Essalud offers health coverage to their insured in Peru, but there are exceptions. In what cases, Social Security does not cover medical care and what are the restrictions in their services.
Vivian Salguero, explained that Social Security Health (EsSalud) Its objective is to cover the health expenses of the insured and their right -holders through care, social and economic benefits.
On the other hand, Salguero indicated that, in emergency situations, both EsSalud Like any other health establishment, they are obliged to serve the patient regardless of their insurance status, as stipulated in the General Health Law.
He also pointed out that medical care should not be conditioned under any circumstances to the signing of additional documents. In addition, he reiterated that EsSalud covers traffic accidents and those caused by third parties, provided that the victim is insured.
EsSalud: In what cases does it do not provide medical coverage in Peru?
In that sense, Salguero explained that EsSalud manages a wide and complex care portfolio, but some benefits are not included. Among the exclusions are the procedures that do not contribute directly to the recovery of health, such as aesthetic surgeries, orthodontic treatments, resting priests, sleep priests and contact lenses.
However, he assured that coverage covers from lower diseases to high complexity procedures, such as organ transplants. In addition, insured and their right -holders are entitled to preventive care and health recovery.
Patients can report bad medical care in virtual or face -to -face
In the event that a patient receives poor care or the service is denied, he has the option of presenting a complaint or complaint virtually or in person. To do this, EsSalud has a physical claims book in its establishments and a virtual version on its website, where there is also a complaint button to report incidents. In addition, in health centers there are insured care modules.
Finally, the official recalled that, to access the EsSalud servicesit is necessary that the worker has been affiliated with insurance for a minimum period of three months since the beginning of his work and that he remains an active insured.
Source: Larepublica
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