La Asociación Dominicana de Administradoras de Riesgos de Salud (ADARS) informa a la opinión pública que continuará ofreciendo los servicios de salud contemplados en el Plan de Servicios de Salud (PDSS), a todos los afiliados que resulten afectados por COVID-19.
Desde el inicio de la pandemia del Coronavirus (COVID-19), hemos estado brindando servicios adicionales lo cuales representan una erogación de 6 mil millones de pesos que fueron asumidas por nuestras asociadas.
Dicho monto se pagó a los Prestadores de Servicios de Salud (PSS) por concepto de COVID-19 demandado por los afiliados. Entre estos servicios figuran los servicios de honorarios profesionales y tarifas, Elementos de Protección Personal (EPP), medicamentos, Unidades de Cuidados Intensivos (UCI), emergencias, laboratorios clínicos y estudios diagnósticos.
Nos vemos obligados a desmontar algunas coberturas producto de un convenio que venció legalmente el día 30 de septiembre del 2020 y que hemos mantenido vigente a favor de los afiliados y los prestadores de servicios de salud hasta la fecha.
Actualmente y luego de 5 meses de vencido el acuerdo de la cobertura al 100% en internamiento, fue necesario nivelar la cobertura a la del PDSS en términos de copago y la única cobertura que deberán asumir los afiliados, a partir de la fecha, es el copago establecido según las normativas vigentes y que asciende a un 20% del costo de la hospitalización con monto máximo de dos salarios mínimos equivalente a RD$26,964.
Nuestras Asociadas siempre han estado en disposición de colaborar con sus afiliados, autoridades y los Prestadores de Servicios de Salud (PSS), lamentablemente existen limitaciones del sistema que nos obligan a volver a las coberturas establecidas en el Plan de Servicios de Salud aprobado por el CNSS, lo cual impica desmontar una parte de la cobertura adicional que estaba otorgando en estos casos según un acuerdo voluntario que expiró hace cinco meses.
La Asociación Dominicana de Administradoras de Riesgos de Salud (ADARS), está integrada por:
– Primera ARS de Humano
– MAPFRE Salud ARS
– ARS Universal
– ARS Monumental
– ARS Yunén
– ARS Simag
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