Informative note on the incorporation of the system of glucose monitoring through sensors flash in adult patients attached to Medical Entities for healthcare

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The resolution of 26 April 2019 overall direction of portfolio of services of the national health system and pharmacy made public the agreement of the commission of benefits, insurance and financing of 5 November 2018 and 29 March 2019, on the system of glucose monitoring through sensors flash in adults in the portfolio of services common National health system.

This provision is part of the Annex 6.4.1. point (II portfolio of common services and primary care of point 1.4 of Annex III of the portfolio of common services of specialized care of the royal decree 1030 / 2006 of 15 September which establishes the portfolio of common services of the national health system and the procedure for their update.

In accordance with article depending of the royal decree 1026 / 2011, 15 July, which approves the regulations of the judicial mutualisme, and clause 2.2.2 of the current concert for healthcare beneficiaries of MUGEJU, signed with medical organizations and any new diagnosis or treatment that appears after the signing of the concert, will be mandatory means for medical organizations when the same applies to patients of the National health system.

For those mutualists who have opted to receive healthcare through medical entities, by a resolution of 5 June 2019, the management of MUGEJU has agreed as follows:

From 20 June 2019 medical entities will facilitate without any cost for the insurance, the "monitoring system through glucose sensors (flash type)" mutualists to adult (18 years or more) of MUGEJU, with type 1 diabetes mellitus engaged with insulin intensive therapy (multiple daily doses or insulin pump) and require perform at least six punctures per day for the automonitorización of glucose in the blood that are among the following groups:

  1. Patients with visual impairment or functional limitations serious that renders them perform punctures with digital or cognitive functional disorders that stops them to express the situation of hypoglycemia.
  2. Patients who suffer repetition hypos only for those that occur at least 4 times per week or when they have a 10% of the values of the readings of the glucómetro below 70 mg / dl after making an average of 6 controls capillary blood glucose per day.
  3. Pacientes embarazadas, así como las que planifiquen un embarazo natural o mediante reproducción humana asistida.
  4. Adolescents that exceed the 17 years and who come by using the glucose monitoring sensors (flash type).

Without prejudice to the current implementation of the provision in children and adolescents aged 4-17 that will continue in the same conditions.

The attached to mutual health services Autonomous communities or INGESA can access this benefit by procedures and timetables to establish each Autonomous Community and INGESA.