SENASA Coverage Expansion

[NALs]

I remember seeing a thread created by an expat I think turn Dominican citizen who had something done and was surprised that SENASA cover that.

Well, the government has extended the coverage to RD$2 million. The expasion now covers these procedures in addition to everything it covered before:

All heart surgeries including bypass.
Blood vessels surgeries.
All adult and pediatric cancers.
Extirpation of brain tumors.
Reparation of brain aneurisms.
Elimination of hematomas.
Drainage of brain abscess.
Hydrocephalus treatments.
Spine surgeries such as the removal of hernial discs, etc.
Organs transplants
Severe Burns
Chronic Kidneys Problems

Remember that any Dominican citizen that for any reason can't get private health insurance (including the elderly as they aren't given heslth insurance due to their age) or are poor qualifies for SENASA. Many of their plans are also the cheapest in the health insurance market.


The president says in the video below that one of the reasons he is pushing for things like this is his belief that the Dominican government belongs to all Dominican citizens abd as such, it needs to increase the services it offers to the citizenry.

 

[JD Jones]

I keep mentioning this insurance to folks because it really is great value for the money.

You'd be surprised how many expats "in the know" here tell me I don't know what I'm talking about.

 

[cavok]

Do residents qualify for this?

 

[JD Jones]

Do residents qualify for this?

Everyone qualifies for it. Even elderly expats.

 

[cavok]

Everyone qualifies for it. Even elderly expats.

That is really good news. I have Universal, but there have been many expats posting here who have been unable to get insurance because most won't insure you if you're over 69.

Any idea how the coverage and premiums compare to the usual health insurance companies here?

 

[Liberator]

Everyone qualifies for it. Even elderly expats.

That is really good news. I have Universal, but there have been many expats posting here who have been unable to get insurance because most won't insure you if you're over 69.

Any idea how the coverage and premiums compare to the usual health insurance companies here?

I thought it was even limited to 65?

 

[bob saunders]

That is really good news. I have Universal, but there have been many expats posting here who have been unable to get insurance because most won't insure you if you're over 69.

Any idea how the coverage and premiums compare to the usual health insurance companies here?

My MIL has MAFRE insurance and she is 86.

 

[AlterEgo]

My MIL has MAFRE insurance and she is 86.

Mine had insurance into her 90s, BUT she had it before 65 and it was through my sister-in-law’s job, not stand alone.

 

[Drperson]

Everyone qualifies for it. Even elderly expats.

you need a cedula

 

[JD Jones]

you need a cedula

No, you don't.

 

[drstock]

Any idea how the coverage and premiums compare to the usual health insurance companies here?

It's free.

 

[drstock]

How does this apply to children? My friend has SENASA and her son is currently in hospital. Is he covered?

 

[drstock]

Everyone qualifies for it. Even elderly expats.

Even elderly people who have been living here without getting Residency?

 

[drstock]

Mine had insurance into her 90s, BUT she had it before 65 and it was through my sister-in-law’s job, not stand alone.

That's as I understand it. If you are over 65 you can't start private insurance. But if you started before you were 65 you can continue until death do us part, as long as you keep paying the premiums.

 

[JD Jones]

Plan Larimar - ARSSeNaSa

¿Qué es SeNaSa Larimar? SeNaSa Larimar es el seguro de salud ofertado a dominicanos, extranjeros (nacionalizados o con pasaporte) quienes desean adquirir un plan independiente, así como, para la diáspora […]

www.arssenasa.gob.do

 

[beeza]

From what I can gather, it doesn't cover the big private hospitals such as HOMS, Medical La Union, etc. So if you want to use SENASA, you have to go to a public hospital.

Or am I wrong?

 

[cavok]

That's as I understand it. If you are over 65 you can't start private insurance. But if you started before you were 65 you can continue until death do us part, as long as you keep paying the premiums.

That's exactly how it works. There was one company mentioned on another thread that would accept you applying for insurance up to 69.

 

[cavok]

Plan Larimar - ARSSeNaSa

¿Qué es SeNaSa Larimar? SeNaSa Larimar es el seguro de salud ofertado a dominicanos, extranjeros (nacionalizados o con pasaporte) quienes desean adquirir un plan independiente, así como, para la diáspora […]

www.arssenasa.gob.do

How widely accepted is this by private clinics?

 

[NALs]

From what I can gather, it doesn't cover the big private hospitals such as HOMS, Medical La Union, etc. So if you want to use SENASA, you have to go to a public hospital.

Or am I wrong?

Consulta Prestadores · Autoservicio de clientes

 

[cavok]

Not many private clinics there - only one.