The Dominican Medical Association (CMD) reports it is taking the National Social Security Council to court for its complicity in health insurance plans violating articles in the Social Security Law 87-01 and the National Constitution.
Lawyers of the Dominican Medical Association have filed a constitutional appeal against the decision of the Health Risk Administrators (ARS) to grant codes to physicians. The CMD is also preparing a legal recourse against the National Social Security Council (CNSS) for mutilating the former Basic Health Plan regarding coverage of health procedures.
The CMD announced its lawyers will submit to the corresponding instances an appeal for legal protection against the repeated violations by the health insurance companies (ARS).
The CMD protest health insurance companies have violated Art. 129 of the Social Security Law 87-01. The CMD claims the companies have also violated Article 173, paragraph III, that does not allow the ARS to grant codes to health providers. The practice is common among the health insurance companies. The CMD says this practice discriminates, pressures and denies physicians the right to assist patients covered by the private insurance plans. The CMD says these violations were implemented with the complicity of the CNSS at its different levels.
The CMD protests that CNSS has violated the right of the population to have access to coverage of a wider range of medical services.
The Dominican Medical Association has been carrying out regional stoppages and calls for people to change to the governmental Senasa or ARS Reservas insurance plans.
The doctors are also demanding a rate increase, which has been static for years.
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Hoy
14 December 2022