These are the 5 plans offered by SIS: requirements for membership, coverage, services and more

With the aim of guaranteeing access to health for all Peruvians, the Comprehensive Health Insurance (SIS) has developed different plans that adapt to the needs of the population. These plans seek to cover a wide range of medical services and ensure that every citizen has the care they need.

He SIS is an institution that has constantly evolved to improve its service and coverage. Over the years, it has implemented various policies and programs that seek not only to expand its reach, but also to improve the quality of the services provided. This effort has resulted in greater satisfaction among members and a better response to health emergencies.

What plans does SIS offer?

The SIS plans They are designed to be inclusive and accessible to everyone, regardless of the beneficiary’s economic situation. Below we detail the five plans offered by the SIS, their membership requirements, coverage and the services they include.

SIS Plan for All

The SIS Para Todos Plan is aimed at all people who live in Peru and do not have other health insurance, whether public or private. This plan covers a wide range of health services, including medical consultations, hospitalization, medications, operations, oncological treatments, intensive care, emergency transportation and more. The only requirements to join are living in Peru and not having other health insurance.

Independent SIS Plan

The Independent SIS Plan is designed for independent workers and entrepreneurs who want to ensure their health without depending on an employer. This plan offers broad coverage that includes primary care, specialized care, hospitalization and emergencies. The requirements to join are not having other health insurance and making an affordable monthly payment.

SIS Entrepreneur Plan

The SIS Entrepreneur Plan is specifically designed for small and medium-sized businesses seeking to provide health insurance to their employees. This plan facilitates comprehensive medical care, guaranteeing the well-being of workers and, therefore, the development of the business. To become a member, entrepreneurs must register their employees in the SIS and make the corresponding contribution.

SIS Microenterprise Plan

Aimed at micro-enterprises, this plan offers coverage similar to the SIS Entrepreneur Plan, but adapted to the needs and capabilities of micro-enterprises. It includes outpatient care, hospital care, medications, and emergencies. Micro-entrepreneurs must register their workers in the SIS and make the established monthly contributions.

SIS Optional Plan

The SIS Optional Plan is available to any citizen who wishes to have additional health insurance. This plan offers comprehensive coverage ranging from medical consultations to hospitalization and surgeries. The requirements for membership are minimal, only the willingness to pay a monthly fee that varies according to the age and health status of the applicant is required.

  SIS plans. Photo: Ministry of Health

SIS plans. Photo: Ministry of Health

General requirements for joining the SIS

  • Not having other health insurance.
  • Present the National Identity Document (DNI).
  • For some plans, you must be registered with SISFOH.

How much does it cost to join the SIS?

  • SIS Plan for All: Free for all residents of Peru without other health insurance.
  • Independent SIS Plan: S/ 39 monthly.
  • SIS Entrepreneur Plan: S/ 20 per month per worker.
  • SIS Microenterprise Plan: S/ 20 per month per worker.
  • SIS Optional Plan: It varies between S/ 39 and S/ 108 per month, depending on the age and health status of the applicant.

What services does SIS offer?

The services offered by the SIS include medical consultations, laboratory tests, medications, surgical interventions, hospitalization, and emergency care. Coverage varies depending on the plan to which one is affiliated, but in general, all plans seek to ensure that members receive necessary medical care without high costs.

What does the SIS cover?

  1. Medical consultations: Care in health centers and hospitals.
  2. Medicines: Provision of necessary medications according to medical prescription.
  3. Surgical interventions: Surgeries necessary for the treatment of diseases.
  4. Hospitalization: Admission if necessary.
  5. Emergencies: Urgent medical attention.
  6. Oncological treatments: Coverage for cancer and related diseases.
  7. Intensive care: Specialized care in intensive care units.
  8. Laboratory tests and imaging: Necessary diagnostic tests.
  9. Emergency transport: Ambulance transfer in emergency cases.
  10. Rehabilitation: Physical and occupational therapy services.

Source: Larepublica

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