%tre e( prest0or / e( )e%e:$"$r$o tr3
6
¿Qué es Fonasa? Fo%s es e( Fo%0o N"$o%( 0e S(u0 0e C$(e1 es u% ser3$"$o p)($"o 0e ;#)$to %"$o%(1 0ot0o 0e perso%($00 9ur!0$" / ptr$#o%$o prop$o6 Cre0o e% +,, por e( De"reto Le/ N? @71 es e( or'%$s#o e%"r'0o 0e otor'r "o)ertur 0e te%"$4%1 t%to (s perso%s 5ue "ot$&% e( 0e sus $%'resos #e%su(es1 "o#o 5ue((s 5ue1 por "re"er 0e re"ursos prop$os1 :$%%"$ e( Est0o tr3
/ :$%%"$#$e%to 0e (s ""$o%es 0e s(u0 0e( 0espre"$0o SNS =ser3$"$o %"$o%( 0e s(u0>6FONASA es $%te'r%te 0e( SNSS =s$ste# %"$o%( 0e ser3$"$os 0e s(u0> / est; re("$o%0 "o% e( po0er e9e"ut$3o tr3
3$'$(0 / "o%tro(0 por (
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Visión Gr%t$&r "o)ertur u%$3ers( 0e s(u0 to0 ( po)("$4%6
Misión •
Ser e( se'uro p)($"o so($0r$o / %$"o 5ue 'r%t$& e( ""eso u%$3ers( s(u0 0e "($001 oportu% / "o% prote""$4% :$%%"$er to0 ( po)("$4% se'ur06
Funciones principales •
re"u0r1 0#$%$strr / 0$str$)u$r (os re"ursos :$%%"$eros 0e( se"tor s(u0 :$%%"$r (s prest"$o%es 0e s(u0 otor'0s sus )e%e:$"$r$os $0e%t$:$"r (os se'ur0os e $%:or#r(es 0e"u0#e%te so)re sus 0ere"os "o%o"er / reso(3er re"(#os :$s"($&r (s "ot$&"$o%es 0e s(u0 / (os re"ursos 0est$%0os prest"$o%es6
Objetivos Estratéicos •
Co%stru$r u% %ue3o 2(% 0e S(u01 pre3e%t$3o1 $%te'r( / :(eK$)(e 5ue respo%0 (s %e"es$00es 0e (os "$u00%os1 se'ur%0o ""eso
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pu%tos 0e "o%t"to6 Desrro((r Nue3s Cp"$00es I%st$tu"$o%(es tr3
!roductos Estratéicos" •
Plan de Salud
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D$'%4st$"o =2AD> otor'0s e% ( Mo0($00 L$)re E(e""$4% =MLE>1 / 0esrro((r u% "t;(o'o 0e prest"$o%es 0e s(u06 Compra Sanitaria con Mecanismo de Pago Asociado a Resultado
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Gestión Financiera del Seguro %
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Atención al Asegurado:
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Red de #ervicios •
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!rincipales Ejes" •
H% 0e:$%$0o "o%s$0er%0o ( )e%e:$"$r$o "o#o e9e "e%tr(1 res'ur0%0o e( ""eso / ( reso(u"$4% oportu% 0e ( te%"$4% 0e s(u01 e% espe"$( 0e (os 'rupos 3u(%er)(es1 )9o (os "o%"eptos 0e $%"(us$4% / "o)ertur :$%%"$er ( 2(% 0e S(u06
Cobertura $ a%liación •
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Modalidad de atención H/ 0os t$pos Modalidad de Atención Institucional
Es ( e%tre'0 e% (os est)(e"$#$e%tos p)($"os 0e s(u0 ="o%su(tor$os1 CRS1 CDT / osp$t(es p)($"os> Modalidad #i$re Elección: So% 5ue((s e%tre'0s por pro:es$o%(es /
est)(e"$#$e%tos 0e s(u0 pr$30os / 5ue /% sus"r$to "o%3e%$o "o% FONASA6 Los osp$t(es p)($"os t$e%0e% )9o est #o0($00 e% (os "sos 5ue e( )e%e:$"$r$o e($'e su #<0$"o trt%te /Po se osp$t($& e% u% s( 0e pe%s$o%0o o #e0$ pe%s$o%0o6 L te%"$4% 0e est #o0($00 se p' por #e0$o 0e u% Bo%o 0e Ate%"$4% 0e S(u06 E( 3(or 0e( Bo%o 0epe%0e 0e( %$3e(6
&onos Fonasa Los )o%os 0e te%"$4% 0e s(u0 0e FONASA per#$te% ""e0er u% "o%su(t o pro"e0$#$e%to #<0$"o "o% u% prest0or 5ue se e%"ue%tre e% "o%3e%$o o u%o 0e ($)re e(e""$4%6
•
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0e I%3($0e& o 0e e9e&>6 2re"$o 0e u% )o%o FONASA =se'% ( prest"$4%>
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&ene%ciarios ,ra)o •
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•
perso%s #/ores 0e @ *os 5ue "re&"% 0e re"ursos6 Los "us%tes 0e Su)s$0$o J%$"o F#$($r =SUF> Este su)s$0$o es e%tre'0o por (s Mu%$"$p($00es (os #e%ores 0e +8 *os 0e e001 ( #u9er e#)r&0 / (os "us%tes 0$s"p"$t0os #e%t(es 0e "u(5u$er e001 5ue %o per"$)% u% 2ASIS6 Este )e%e:$"$o 0e)e ser so($"$t0o por (os )e%e:$"$r$os e% ( #u%$"$p($00 5ue (e "orrespo%0e 0e "uer0o "o% su 0o#$"$($o1 0e)$e%0o "u#p($r "o% (os re5u$s$tos
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Otro Grupo 0e perso%s "o%s$0er0s "o#o )e%e:$"$r$os Tr#o A so% Mu9er e#)r&0 st e( seKto #es Los %$*os st (os @ *os 0e e00 Los #e%ores $%ter%os e% est)(e"$#$e%to 0e( Ser3$"$o N"$o%( 0e Me%ores C4#o $%'ress Fo%s (os 5ue perte%e"e% ( tr#o A
•
Ls perso%s "re%tes 0e re"ursos o $%0$'e%tes so% )e%e:$"$r$s 0es0e e( #o#e%to e% 5ue es "re0$t0 su "o%0$"$4% 0e $%0$'e%"$ %te Fo%s6 2r esto1 0e)er; "o%"urr$r ( Co%su(tor$o 0o%0e se e%"ue%tr $%s"r$to u Hosp$t( 2)($"o 0o%0e se t$e%0 / so($"$tr su postu("$4%1 prese%t%0o e( :or#u(r$o 0e so($"$tu0 0e Cre%"$ 0e
•
Re"ursos Ls perso%s e% 'o"e 0e 2e%s$o%es As$ste%"$(es =2ASIS> so% "re0$t0s / re'$str0s e% ( Bse 0e Dtos 0e FONASA1 uto#;t$"#e%te1
•
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#e%su(#e%te por e( IN26 C4#o ""e0e (os )e%e:$"$os 0e Fo%s •
Ls perso%s "re%tes 0e re"ursos o $%0$'e%tes =/ (os $%te'r%tes 0e su o'r> pue0e% ""e0er (os )e%e:$"$os 0e FONASA SOLO tr3
1 prese%t%0o ( "re0e%"$( 0e S(u0 otor'0 por
•
Fo%s o su tr9et 0e 'rtu$00 s$ % est 3$'e%te6 Los )e%e:$"$r$os 0e 2e%s$o%es As$ste%"$(es / su)s$0$o %$"o :#$($r =/ sus "r's>1 ""e0e% (os )e%e:$"$os 0e FONASA prese%t%0o ( "re0e%"$( 0e s(u0 otor'0 por Fo%s o ( "o($(( 0e( p'o 0e(
•
su)s$0$o6 L #u9er e#)r&01 t$e%e 0ere"o por (e/1 ( ""eso / 'rtu$00 e% (s te%"$o%es 0e s(u0 e% (os est)(e"$#$e%tos p)($"os1 pr e( "o%tro( 0e( e#)r&o1 prto / puerper$o =st @ #eses 0espu
•
prto>1 u%5ue %o se :$($0 %$ )e%e:$"$r$6 Los %$*os st (os @ *os 0e e001 t#)$<% t$e%e% 0ere"o por (e/1 ( ""eso / 'rtu$00 (s te%"$o%es 0e s(u0 e% (os est)(e"$#$e%tos p)($"os1 espe"$:$"0s e% e( 2ro'r# Mter%o I%:%t$( 0e( M$%$ster$o 0e S(u06 T( "o%0$"$4% ser; "re0$t0 e% e(
"o%su(tor$o 0o%0e e( #e%or se re($& e( "o%tro( 0e %$*o s%o o •
tr3
1 t#)$<% te%0r;% ""eso 'rtu$to (s te%"$o%es 0e s(u0 otor'0s por est)(e"$#$e%tos p)($"os1 0e)$e%0o "re0$tr su "o%0$"$4% 0e t(1 prese%t%0o su "re0e%"$( otor'0 por Fo%s1 o e% su 0e:e"to u% Cert$:$"0o 0e( 0$re"tor 0e( est)(e"$#$e%to
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&ene%ciarios tra)o & E% e( 'rupo B :$'ur% (s perso%s 5ue t$e%e% u% $%'reso #e%su( st e( sue(0o #!%$#o .+6 / e% ('u%os "sos "ot$&% e% :or# espor;0$"6 Los se'ur0os 0e( tr#o B pue0e% optr te%0erse e% ( L$)re E(e""$4% 0e FONASA p'%0o "o% )o%os ( te%"$4% 0e prest0ores t(es "o#o •
M<0$"os 'e%er(es
•
M<0$"os espe"$($sts
•
Ce%tros #<0$"os1 ()ortor$os
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Ate%"$4% #)u(tor$ 0e "(!%$"s
•
Ate%"$4% #)u(tor$ 0e osp$t(es u%$3ers$tr$os / #utu(es 0e se'ur$00
T#)$<% t$e%e% 0ere"o "o#prr )o%os / e(e'$r "o% 5u$e% te%0erse1 to0os (os 0u(tos #/ores 5ue re"$)e% u% pe%s$4% pre3$s$o%( o u% pres$4% );s$" so($0r$62o0r;% ""e0er t#)$<% ( te%"$4% "o% otros pro:es$o%(es 0e ( s(u0 "o#o •
Mtro%s
•
$%es$4(o'os
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Fo%ou0$4(o'os
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Te"%4(o'os #<0$"os
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Nutr$"$o%$sts
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E%:er#ers
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.erec/os de a%liados $ bene%ciarios 0plan de salud1 •
"o)ertur
Atención primaria de salud:
Ls te%"$o%es e% ( re0 0e s(u0 p)($" 5ue se re($"e% e% (os "o%su(tor$os 0e te%"$4% pr$#r$ est;% + "u)$erts pr (os se'ur0os 0e FONASA1 e% (os pro'r#s 0e s(u0 0e( %$*o1 0e( 0u(to1 0e( 0o(es"e%te1 0e( 0u(to #/or1 0e ( #u9er / 0e s(u0 or(6 •
+ 0e "o)ertur :$%%"$er pr ( e%tre' 0e #e0$"#e%tos 0e( For#u(r$o N"$o%(6
E%amen de medicina pre&enti&a : •
Es u% p(% 3o(u%tr$o 0e e3(u"$4% #<0$" per$40$"1 5ue t$e%e u% + 0e "o)ertur pr (os se'ur0os6 5ue so($"$te% e( EK#e% 0e Me0$"$% 2re3e%t$3 e% e( "o%su(tor$o 0o%0e se e%"ue%tre% $%s"r$tos6
Los eK;#e%es pre3e%t$3os 0epe%0e% 0e ( e00 / "o%0$"$4% espe"!:$" 0e s(u0 0e( se'ur0o •
E#)r&0s e% "o%tro(
•
L"t%tes
•
Re"$<% %"$0os1 #e%ores 0e + 0!s6
•
N$*os e%tre + *os
•
Ho#)res / Mu9eres 0e + *os / #;s
Atenciones 'ospitalarias ( de especialidad : o
)**+ de co$ertura pr se'ur0os 0e (os tramos A ( ! 6
o
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o
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Atención de emergencia por riesgo &ital: •
Co%s$ste e% u% te%"$4% $#poster')(e :re%te u% ur'e%"$ 0e r$es'o 3$t( o 0e se"ue( :u%"$o%( 'r3e6 Su 3(or 0epe%0er; 0e( tr#o 0e( se'ur0o1 o 0e s$ se $&o e% u% "e%tro 0e te%"$4% pr$30o6
AGE .GES: •
E( A""eso U%$3ers( "o% Gr%t!s EKp(!"$ts =AUGE> es u% pro'r# 5ue pr$or$& 8 pro)(e#s 0e ( s(u01 e%tre'%0o 'r%t!s pr e( trt#$e%to 0e ests e%:er#e00es1 %o $#port%0o 5ue e( usur$o se FONASA o ISA2RE6
•
Los se'ur0os 0e FO=& 0e (os tr#os A / B %u%" p'% por (s te%"$o%es 'r%t$&0s1 #$e%trs 5ue (os tr#os C / D p'% "o#o #;K$#o e( + / 1 respe"t$3#e%te6 Est prote""$4% :$%%"$er es s$% per9u$"$o 0e otrs "o)erturs 0$"$o%(es 5ue pu0$ere% pro"e0er1 pr u#e%tr ( )o%$:$""$4%1 pu0$e%0o $%"(uso $#p($"r 'rtu$006
Programa de prestaciones comple/as : •
+ 0e "o)ertur :$%%"$er pr to0os (os se'ur0os1 $%0epe%0$e%te 0e su tr#o $%"(u/e + prest"$o%es 5ue6 Los se'ur0os $%'res% uto#;t$"#e%te ( pro'r# u% 3e& 5ue e( #<0$"o espe"$($st 0e( osp$t( e%tre' ( $%0$""$4% es"r$t6
Ls prest"$o%es $%"(u$0s e% e( 2ro'r# 2rest"$o%es Co#p(e9s so% •
He#o0$;($s$s / 2er$to%eo 0$;($s$s
•
2rest"$o%es Cr0$o5u$rr'$"s
•
2rest"$o%es Neuro5u$rr'$"s
•
Es"o($os$s
•
Tr%sp(%te Re%(
•
Tr%sp(%te Hep;t$"o
•
Ate%"$4% I%te'r( ( 2"$e%te F$sur0o
•
Ate%"$4% 0e Ur'e%"$ ( 2"$e%te ue#0o
•
Ate%"$4% 0e Ur'e%"$ ( 2"$e%te "o% Tru# Co#p(e9o
•
2rest"$o%es 0e( Grupo u$#$oterp$
•
2rest"$o%es 0e( Grupo R0$oterp$
•
Trt#$e%to Fr#"o(4'$"o 0e( IH
Programas especiales:
I%"(u/e pro'r#s espe"!:$"os •
Me0$"#e%tos 0e (to "osto
•
Fert$($&"$4% s$st$0
•
$o(e%"$ $%tr:#$($r
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S(u0 #e%t(
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Co%3e%$os 0e 'rupos pr$or$&0os6
•
•
A0u(to #/or D$r$'e%tes 3e"$%(es
Atención am$ulatoria de li$re elección : •
Los se'ur0os 0e (os tr#os B1 C / D t$e%e% 0ere"o te%0erse "o% u% pro:es$o%( o e% u% "e%tro 0e s(u0 pr$30o 5ue est<% e% "o%3e%$o "o% FONASA6 T(es "o#o
•
M<0$"os 'e%er(es
•
M<0$"os espe"$($sts
•
Ce%tros #<0$"os1 ()ortor$os
•
Ate%"$4% #)u(tor$ 0e "(!%$"s
•
Ate%"$4% #)u(tor$ 0e osp$t(es u%$3ers$tr$os / #utu(es 0e se'ur$00
Atención 'ospitalaria de li$re elección :
Los se'ur0os 0e (os tr#os B1 C / D t$e%e% 0ere"o te%0erse e% u% •
"(!%$" u osp$t( pr$30os 5ue est<% e% "o%3e%$o "o% FONASA6 2AD =2'o Aso"$0o u% D$'%4st$"o> es u% ($st 5ue $%:or# e( 3(or :$9o 5ue te%0r; 5ue p'r u% :$($0o 5ue se so#eter; u%o 0e (os @
•
pro"e0$#$e%tos #<0$"os / 5u$rr'$"os $%"(u$0os e% este )e%e:$"$o6 Este 3(or tot( $%:or#0o e% e( 2AD "o%te#p( u% su)s$0$o port0o por FONASA1 e( 5ue pue0e ((e'r ( 0e( tot( 0e ( $%ter3e%"$4% ="o% (o "u(1 ( perso% s4(o te%0r; 5ue p'r ( 0$:ere%"$>6
!ene0icio especial para adultos ma(ores : •
Dere"o "o#prr )o%os / e(e'$r "o% 5u$e% te%0erse pr to0os (os 0u(tos #/ores 5ue re"$)e% u% pe%s$4% pre3$s$o%( o pe%s$4% );s$" so($0r$6
Los se'ur0os 0e *os / #;s1 po0r;% ""e0er )e%e:$"$os espe"$(es "o#o • •
L te%"$4% 0e e%:er#er! e% 0o#$"$($o L te%"$4% 0e e%:er#er! e% "e%tro 0e( 0u(to #/or
!résta)os de salud Los :$($0os 0e FONASA t$e%e% ( pos$)$($00 0e ""e0er u% 2r
L tot($00 0e( "o-p'o 0e 5ue((s te%"$o%es "($:$"0s "o#o
•
e#er'e%"$6 Co-p'o por #e0$"#e%tos pres"r$tos e% est)(e"$#$e%tos p)($"os 0ur%te
•
( osp$t($&"$4%6 L tot($00 0e (os "o-p'os AUGE6
#as atenciones de salud 1ue tienen derec'o a Pr2stamo M2dico son • • • • •
A05u$s$"$4% 0e Ortes$s A05u$s$"$4% 0e 2r4tes$s Hosp$t($&"$o%es =#!%$#o u% %o"e>6 I%ter3e%"$o%es 5u$rr'$"s $%s"r$ts e% 2AD Su Cue%t Co%o"$0 Ur'e%"$s "o% r$es'o 3$t(1 "o%0$"$4% 5ue 0e)e ser "ert$:$"0 0e)$0#e%te por e( #<0$"o 0e tur%o 0e( ser3$"$o 0e e#er'e%"$ osp$t(r$o1 p)($"o o
•
pr$30o6 Trt#$e%tos 2s$5u$;tr$"os1 0e D$;($s$s / R0$oterp$6
Re1uisitos para o$tener un Pr2stamo M2dico: •
Estr ( 0! e% e( p'o 0e (s "ot$&"$o%es =eK"epto (os )e%e:$"$r$os 0e
•
2e%s$4% B;s$" So($0r$>6 A"re0$tr @ #eses 0e "ot$&"$o%es e% e( "so 0e tr)90ores 0epe%0$e%tes
•
/ + #eses $%$%terru#p$0os pr tr)90ores $%0epe%0$e%tes6 2rese%tr 0os "o0eu0ores so($0r$os 5ue "re0$te% ser 0epe%0$e%tes / te%er u% $%'reso $'u( o super$or ( :$($0o 5ue est; so($"$t%0o e( pr
•
Los pe%s$o%0os prese%t% u% "o0eu0or6 Co#p(etr u% so($"$tu0 0e pr
•
(os "o0eu0ores so($0r$os6 A"o#p*r u% pro'r# 0e te%"$4% 0e s(u0 3(or$&0o o (os "upo%es 0e
•
p'o AUGE6 "ocumentación para solicitar un Pr2stamo M2dico •
•
•
•
E( :$($0o / (os "o0eu0ores 0e)er;% prese%tr "r%< 0e $0e%t$006 E( :$($0o / (os "o0eu0ores 0e)er;% prese%tr (t$# "o($(( 0e sue(0o "o% e( 0es"ue%to 0e( e% s(u0 o p(%$(( 0e "ot$&"$4% pre3$s$o%( 0e( (t$#o #es %ter$or ( so($"$tu0 0e pr
Monto ( Pago de las cuotas de un Pr2stamo M2dico:
•
•
•
E( pr
Valori'ación de un prora)a de atención de salud Este ser3$"$o per#$te so($"$tr e( 3(or tot(1 "op'o 5ue 0e)e re($&r / #o%to #;K$#o 0e pr
Hosp$t($&"$4% por prest"$o%es t(es "o#o tru#to(o'!1 "$ru'! 'e%er(1 '$%e"o(o'!1 te%"$4% pe0$;tr$"6
•
Ate%"$4% #)u(tor$ e% "(!%$"s1 "e%tros #<0$"os u osp$t(es pr$30os e% "o%3e%$o "o% FONASA1 / se pr te%"$o%es 0e ps$5u$tr!1 ps$"o(o'!1 :o%ou0$o(o'! o $%es$o(o'!6
Obliaciones del a%liado •
A"re0$t"$4%
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o
e($#$%"$4%> •
Uso "orre"to 0e (os )e%e:$"$os / prest"$o%es6
•
De"(rr / 2'r e% :or# !%te'r / oportu% ( "ot$&"$4% 0e S(u0 = $%0epe%0$e%te>
Conclusión
Co%s$0er#os 5ue Fo%s #s ((; 0e ser e( :o%0o %"$o%( 0e s(u01 %o 0$s"r$#$% %$ se o(3$0 0e (os #;s %e"es$t0o s)$e%0o 5ue e( s$ste# 0e s(u0 p)($"o %o "u#p(e "o% (s eKpe"tt$3s 0e( "$u00%o1 / u% s! / perso%s 5ue so% te%0$0s 0e #%er 'rtu$t (o (r'o 0e( p!s 0e (s #$s# :or# 5ue u% perso% "o% re"ursos1 e% e( s$ste# s(u0 pr$#r$6 Te%$e%0o e% "ue%t 5ue ( "($00 0e te%"$4%1 0$se*o 0e pro'r#s 0e s(u01 / "o%3e%$e%"$ e"o%4#$" r;% 5ue se "o%3e%$e%te to0o %$3e( / pr ( "$u00%! e% su "o%9u%to6 Es (o 5ue esper (r'o p(&o Fo%s "o%3o"r to0os %$3e(es so"$oe"o%4#$"os s$% 0espreo"uprse 0e (os #;s 3u(%er)(es6
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