Faced with a situation in which one’s life or a loved one is in danger, it is very important to be clear about the rights and guarantees that protect us.
The “Emergency Law” guarantees every person who is suffering a vital emergency a rapid and speedy attention, by prohibiting the health care holding the granting of a guarantee of payment or any other condition. Below, you can simply know the most important aspects of this law.
What is a life threatening emergency?
It is understood by vital emergency all clinical condition that involves a risk of death or serious functional consequence.
For an emergency is likely to be covered by that law, it is necessary to have a certificate issued by a surgeon of the emergency service that is providing care.
What to do in a case of life threatening emergency?
Faced with a situation that puts lives at serious risk, you should go to center of your urgent care network, and if not possible, to the nearest healthcare center, is or is not within your network.
What happens if that establishment is non-public, or is not indicated by my health insurance institution?
That establishment cannot refuse at the entrance of the patient nor influence health care to any type of warranty.
So with the Emergency Law puts an end to the old and habitual practice of the diverse health centers, to condition the service to the granting of a “check under warranty”.
Up to what point does extend the emergency situation?
This condition ends with stabilization. Medical science means steady state stabilization of vital functions or overcoming the risk of serious functional sequelae, so that the patient is able to transfer its provider network.
It is important to note that to be able to enact a patient is stable, it is not necessary that the same “healthy”, but rather that can be moved to another area of health without risk of life or serious sequel in appropriate conditions.
Who will pay attention to be given until the patient is stable?
The respective health insurance institution must pay attention to the value of health facility that provided care from admission until the stabilization of the beneficiary.
Does this mean that this care is free for the patient?
No. The beneficiary must return to health insurance institution the amount over what you pay according to the agreed plan of health.
If the payee is not made effective within 30 days of the payment to the provider of health means that health insurance institution have given legal loan to members, who must be repaid in equal and successive installments, maturing monthly, readjusted according to the CPI and subject to current interest. Each share may not exceed 5% of wages or taxable income.