Two decisions published by the Health and Labor Risk Superintendence (SISALRIL) yesterday have moved the government’s health plan, the SFS, closer to going into effect in 1 September. SISALRIL in Resolution 128-07 and 129-07 establish the agreement with doctors that sets services fees. The government accepted a 8% increase on previously agreed on fees. The so-called Health Services Plan (PDSS) will cost RD$5,800 a year, or RD$483.33 per month.
SISALRIL announced that is was establishing a RD$400 doctor’s minimum fee for outpatients and RD$500 for hospitalized patients. Patients will be required to contribute RD$100, and the remaining RD$300 will be paid by the Health Insurance Providers (ARS) that are funded by deductions from workers’ wages. SISALRIL also announced a RD$250 tariff for daytime emergencies and RD$340 for nighttime emergencies, to be covered by the ARS. A RD$1,200 per day limit for coverage of a hospital room is set, and any difference is left up to the patient.
Traffic accident injuries will be covered under a separate fund, the National Traffic Accident Fund, as established in Law 87-01, paragraph II, Art. 119.
Fees are listed at www.sisalril.gov.do