Mapfre to reimburse its affiliates if doctors do not accept their plans

Mapfre Salud announced on Wednesday, 5 May 2021 that it will reimburse affiliates for medical consultations if they are affected by the physician work stoppage announced by the Dominican Medical Association (CMD).

“The claims of the Dominican Medical Association (CMD) are beyond the competence of Mapfre Salud ARS, as well as that of any other insurance company, since the National Social Security Council is the institution that regulates the conditions of coverage, the governing body of the system, and of which the CMD itself is a member,” said Mapfre in a paid advertisement.

Meanwhile, Dr. Justo Nicasio, president of the Specialized Medical Societies, announced a nationwide healthcare services stoppage would affect the affiliates of Mapfre from 10 May to 16 May 2021. Dr. Nicasio is hopeful before then the situation can be resolved.

He reiterated that the protests against the National Social Security Council (CNSS) and the Dominican Association of Health Risk Administrators (Adars) will be intensified if these do not act on demands for better medical service tariffs and other demands.

“We are instructing all doctors not to provide consultation services to the ARS Mapfre (former Palic) in the whole country,” said the head of the Dominican Medical Association (CMD), Waldo Ariel Suero.

Read more in Spanish:
El Caribe

5 May 2021