- Thread starter NALs
- Start date
SENASA Coverage Expansion
Still, a big city like Santiago and there's only one private clinic that accepts SENASA(?). Not a good sign.
Remember, there is no alternative for many older people. Certainly way better than nothing.
The Dominican government is getting the word out in the USA. Just yesterday someone contacted Mr AE to let him know there will be a meeting soon not far from us, led by the Dominican embassy (or consulate, I forget which) to help people with SENASA or any other paperwork for or from DR. Q&A, signups, etc.
They’re really making an effort.
Are we sure residents are eligible?
I thought it was citizens only.......
The basic plan doesn't do much.... not accepted in many places.
Paid plans are a bit better....but hardly universal
I gave up trying to get a paid plan
They test 65+ applicants so pre-existing conditions will be denied
I thought it was citizens only.......
The basic plan doesn't do much.... not accepted in many places.
Paid plans are a bit better....but hardly universal
I gave up trying to get a paid plan
They test 65+ applicants so pre-existing conditions will be denied
this is what I got from their website.It looks to me that you need a medical after 55 years and the limit per case is 250,000 pesos
What is SeNaSa Larimar?
SeNaSa Larimar is the health insurance offered to Dominicans, foreigners (nationalized or with a passport) who wish to acquire an independent plan, as well as for the Dominican diaspora that returns permanently or wants to obtain medical coverage for their family in the country.With this plan, SeNaSa offers its voluntary members (individuals and families) an excellent value for money, with a wide catalog of more than 3,000 health services provided through a national network of nearly 8,000 doctors, clinics, laboratories and private diagnostic centers.
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Requirements
- Complete the online membership form .
- Copy of ID (adults).
- Copy of the birth certificate (minor).
- Copy of the marriage certificate or the act of free union.
- Make the previous payment according to the selected period (Quarterly, semi-annually or annually).
- Applicants over the age of 55 must have a medical check-up.
Coverage
Medical consultations: unlimited, payment of differences applies.Psychological and psychiatric consultations: 80% up to RD$3,000 per year.
Laboratories, X-rays and special studies: 80%, according to the coverage catalog of this plan.
Outpatient procedures: 80% on the List of Medical Fees (LHM)*.
Emergency services: 100% in contracted centers.
Repatriation of mortal remains:
Legal procedures for the repatriation of the deceased.
Repatriation services by air transport to the country of origin.
Expenses from where the body is to the airport.
Customs procedures of the body upon arrival in the country of origin.
Ground transfer to the place of wake, religious worship and the cemetery, respectively (up to a maximum of 25 miles radius).
Hospitalization
Maternity
High price
Rehabilitation
Hemotherapy
Others
Room: 100% up to RD$3,000 per day, for an unlimited period.
Medications in hospital: 100% up to RD$3,000 per day, for an unlimited period.
Intensive care room: 100% up to RD$5,000 per day, for an unlimited period.
Surgery room: 100%.
Anesthesia and expendable material: 100%.
Medical fees: 100%.
Laboratories and X-Rays: 100%.
Limit per case: RD$250,000.
The 250,000 per case limit appears to be for hospitalization. If you click on the "High Price" link, there is a 500,000 per case limit. Here is a link where you can find a local SeNaSa office...might be easier to ask questions in person. https://www.arssenasa.gob.do/index.php/quienes-somos/oficinas-y-puntos-de-servicios/
Well, I can almost swear the free, basic plan is citizens only.
Buying a plan may be possible but the clinic availability is so poor.
We have a very good public clinic in Abreu but their services are very limited.... they send you on for anything special
Well, I don't understand that. I went with my Dominican friend to the office in Puerto Plata, where she signed up, and she hasn't paid anything.
I just asked a good Dominican friend of mine. He told me SENASA has two plans - a free one and one you pay for. He said the free one only works at public hospitals whereas the paid one will work at private clinics.
A rather long list of private clinics was posted by NALS(I think?), but, according to my Dominican friend, the free versions only works at public hospitals(maybe some exceptions), whereas the paid version works at private clinics.
Mostly Santiago that list.... we couldn't see other locales
I don't think it was long when run alongside all the clinics in Santiago.... a fraction
I don't think it was long when run alongside all the clinics in Santiago.... a fraction