The Well being Insurance coverage Fund reminds residents of the improvements in issuing referrals to specialist docs that got here into impact this 12 months: the circle of docs and different specialists issuing referrals has expanded, and there are extra exceptions when a referral is not needed for a session.
Improvements will save time for docs and sufferers
In February of this 12 months, the issuing of referrals was modified order, which can scale back the executive burden on household docs and make sure the continuity of healthcare providers for sufferers. It offers that referrals for consultations with specialist docs may also be issued by a normal follow nurse, a complicated follow nurse or an obstetrician within the instances laid out in authorized acts.
As well as, referrals for medical specialist consultations, when needed, could be issued not solely by a household physician or a specialist physician, but additionally by an emergency division physician or a nurse working with him on the physician’s discretion. Additionally, whether it is decided that the session is critical, the physician or nurse who handled the affected person within the hospital can even situation a referral for the session of specialists offering ambulatory providers by the physician’s determination.
Referral to a household physician is not needed even in instances the place a specialist physician determines that the affected person wants long-term follow-up. He’s instantly registered for long-term follow-up on the identical medical facility or referred if one other facility is chosen for such follow-up.
From July 1 One other patient-friendly innovation will come into impact – pressing supply. In such a cargo, the explanations for the cargo within the order of urgency and their justification can be indicated, in accordance with the necessities specified within the authorized acts.
When is transport not required?
Along with referrals, needed medical help is supplied freed from cost to all residents of Lithuania – each these lined by obligatory medical health insurance and people not insured. Additionally, referral is just not necessary when the affected person visits the identical specialist for a similar cause repeatedly on the physician’s order. Along with a referral, you can too contact psychological well being care providers and a dentist working in a medical facility to which the affected person is registered. A referral from a household physician is just not required when looking for an outpatient dermatovenerology session by a secondary stage doctor for all dermatovenerological illnesses.
One other innovation got here into impact this 12 months – referral for secondary stage session is just not required when the affected person’s speedy screening or laboratory check for the human immunodeficiency virus is optimistic. This transformation is utilized when a affected person applies for an outpatient session of a health care provider of secondary infectious illnesses, in addition to consultations of a health care provider of inside drugs, pediatric infectious illnesses, and pediatric illnesses to medical establishments offering inpatient providers on the stage of universities and the republic.
In order that you do not have to pay out of pocket
Referrals are legitimate for 180 days, and referrals for session with a bodily drugs and rehabilitation doctor are legitimate for 60 days. Throughout the validity interval of the referral, the affected person should register or be registered with a remedy facility to obtain well being care providers. The referring physician should inform wherein establishments the required session is supplied to the affected person and remind that the affected person can select the specialist and remedy establishment himself.
There is no such thing as a must pay for a health care provider’s specialist’s session if, with a referral, the affected person goes to a health care provider working in a medical establishment that has signed an settlement with the territorial medical health insurance fund for the fee of those providers. You’ll find details about establishments which have such contracts right here.
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– 2024-05-22 18:05:50
