I am pointing out a legal situation that has received legal clearance in practice. Yet the health insurance fund refuses to take account of case law and does not reimburse insured persons for the costs they incur for medical services provided by providers who are not in a contractual relationship with the health insurance fund.<\/p>\n\n\n\n
The rule is that insured persons receive these services free of charge, provided they present themselves on the basis of a referral note issued by a family doctor or specialist doctor. Insofar as health care providers who are in a contractual relationship with the health insurance fund are unable to provide the necessary medical services to the insured person within a period of time which meets the requirement of the urgency of the insured person's medical condition, the health insurance fund is obliged to reimburse the costs incurred by the insured person for the medical services he has received in a private hospital.<\/p>\n\n\n\n
The interpretation relied on by the health insurance company to the effect that the insured person could not benefit from the services included in the basic package, on the basis of a medical prescription, from providers who do not have a contract with the health insurance company, is such as to run counter to the constant case-law of the ECHR as regards the positive obligations of States to guarantee the right to life and to the mental and physical integrity of citizens.<\/p>","protected":false},"excerpt":{"rendered":"
Semnalez o situa\u021bie juridic\u0103 care a primit \u00een practic\u0103 dezlegare juridic\u0103. \u0218i totu\u0219i, casa de asigur\u0103ri de s\u0103n\u0103tate refuz\u0103 s\u0103 \u021bin\u0103 cont de jurispruden\u021b\u0103 \u0219i nu deconteaz\u0103 asigura\u021bilor cheltuielile efectuate de ace\u0219tia pentru serviciile medicale prestate de c\u0103tre furnizori care nu se afl\u0103 \u00een rela\u021bie contractual\u0103 cu casa de asigur\u0103ri de s\u0103n\u0103tate. Regula este c\u0103 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[9],"tags":[],"class_list":["post-1735","post","type-post","status-publish","format-standard","hentry","category-articole-juridice"],"yoast_head":"\n