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Why are SZF members who cannot afford the cost of medicines not covered by social programs? It is very common that you have to buy certain medicines that appear in the National Drug Index at the pharmacy, and what is worse is that SZF arbitrarily reimburses the insured/patient a small portion when declaring. In addition, the correct documents must be submitted within 2 months to be eligible for a refund. Some people cannot afford the medicine and then go home without it, which makes no sense.
The president has been advocating for population health, but if patients are left to fend for themselves, this will gradually become a utopia. If society wants to do better, health, education/knowledge and safety are important conditions.
Often, some insurance companies that also sell health insurance have a policy condition that stipulates a personal contribution, and I believe SZF had such a provision in the past. This is usually a fixed amount or percentage of the price of such drugs, so that the insured knows in advance what the personal contribution will be and is not surprised at the pharmacy.
The phenomenon of finding medicines is another strain on the customer/patient’s wallet, given the outlay on transportation costs. It is also unacceptable that, as the President pointed out, drug A is sold at 300 SRD in pharmacy 1, 255 SRD is charged for the same drug in pharmacy 2, and 225 SRD is charged at a third party. India has donated so many medicines to our country for free, and Minister Lamartine has been insisting that pharmacists buy medicines together so that they can get a higher discount due to the larger order, but this does not seem to be the case yet. The medicine can perhaps be purchased for 200 SRD. Of course, there is no law or regulation forcing pharmacists to do this, but in a bad economy, it pays to take a humane approach.
Another example of lack of humanity. A nurse explained to me that if a specialist prescribes that the active ingredient concentration of a certain drug must be 2 mg, and 2 mg is not available, then two pills of 1 mg can be given. This is rejected at the SZF pharmacy, with the prompt that what the doctor wrote on the prescription must be provided. What if the pharmacy assistant sometimes asks if you want to buy the same drug from a different manufacturer, and usually also says that the drug is not included in the brochure? In this way you can get help. Is it because there is such a drug, maybe they can make extra money? SZF also deserves praise in this regard, because there is at least 1 known case in which a drug was partially reimbursed, but it was not included in the brochure.
However, if SZF is in trouble because the premiums that the government may have collected were not paid on time, and other natural and legal persons may also be guilty, then we understand that the pharmacy is obviously in trouble because of this. SZF did not pay on time and the customer/patient was left to pay the bill himself.
If this is the case, on behalf of the “poor civil servants”, government pensioners and small self-employed people, I demand that one of the seven goods and services under the social program, namely “pharmaceuticals”, be used for this purpose as well, without having to register again. This only concerns pharmacy expenses.
Please also place the folder intact in the SZF room of the claim so that the insured can use the code to verify whether the folder contains such material.
Rudy Molijan
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