{"id":2902,"date":"2019-03-01T10:11:38","date_gmt":"2019-03-01T09:11:38","guid":{"rendered":"http:\/\/redaktori.com\/?p=2902"},"modified":"2019-03-01T10:11:38","modified_gmt":"2019-03-01T09:11:38","slug":"sot-ulen-cmimet-e-barnave-te-rimbursimit-kategorite-qe-perfitojne","status":"publish","type":"post","link":"https:\/\/redaktori.com\/?p=2902","title":{"rendered":"Sot ulen \u00e7mimet e barnave t\u00eb rimbursimit, kategorit\u00eb q\u00eb p\u00ebrfitojn\u00eb"},"content":{"rendered":"

Ulja e \u00e7mimit t\u00eb barnave t\u00eb rimbursimit do t\u00eb shoq\u00ebrohet jo vet\u00ebm me shtimin e alternativave t\u00eb reja t\u00eb medikamenteve q\u00eb do t\u00eb jepen falas, ve\u00e7an\u00ebrisht ato p\u00ebr trajtimin e s\u00ebmundjeve tumorale dhe atyre kronike, por edhe me zgjerimin e p\u00ebrfituesve q\u00eb do t\u00eb trajtohen me k\u00ebto barna, pavar\u00ebsisht faktit n\u00ebse jan\u00eb t\u00eb siguruar apo jo.<\/p>\n

Konfirmimi \u00ebsht\u00eb b\u00ebr\u00eb gjat\u00eb dit\u00ebs s\u00eb djeshme nga vet\u00eb ministrja e Sh\u00ebndet\u00ebsis\u00eb, Ogerta Manastirli, teksa ka detajuar risit\u00eb q\u00eb mbart vendimi i qeveris\u00eb p\u00ebr uljen me 5 p\u00ebr qind t\u00eb \u00e7mimit t\u00eb barnave t\u00eb rimbursimit duke nisur nga dita e sotme (1 mars).<\/p>\n

P\u00ebr t\u00eb siguruar ofrimin n\u00eb koh\u00eb dhe me cil\u00ebsi t\u00eb sh\u00ebrbimit ndaj qytetar\u00ebve, autoritetet e dikasterit t\u00eb sh\u00ebndet\u00ebsis\u00eb b\u00ebjn\u00eb me dije se jan\u00eb njoftuar n\u00eb koh\u00eb t\u00eb gjitha subjektet farmaceutike, q\u00eb kan\u00eb kontrat\u00eb me Fondin e Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor p\u00ebr marrjen e t\u00eb gjitha masave t\u00eb nevojshme, p\u00ebr reflektimin e \u00e7mimeve t\u00eb reja t\u00eb barnave.<\/p>\n

\u201cVendimi i Qeveris\u00eb p\u00ebr indeksimin e indeksimin e \u00e7mimeve p\u00ebr barnat e list\u00ebs s\u00eb rimbursueshme do t\u00eb ket\u00eb nj\u00eb efekt kursimi t\u00eb fondeve buxhetore, prej 7.5 mln dollar\u00eb, t\u00eb cilat do t\u00eb p\u00ebrdoren p\u00ebr zgjerimin e list\u00ebs s\u00eb barnave falas\u201d, theksoi ministrja Manastirliu.<\/p>\n

\u00c7ka p\u00ebrcakton se do t\u00eb rritet numri i qytetar\u00ebve, t\u00eb siguruar apo t\u00eb pasiguruar, f\u00ebmij\u00eb apo t\u00eb moshuar, persona me aft\u00ebsi t\u00eb kufizuar apo n\u00eb ndihm\u00eb ekonomike, q\u00eb do t\u00eb trajtohen falas nga skema e rimbursimit t\u00eb barnave. N\u00eb saj\u00eb t\u00eb k\u00ebtyre ndryshimeve do t\u00eb p\u00ebrfitojn\u00eb barnat e rimbursueshme pa pages\u00eb 498 mij\u00eb qytetar\u00eb, p\u00ebrfshir\u00eb edhe t\u00eb pasiguruarit.<\/p>\n

Aktualisht po punohet edhe p\u00ebr hartimin e list\u00ebs s\u00eb re t\u00eb rimbursimit t\u00eb barnave p\u00ebr 2019, ku parashikohet t\u00eb shtohen nj\u00eb s\u00ebr\u00eb medikamentesh t\u00eb reja. Teksa ka detajuar risit\u00eb e vendimit t\u00eb uljes s\u00eb \u00e7mimit t\u00eb barnave, ministrja Manastirliu theksoi gjithashtu se do t\u00eb rriten p\u00ebrfitimet nga skema e rimbursimit p\u00ebr qytetar\u00ebt, n\u00ebp\u00ebrmjet marr\u00ebveshjeve t\u00eb reja q\u00eb po negociohen p\u00ebr zgjerimin e mbulimit me barna. \u201cSi\u00e7 realizuam p\u00ebr her\u00eb t\u00eb par\u00eb mbulimin 100 p\u00ebr qind p\u00ebr trajtimin falas me Herceptin\u00eb p\u00ebr grat\u00eb me tumor t\u00eb gjirit n\u00ebp\u00ebrmjet marr\u00ebveshjeve t\u00eb posa\u00e7me, do t\u00eb vijojm\u00eb edhe k\u00ebt\u00eb vit n\u00eb list\u00ebn e re t\u00eb barnave p\u00ebr vitin 2019 realizimin e marr\u00ebveshjeve t\u00eb reja t\u00eb posa\u00e7me, p\u00ebr t\u00eb siguruar nj\u00eb mbulim m\u00eb t\u00eb gjer\u00eb p\u00ebr s\u00ebmundjeve kronike dhe tumorale\u201d, tha ministrja Manastirliu.<\/p>\n

Nd\u00ebrsa ekspert\u00ebt e Fondit t\u00eb Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor, b\u00ebjn\u00eb me dije se dhe p\u00ebr list\u00ebn e re, masa e rimbursimit t\u00eb \u00e7do medikamenti do vijoj\u00eb t\u00eb kusht\u00ebzohet nga kategoria n\u00eb t\u00eb cil\u00ebn b\u00ebn pjes\u00eb pacienti. \u00c7ka do t\u00eb thot\u00eb se edhe p\u00ebr 2019, shkalla e rimbursimit do t\u00eb jet\u00eb e plot\u00eb, ose e pjesshme. Megjithat\u00eb, n\u00eb asnj\u00eb rast nuk mund t\u00eb jet\u00eb m\u00eb e ul\u00ebt se sa 50 p\u00ebr qind e vler\u00ebs s\u00eb ila\u00e7it p\u00ebrkat\u00ebs.<\/p>\n

\u201cMasa e rimbursimit t\u00eb barnave do t\u00eb jet\u00eb e p\u00ebrshkall\u00ebzuar nga 50 deri n\u00eb 100 p\u00ebr qind t\u00eb \u00e7do medikamenti. Mbulohen n\u00eb mas\u00ebn 100 p\u00ebr qind, barnat e list\u00ebs p\u00ebr f\u00ebmij\u00ebt 0-12 muajsh, invalid\u00ebt e plot\u00eb, pensionist\u00ebt, t\u00eb verbrit dhe jetim\u00ebt, p\u00ebr veteran\u00ebt me s\u00ebmundje kronike dhe invalid\u00ebt e luft\u00ebs. P\u00ebrfitimi me rimbursim n\u00eb mas\u00ebn 100 p\u00ebr qind i k\u00ebtyre barnave shkon edhe p\u00ebr t\u00eb s\u00ebmur\u00ebt me tumore, transplant t\u00eb veshk\u00ebs, skleroz\u00eb multiple, talasemis\u00eb major. Nd\u00ebrsa p\u00ebr pjes\u00ebn tjet\u00ebr, barnat do jepen me rimbursim t\u00eb pjessh\u00ebm, por jo m\u00eb pak se 50 p\u00ebr qind t\u00eb \u00e7mimit. Por, n\u00eb \u00e7do rast p\u00ebr t\u00eb p\u00ebrfituar k\u00ebto barna, pacient\u00ebt duhet t\u00eb jen\u00eb pajisur m\u00eb par\u00eb me recet\u00ebn e rimbursimit nga mjeku i tyre i familjes\u201d, b\u00ebjn\u00eb me dije specialist\u00ebt e Fondit.<\/p>\n

Vlefshm\u00ebria e Kart\u00ebs s\u00eb Sh\u00ebndetit sipas grupeve p\u00ebrfituese<\/strong><\/p>\n

P\u00ebr t\u00eb p\u00ebrfituar sh\u00ebrbimet sh\u00ebndet\u00ebsore nga skema e sigurimeve sh\u00ebndet\u00ebsore, duhet t\u00eb pajiseni me kart\u00ebn e sh\u00ebndetit, duke u paraqitur pran\u00eb pikave t\u00eb shp\u00ebrndarjes s\u00eb kartave t\u00eb sh\u00ebndetit n\u00eb Tiran\u00eb, apo pran\u00eb drejtorive rajonale t\u00eb Fondit n\u00eb rrethe.<\/p>\n

P\u00ebr tu pajisur me kart\u00eb sh\u00ebndeti, personi i siguruar mund t\u00eb aplikoj\u00eb online, pran\u00eb faqes\u00a0www.e-Albania.al<\/a>. Karta e sh\u00ebndetit \u00ebsht\u00eb mjeti q\u00eb identifikon t\u00eb siguruarit dhe me an\u00eb t\u00eb saj p\u00ebrfitohen sh\u00ebrbimet sh\u00ebndet\u00ebsore t\u00eb skem\u00ebs s\u00eb sigurimeve sh\u00ebndet\u00ebsore n\u00eb t\u00eb gjitha nivelet.<\/p>\n

Pra, n\u00ebse jeni pensionist\u00eb, invalid\u00eb, veteran\u00eb, t\u00eb pun\u00ebsuar, t\u00eb vet\u00ebpun\u00ebsuar, t\u00eb siguruar vullnetarisht, f\u00ebmij\u00eb, gra shtatz\u00ebna, persona q\u00eb trajtoheni me ndihm\u00eb ekonomike, pun\u00ebk\u00ebrkues etj, me an\u00eb t\u00eb kart\u00ebs s\u00eb sh\u00ebndetit mund t\u00eb p\u00ebrfitoni nga skema e sigurimeve sh\u00ebndet\u00ebsore, duke filluar nga recetat e rimbursueshme, sh\u00ebrbimi te mjeku i familjes, te mjeku specialist, n\u00eb qendrat spitalore, pra n\u00eb t\u00eb gjith\u00eb sistemin ton\u00eb sh\u00ebndet\u00ebsor publik.<\/p>\n

Nd\u00ebrsa shtetasit e huaj dhe shtetasit pa shtet\u00ebsi t\u00eb cil\u00ebt jan\u00eb t\u00eb siguruar sipas legjislacionit shqiptar pajisen me kart\u00eb sh\u00ebndeti vet\u00ebm n\u00eb pikat e caktuara p\u00ebr k\u00ebt\u00eb q\u00ebllim pran\u00eb zyrave t\u00eb Drejtorive Rajonale\/Deg\u00ebve t\u00eb Fondit duke paraqitur: dokumentin e identifikimit, lejen e q\u00ebndrimit\/leja provizore e q\u00ebndrimit e l\u00ebshuar nga autoriteti vendor p\u00ebr kufirin dhe migracionin dhe\/ose lejen e pun\u00ebs.<\/p>\n

P\u00ebrfitimet nga sigurimi i detyruesh\u00ebm sh\u00ebndet\u00ebsor p\u00ebrfshijn\u00eb:<\/strong><\/p>\n