Refunds of expenditure of pharmacy

To recommend this benefit
Data of the proceedings
Introduction
Request
Term
3 months
Silence
Estimatorio

Mugeju contempla una serie de supuestos en los que el mutualista puede solicitar un reintegro de gastos de determinados productos cuando éstos han sido adquiridos en las condiciones establecidas en la normativa de Mugeju. Procede el reintegro de gastos de medicamentos, productos sanitarios y productos dietéticos en los siguientes supuestos:

A) En el caso de que los mismos no existan en el mercado nacional y sean autorizados y adquiridos a través de los organismos sanitarios competentes, según los procedimientos establecidos.

(B) 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.

(C) 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.

(D) 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.

(E) 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.

(F) In cases where existing legislation determines participation rates in the mutual payment for medicines, medical devices and dietary products, different 30 per cent.

(G) in the case of treatment requirements directly related to the accident in the line of duty or occupational disease.