translated from Spanish: The costs of a Fonasa affiliate in the face of possible hospitalization amid the pandemic

In the event of a possible hospitalization due to coronavirus, doubts arise about how the system works for people who are insured by the National Health Fund (Fonasa). According to Marcelo Mosso, director of the institution, he says that the payment will always be related to the user’s income. In the event that the patient belongs to groups A and B of the system, i.e. they have an income equal to or less than $320,500, they do not pay for admission to a hospital. Instead, they pay those in the C and D ranks, but under 60 years old. The first group has a 10% co-payment on the Care Modality (MAI) tariff. This tariff is the maximum value that hospitals can charge Fonasa members. In group D, however, it has 20% of the tariff. According to Mosso there are facilities to pay and, in some cases, the debt can be forgiven, as indicated to Lun. If coronavirus hospitalization is done in a private enclosure, those affiliated to sections B, C and D have the possibility of entering by the Option Free Mode (MLE). But this is only in clinics that have agreement with Fonasa, otherwise the patient will have to pay the tariff that is charged in a particular way. Mosso explains that because they are free-choice tariffs, each clinic defines the values. But it clarifies that no benefit exceeds 60% of the bonus, so the minimum co-payment is 40% of the charge made by the private institution to the user.

Original source in Spanish

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