Learn about all the coverage that the agency offers to save on remedies.
He Comprehensive Medical Care Program (PAMI) updated the list of medications that cover 100%. On the other hand, it also offers partial or lower percentage coverage depending on the severity of the pathology to be treated.
These modifications are part of the changes the government made to the PAMI drug coverage program. Besides, removed 44 remedies from the full coverage listwhich generated concern among retirees and pensioners.
PAMI medications: which ones have 40% coverage
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PAMI covers 40% of those medications that are used occasionally and/or locally in short-term treatments, such as analgesics and anti-inflammatories. In order to receive it, the member must present their ID, the agency’s credential and the electronic prescription of the requested medication with the corresponding diagnosis.
On the other hand, PAMI has coverage of between 50% and 80% for those remedies that are needed for the treatment of chronic or acute pathologies. To request it, they must present the same documentation and it is not necessary to do any paperwork, since the same family doctor will send the electronic prescription to the pharmacy.
PAMI medications: which ones are 100% free
The drugs that are fully covered are those used to treat special illnesses. This includes:
- Diabetes treatment
- Oncology medications
- Oncohematological medications
- Hemophilia treatment
- Treatment of HIV and Hepatitis B and C
- Transplant medications
- Medications for hematopoietic disorders
- Medications for rheumatoid arthritis
- Medications for fibrocystic diseases
- Intravitreal ophthalmic medications
- Osteoarthritis Medications
- Medications for chronic kidney failure and hyperparathyroidism
On the other hand, another way to get 100% coverage is through the program. Social Subsidy of PAMI, but it is aimed only at those members who are not able to afford their treatments. To request it, you must follow the following steps:
- Enter the official PAMI website and go to the Web Procedures section.
- In the medications tab, select the option “Medicines Free of Charge for Social Subsidy”.
- Read the information and press “Start this web procedure” at the end of the page.
- Select “Request the service” in the reason section.
- Complete the required data: affiliation number, DNI and processing number of the last DNI.
- Complete the contact form and continue.
- Confirm compliance with requirements and move forward.
- Answer a brief questionnaire.
- Upload the paper recipeif you have it; If not, this step is optional.
- Optionally, detail the medications requested in the comments field.
Source: Ambito
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