AMPLÍAN LA LISTA DE OBRAS SOCIALES CUYOS AFILIADOS DEBEN PAGAR UN PLUS POR ATENCIÓN MÉDICA

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El presidente del Círculo Médico de San Luis, Alberto Risolo, indicó que el problema de cobras un plus a los afiliados a obras sociales y prepagas es “porque no están cubriendo 100% de la prestación”.

“La pregunta va hacía por qué las obras sociales y prepagas no están cubriendo el 100% de la prestación como es su contrato con los afiliados y de ahí surge la diferencia de que los afiliados tienen que abonar un adicional porque la empresa no lo está haciendo”, agregó.

Y pidió que el enojo de la gente sea contra su empresa u obra social contratada porque “ninguna se fundió en este 2023, es decir, que no puedan pagar a los médicos para sus prestaciones, nosotros comprendemos el enojo de la gente”.

Risolo remarcó que “hasta un cierto momento podemos absorber el costo de las prestaciones y la inflación, todo, pero llega un momento que se hace insostenible y tuvimos que comenzar con este adicional, no hay provincia que no lo cobre”.

Y continuó con el detalle de que las obras sociales y prepagas “a veces no pagan o nos deberían pagar el día 10 y nos pagan el veinte y nosotros igual prestamos el servicio, pese a la tardanza no pagan tampoco con interés”.

También informó que desde el Círculo Médico propone una lista de las distintas prácticas y el valor de la consulta a sus socios.

“Nosotros cuando acordamos esos copagos hacemos los recibos y eventualmente se lo reintegran, hay algunas empresas que deciden debitar, encima que no cubren el 100% de la prestación, ante un recibo deciden restarle eso al médico, entonces el Círculo Médico en ese caso le suspende el servicio a esa obra social y lo que hace el médico es no recibir la obra social como parte de pago sino directamente cobrarle el 100% del valor de la prestación al paciente particular y que se lo reintegren al valor que sale”, especificó Risolo.

Y sentenció: “Nosotros competimos con la salud pública que si vas no pagas nada y a pesar de eso la gente elige la medicina privada por eso este adicional no es que uno cobre lo que a uno se le ocurra porque uno compite, no solamente con nuestros propios colegas sino contra la estructura del hospital público”.

Fuente: San Luis 24.

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