{"id":571,"date":"2024-11-05T10:01:56","date_gmt":"2024-11-05T10:01:56","guid":{"rendered":"https:\/\/caritas.hospital\/?page_id=571"},"modified":"2024-11-05T10:02:03","modified_gmt":"2024-11-05T10:02:03","slug":"drepturile-si-obligatiile-asiguratilor","status":"publish","type":"page","link":"https:\/\/caritas.hospital\/index.php\/informatii-pacienti\/drepturile-si-obligatiile-asiguratilor\/","title":{"rendered":"Drepturile si obligatiile asiguratilor"},"content":{"rendered":"<div>\n<p>Conform\u00a0art. 219 din Legea nr. 95\/2006\u00a0privind reforma \u00een domeniul s\u0103n\u0103t\u0103\u0163ii, cu modific\u0103rile \u015fi complet\u0103rile ulterioare, asigura\u0163ii au urm\u0103toarele obliga\u0163ii:<\/p>\n<p><strong>Drepturile asigura\u021bilor<\/strong><\/p>\n<ul>\n<li>dreptul la un pachet de servicii de baz\u0103 \u00een condi\u0163iile Legii 95\/2006 \u0219i a Contractului Cadru.<\/li>\n<li>s\u0103 aleag\u0103 furnizorul de servicii medicale, precum \u015fi casa de asigur\u0103ri de s\u0103n\u0103tate la care se asigur\u0103, \u00een condi\u0163iile prezentei legi \u015fi ale contractului-cadru;<\/li>\n<li>s\u0103 fie \u00eenscri\u015fi pe lista unui medic de familie pe care \u00eel solicit\u0103, dac\u0103 \u00eendeplinesc toate condi\u0163iile prezentei legi, suport\u00e2nd cheltuielile de transport dac\u0103 op\u0163iunea este pentru un medic din alt\u0103 localitate;<\/li>\n<li>s\u0103 \u00ee\u015fi schimbe medicul de familie ales numai dup\u0103 expirarea a cel pu\u0163in 6 luni de la data \u00eenscrierii pe listele acestuia, cu excep\u0163ia situa\u0163iilor prev\u0103zute \u00een Contractul-cadru;<\/li>\n<li>s\u0103 beneficieze de pachetul de servicii de baz\u0103 \u00een mod nediscriminatoriu, \u00een condi\u0163iile legii;<\/li>\n<li>s\u0103 beneficieze de rambursarea tuturor cheltuielilor efectuate pe perioada spitaliz\u0103rii cu medicamentele, materialele sanitare \u015fi investiga\u0163iile paraclinice la care ar fi fost \u00eendrept\u0103\u0163i\u0163i f\u0103r\u0103 contribu\u0163ie personal\u0103, \u00een condi\u0163iile impuse de contractul-cadru;<\/li>\n<li>s\u0103 efectueze controale profilactice, \u00een condi\u0163iile stabilite prin contractul-cadru;<\/li>\n<li>s\u0103 beneficieze de servicii de asisten\u0163\u0103 medical\u0103 preventiv\u0103 \u015fi de promovare a s\u0103n\u0103t\u0103\u0163ii, inclusiv pentru depistarea precoce a bolilor;<\/li>\n<li>s\u0103 beneficieze de servicii medicale \u00een ambulatorii \u015fi \u00een spitale aflate \u00een rela\u0163ie contractual\u0103 cu casele de asigur\u0103ri de s\u0103n\u0103tate;<\/li>\n<li>s\u0103 beneficieze de servicii medicale de urgen\u0163\u0103;<\/li>\n<li>s\u0103 beneficieze de unele servicii de asisten\u0163\u0103 stomatologic\u0103;<\/li>\n<li>s\u0103 beneficieze de tratament fizioterapeutic \u015fi de recuperare;<\/li>\n<li>s\u0103 beneficieze de dispozitive medicale, tehnologii \u015fi dispozitive asistive;<\/li>\n<li>s\u0103 beneficieze de servicii de \u00eengrijiri medicale la domiciliu;<\/li>\n<li>s\u0103 li se garanteze confiden\u0163ialitatea privind datele, \u00een special \u00een ceea ce prive\u015fte diagnosticul \u015fi tratamentul;<\/li>\n<li>s\u0103 aib\u0103 dreptul la informa\u0163ie \u00een cazul tratamentelor medicale;<\/li>\n<li>s\u0103 beneficieze de concedii \u015fi indemniza\u0163ii de asigur\u0103ri sociale de s\u0103n\u0103tate \u00een condi\u0163iile legii.<\/li>\n<\/ul>\n<p><strong>Obliga\u021biile asigura\u0163ilor,\u00a0\u00a0pentru a putea beneficia de drepturile enumerate mai sus, sunt urm\u0103toarele:<\/strong><\/p>\n<ul>\n<li>s\u0103 se \u00eenscrie pe lista unui medic de familie;<\/li>\n<li>s\u0103 anun\u0163e medicul de familie ori de c\u00e2te ori apar modific\u0103ri \u00een starea lor de s\u0103n\u0103tate;<\/li>\n<li>s\u0103 se prezinte la controalele profilactice \u015fi periodice stabilite prin contractul-cadru;<\/li>\n<li>s\u0103 anun\u0163e \u00een termen de 15 zile medicul de familie \u015fi casa de asigur\u0103ri asupra modific\u0103rilor datelor de identitate sau a modific\u0103rilor referitoare la \u00eencadrarea lor \u00eentr-o anumit\u0103 categorie de asigura\u0163i;<\/li>\n<li>s\u0103 respecte cu stricte\u0163e tratamentul \u015fi indica\u0163iile medicului;<\/li>\n<li>s\u0103 aib\u0103 o conduit\u0103 civilizat\u0103 fa\u0163\u0103 de personalul medico-sanitar;<\/li>\n<li>s\u0103 achite contribu\u0163ia datorat\u0103 fondului \u015fi suma reprezent\u00e2nd coplata\/contribu\u0163ia personal\u0103, \u00een condi\u0163iile legii;<\/li>\n<li>s\u0103 prezinte furnizorilor de servicii medicale documentele justificative care atest\u0103 calitatea de asigurat.<\/li>\n<\/ul>\n<\/div>\n<ul class=\"pager pagenav\">\n<li class=\"previous\"><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Conform\u00a0art. 219 din Legea nr. 95\/2006\u00a0privind reforma \u00een domeniul s\u0103n\u0103t\u0103\u0163ii, cu modific\u0103rile \u015fi complet\u0103rile ulterioare, asigura\u0163ii au urm\u0103toarele obliga\u0163ii: Drepturile asigura\u021bilor dreptul la un pachet de servicii de baz\u0103 \u00een condi\u0163iile Legii 95\/2006 \u0219i a Contractului Cadru. s\u0103 aleag\u0103 furnizorul de servicii medicale, precum \u015fi casa de asigur\u0103ri de s\u0103n\u0103tate la care se asigur\u0103, \u00een [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":564,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-571","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/caritas.hospital\/index.php\/wp-json\/wp\/v2\/pages\/571","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/caritas.hospital\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/caritas.hospital\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/caritas.hospital\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/caritas.hospital\/index.php\/wp-json\/wp\/v2\/comments?post=571"}],"version-history":[{"count":1,"href":"https:\/\/caritas.hospital\/index.php\/wp-json\/wp\/v2\/pages\/571\/revisions"}],"predecessor-version":[{"id":573,"href":"https:\/\/caritas.hospital\/index.php\/wp-json\/wp\/v2\/pages\/571\/revisions\/573"}],"up":[{"embeddable":true,"href":"https:\/\/caritas.hospital\/index.php\/wp-json\/wp\/v2\/pages\/564"}],"wp:attachment":[{"href":"https:\/\/caritas.hospital\/index.php\/wp-json\/wp\/v2\/media?parent=571"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}