Insured persons can benefit from free prevention, detection, confirmation and monitoring services of serious diseases settled by the social health insurance system, the National Health Insurance House informed on Friday, Agerpres reports.
In order to benefit from prevention services, the insured person must make an appointment and attend a consultation with the family doctor, who will assess the risk that the patient has a hidden disease, without symptoms.
“Depending on the evaluation, the doctor can decide to send the patient for free preventive medical tests and will hand him a referral ticket. The family doctor will also interpret the results of the tests, during a new prevention consultation, and on this basis will decide whether the patient should be sent to a specialist doctor on an outpatient basis or to the hospital, for the diagnosis or confirmation of a serious illness and for establishing the appropriate treatment “, said the quoted source.
Also, the family doctor will advise the patient in order to reduce the health risk factors in his life – smoking, alcohol consumption, unhealthy diet, stress, etc.
The family doctor can send the patient to carry out medical tests to detect certain diseases and if, during a consultation for therapeutic purposes, he suspects that, in addition to the condition for which the patient came to the consultation, there could also be such a disease hidden.
CNAS states that, if the insured person patient has been diagnosed with a chronic disease, he/she benefits from free periodic monthly consultations with the family doctor to monitor the evolution of the disease, continuity of therapy, screening for complications, education regarding care and self-care.
“If the family doctor, following the assessment of the risk of the development of other diseases, finds that the respective patients have certain symptoms or test results outside the normal values, they can additionally provide active monitoring consultations (case management) for chronic diseases with a major impact (high cardiovascular risk – hypertension, dyslipidemia and type 2 diabetes, bronchial asthma, chronic obstructive pulmonary disease – COPD and chronic kidney disease)”, explained CNAS.
At the same time, in case of exacerbation of chronic conditions or the presence of any symptoms whose provenance needs to be clarified, patients go to the family doctor who, following the evaluation, establishes the therapeutic conduct.
According to CNAS, for any acute/subacute condition/exacerbation of a chronic disease, the home pays the family doctors two more consultations for each episode of illness, apart from the previously mentioned periodic consultations, and, following the consultations, the family doctor can issue tickets referral (including for paraclinical medical investigations) or other documents.
If at any consultation the family doctor suspects that the patient has a form of cancer (oncological disease), in order to confirm or refute the suspicion, he will be able to send him, as the case may be: to carry out free medical tests, x-rays, ultrasounds, the results of which will be then also integrated by the family doctor, to be consulted on an outpatient basis by a specialist doctor, to be hospitalized in a day or continuous hospitalization regime.
Also, on the basis of the referral ticket, the specialist doctor in the outpatient clinic will be able to give the insured person consultations for the detection of oncological conditions (a maximum of three consultations per insured person is settled, in an interval of a maximum of 60 calendar days from the date of the first consultation, the presentation at the second and third consultation, the consultation being done directly, without another referral ticket).
As the case may be, the specialist doctor will be able to issue referral tickets to the patient for another specialist doctor, laboratory analyses, radiographs, ultrasounds, high-performance investigations, day or continuous hospitalization.
“On the basis of the referral ticket from the family doctor or from the specialist in the ambulatory, in day hospitalization the following will be performed: the diagnosis of the oncological disease, the evaluation of the tumor extension, the evaluation of the clinical-biological status of the patient with the oncological disease. It is recommended that these services be performed within a maximum of 28 days from the opening of the first day hospitalization sheet. Also in the hospital, medical services can be performed for case-diagnosis purposes for the early detection of cervical cancer and breast cancer”, CNAS also transmitted.
After confirming the diagnosis of oncological disease, the insured patient will be able to be included in the National Oncology Program.
Insured persons can also benefit from home care medical services, recovery treatments both in outpatients and sanatoriums, unassisted medical transport services, compensated medicines, medical devices.
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Alright, gather ‘round, because we’re diving into the world of national health insurance—where the stakes are high, and the jargon is even higher! This isn’t just your average health announcement; this is where the rubber meets the road—unless, of course, you’re one of those people who hasn’t seen a doctor since the invention of the smartphone.
So, the National Health Insurance House has given us the lowdown. For those of you keeping score at home, insured folks can snag some lovely complimentary services for the prevention, detection, confirmation, and ongoing monitoring of serious diseases. I mean, who knew hospitals could be like an all-you-can-eat buffet, but instead of crab legs, you get free medical tests? Just try not to overindulge, or you might find yourself being wheeled away like the last slice of cake at a toddler’s birthday party!
Now, let’s talk about the family doctor. Yes, that cozy little corner of the healthcare world where you sit in a paper gown that fits like it’s been borrowed from a dollhouse! To reap the benefits of this bonanza, you have to book an appointment (good luck trying to get through on that phone line!), and then your trusty family doctor assesses whether you have any hidden nasty surprises hiding under the hood—think of them as your health’s personal detective.
Once they give you the green light, the doc can send you off for free preventative tests! It’s like an exclusive VIP pass that lets you skip the queue at the ferris wheel of medical conditions. After all, who doesn’t want a ticket to the testing fair? But don’t forget—if they suspect anything fishy, like maybe you’ve been harboring a rogue illness, they’ll refer you to a specialist faster than you can say “I’m sorry, I didn’t mean to ignore those symptoms.”
Speaking of specialists, let’s not forget about them. If you’ve got a chronic condition—maybe you’re battling the old chestnut known as “high blood pressure”—your family doctor will keep tabs on you like a hawk. You’ll have monthly consultations, keeping those pesky complications at bay. It’s like being in a slightly less glamorous version of “Big Brother,” only instead of cameras, you get medical charts and a lot of questions about your lifestyle choices. “Are you still skipping the gym?” is a favorite.
Now let’s sprinkle some more reality on this medical cake! If you happen to develop more acute conditions while battling your chronic woes, don’t worry! Your family doc will hand out additional consultations like candy on Halloween. Just remember, though, the doctor has an uncanny ability to spot any abnormalities. You might think your symptoms aren’t a big deal, but to them, every sneeze and cough could be a plot twist worthy of a medical drama.
And if you’re concerned you might be joining the cancer club after that worrisome consult? Well, hold onto your hats! Your family doctor can pull out the big guns—sending you for free tests, x-rays, ultrasounds… you’ll feel like a model on a medical photoshoot! They’ll even refer you to specialists—because nothing screams “care” like receiving a ticket to watch someone else poke and prod at your insides.
Then we have the National Oncology Program, which feels like an exclusive members club for those diagnosed with cancer. That’s right, if you’re in, there are more benefits awaiting you post-diagnosis. The thing is, once you’re in this program, you’ll find no shortage of services designed to keep you afloat during a storm. Hope you brought your life jacket!
It gets even better! Home care services, rehabilitation treatments like they’re redoing your living room, assisted transportation, and medications—because who doesn’t want some subsidised pharmacy shopping?
So, all in all, the National Health Insurance is stuffed full of services like a holiday turkey. It’s all available for the insured, with referrals flying around like confetti at a wedding. Just remember, whether you’re regularly checking in with your family doctor or being sent off to investigate some health mysteries, staying ahead of your health can transform that looming uncertainty into a proactive journey.
Now, if only there was a referral ticket for dodging all the medical bills that seem to pile up faster than my laundry! Stay healthy, and do yourself a favor: don’t wait for the doctor to call you in for an appointment—take charge! After all, you don’t want to wait until your next birthday to give your health a check-up, do you?
What steps should a patient take to access free prevention and monitoring services under the national health insurance program?
**Interview with Dr. Elena Marshall, Family Medicine Specialist**
**Interviewer:** Welcome, Dr. Marshall! Thank you for joining us today to shed some light on the benefits of national health insurance, particularly regarding prevention and monitoring services.
**Dr. Marshall:** Thank you for having me! It’s great to discuss how these services can truly impact patient health and well-being.
**Interviewer:** Let’s dive right in. The National Health Insurance House recently announced that insured individuals can access free prevention, detection, and monitoring services for serious diseases. How does a patient initiate this process?
**Dr. Marshall:** It starts with scheduling an appointment with their family doctor. During this consultation, I assess the patient’s risk for hidden illnesses, even if they don’t have apparent symptoms. It’s all about being proactive rather than reactive!
**Interviewer:** Interesting! So, if a family doctor suspects a hidden condition, what happens next?
**Dr. Marshall:** If I identify potential issues, I can issue a referral ticket for free preventive tests. Depending on the test results and the evaluation during a follow-up consultation, I might further refer them to a specialist if necessary.
**Interviewer:** So, it sounds like there’s a robust safety net in place to catch serious illnesses early. What if someone already has a chronic condition?
**Dr. Marshall:** If someone is diagnosed with a chronic condition like hypertension or diabetes, they’ll benefit from regular monthly consultations. This allows us to monitor their condition closely, manage therapies, and educate them on self-care.
**Interviewer:** That’s great to hear! But what if a patient experiences new symptoms while managing a chronic condition?
**Dr. Marshall:** If any new symptoms arise, I can provide additional consultations to evaluate these changes. I keep a close eye on any abnormalities, as they could indicate a new issue that requires attention.
**Interviewer:** Shifting to serious concerns like cancer, how can patients be assured of timely and effective testing?
**Dr. Marshall:** If I have any suspicions about a patient potentially having cancer, I can request free medical tests and imaging diagnostics. If confirmed, they can enter the National Oncology Program, which provides extensive support and treatment options.
**Interviewer:** It seems like a well-structured approach to healthcare. Are there any other services patients should know about?
**Dr. Marshall:** Absolutely! Beyond consultations, patients can also benefit from home care services, recovery treatments, and even unassisted transport services if needed. The system is designed to ensure comprehensive care at every stage.
**Interviewer:** Thank you for the insights, Dr. Marshall! It’s reassuring to know that there are so many resources available to patients through their family doctors and the insurance system.
**Dr. Marshall:** My pleasure! Remember, the key to better health is regular check-ups and being proactive about your symptoms.
**Interviewer:** Well said! Thanks again for joining us today.
