He Comprehensive Medical Care Program (PAMI) launched a social subsidy aimed at its members who face financial difficulties and cannot afford the cost of their outpatient medications. Although several of these medications lost 100% coverage, this new subsidy allows beneficiaries to retain access to their essential treatments at no additional cost, which represents a significant financial relief for those who depend on medication for their health.
To access this subsidy, it is essential that affiliates comply with certain requirements related to your income and assets. Additionally, they must present the necessary documentationsuch as medical prescriptions to validate your situation. Through this resource, PAMI seeks to ensure that those in vulnerable situations are not left unprotected in access to the medicines they need, thus contributing to equity in health care in the country.
Requirements to access 100% coverage
To obtain full coverage for outpatient medications through the social subsidy, PAMI members must meet certain criteria:
Affiliation: They must not be affiliated with a prepaid medicine system at the same time as PAMI.
Properties: They must not own more than one property, nor own luxury aircraft or boats.
Vehicles: You cannot have a vehicle less than 10 years old, unless you have a cohabitant with CUD, in which case you are allowed to have up to one vehicle of that type.
Assets: They must not be holders of corporate assets that demonstrate full economic capacity.
If the previous points are not met, but the cost of the medications represents the 15% or more of income, you can apply for coverage of 100% for social reasons through an exception mechanism that requires the presentation of a social report and one medical revalidation.
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Documentation necessary to carry out the procedure
The procedure to access the free medicines It can be carried out by the member, a representative or a family member, and the following documentation is required:
- National Identity Document.
- Prescription of the requested medication, issued by the family doctor or specialist, with the detailed or coded diagnosis according to the ICD-10 (International Classification of Diseases, tenth version).
- Sworn declaration.
- If you require more than 4 medications for Social Subsidy, the medication formulary.
To renew the subsidy, a new prescription must be presented that justifies the continuation of treatment.
This process can be carried out through the PAMI websiteon mobile devices or computers, or on a entity agencyrecommending taking a online shift for better care. The implementation of this subsidy is a vital resource to help those facing economic difficulties in access to necessary medication.
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How to request free medications from PAMI
To request 100% coverage for outpatient medications through the PAMI social subsidy, the following steps must be followed:
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Check requirements: Make sure you meet the income and wealth requirements mentioned above.
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Gather documentation: Gather all the necessary documents, including your ID, the medical prescription with the diagnosis and the affidavit.
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Complete the form: If you need more than 4 medications, complete the corresponding medication form.
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Request shift: Access the PAMI website to request an appointment online or go to a PAMI agency to complete the process.
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Attend the appointment: Bring all the required documentation to the appointment, where your situation will be evaluated and the request will be managed.
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Wait for approval: Once the application has been submitted, wait for PAMI’s response regarding approval of coverage.
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Remove medications: Once approved, you will be able to pick up your medications at pharmacies participating in the program with 100% coverage.
Source: Ambito
