Covid-19 Reimbursement Tests

The Institute for Disease Protection and Assistance (ADSE) of Portugal started to co-participate in the Covid-19 diagnostic tests carried out on its beneficiaries before any surgery, provided they are performed under the agreed regime, an official source from the Ministry of Modernization of the State told Lusa and of Public Administration

“Following the guidelines of the Directorate-General for Health (DGS), which established the obligation to screen Covid-19 before oncological treatments, as well as before any surgery, the contribution by ADSE was extended to beneficiaries who are in this situation, ”said Minister Alexandra Leitao’s office.

The same source also said that, as already stipulated, “asymptomatic pregnant women with contact with suspected or confirmed cases of covid-19 or with symptoms suggestive of that disease should also undergo the laboratory test”.

“This extension of the co-payment announced today, June 18, comes into effect immediately,” said the Ministry of Modernization of the State and Public Administration.

In order for the beneficiary to have the right to participate, adds the Ministry, the prescription of the laboratory test «must be done by providers of the agreed regime [according to the ADSE], and in the case of pregnant women, the prescription can be made by a doctor ».

According to the information note sent to the beneficiaries of ADSE and to the providers of the agreed regime, to which Lusa had access, “ADSE finances the laboratory diagnosis of SARS-CoV-2 to beneficiaries of ADSE who are in the conditions provided for” in the DGS standards 9/2020 and 13/2020 and in the 18/2020 orientation.

The same note emphasizes that “acts whose prescription comes from an entity belonging to the SNS [National Health Service] are not financed by ADSE”.

Refund

It can be read in the note that “ADSE does not reimburse any test that does not come with a medical prescription that indicates the reasons for the test (…) and, in the case of pregnant women, the description of their pregnancy status and reason must also be included. prescription ‘.

The maximum value of the laboratory test for SARS-COV-2 is 87.95 euros, 68.50 euros financed by ADSE and 19.45 euros financed by the beneficiary.

According to the note, ADSE does not reimburse the laboratory test performed under free regime (entities without agreement with ADSE).

On April 16, the Ministry of Alexandra Leitao announced the contribution by ADSE of diagnostic tests for the new coronavirus to pregnant women and cancer patients, as well as the possibility of submitting requests for reimbursement of health expenses in a dematerialized way, through the ADSE Direta portal. , a measure foreseen in the State Budget for 2020.

Reviewer overview

Covid-19 Reimbursement Tests - /10

Summary

The Institute for Disease Protection and Assistance (ADSE) of Portugal started to co-participate in the Covid-19 diagnostic tests carried out on its beneficiaries before any surgery,

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