To request reimbursement of expenses of pharmacy

Data of the proceedings
Introduction
Request
Term
3 months
Silence
Estimatorio

Legislation

Where appropriate

In the following circumstances, the scheme can apply for reimbursement of expenses incurred in medicines, medical devices and dietary products that were not prescribed in recipes MUGEJU officers:

  1. In the case that they do not exist in the domestic market and are authorized and acquired through the competent health agencies, under established procedures.

  2. When the scheme has been compelled to take part in touch with the protocol to the entity who is seconded by cause imputable to the same or for reasons of urgency, not having been able to make the limitation period in the official recipe of MUGEJU.

  3. When, for exceptional reasons duly justified, the scheme has not been able to submit in the medical act hand luggage MUGEJU recipes and the protocol has made the limitation period in a different recipe model.

  4. In-patient services within the framework of a cross-border assistance in a country member of the eu, provided the medicines, medical devices and dietary products included in the pharmaceutical benefit of the national health system.

  5. The related to certain conditions:
    • Calcitonina for Paget.
    • Drugs to treat hiv.
    • Medicines for cystic fibrosis.
    • Pharmaceutical statin containing, for patients with familial hypercholesterolemia heterocigota.
  6. In cases where existing legislation determines participation rates in the mutual payment for medicines, medical devices and dietary products, different 30 per cent.

  7. In the case of treatment requirements directly related to the accident in the line of duty or occupational disease.

Amount of compensation

The amount that the mutual will reimburse the amount paid minus input to the beneficiary. The contribution that corresponds to the beneficiary will be the normal contribution (30 per cent), the low (10 per cent within a maximum) or that are necessary in each case according to the legislation in force.

Documentation that is required:

 

Key icon To request this provision must be registered as owner of the scheme is General Mutuality. Identification will be achieved through the system Cl@ve so you will need to be discharged in that system or have dni-electrónico or one of the digital certificates admitted .

See the technical requirements access to online.

The application form and associated documents may be submitted at the central or provincial branches of the society in General, or in any other places under article 16 (4) of law 39/2015, of Common Administrative Procedure of the public authorities.