Revolution in healthcare: Reimbursement of medicines, aids, dental care …

More affordable innovative medicines and orphan drugs

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● Modern and innovative medicines are easier to get into the system to be reimbursed to patients.
● For highly innovative medicines, there will be a longer time for temporary reimbursement. Even at the end of this period, the patient will be obliged to treat with the drug.
● Medicines for rare diseases (such as cystic fibrosis, muscular dystrophy, etc.) will be assessed in terms of real clinical practice – there are few patients themselves.

More paid aids

● Since the New Year, the list of paid medical devices for people with disabilities has expanded.
● These include airway hearing aids for binaural correction, local oxygen therapy devices, protective helmets, and invasive home artificial lung ventilation devices.
● For other funds, their payment or number of pieces increases. These are, for example, walkers, blind sticks or speech processors.
● Some devices may be newly prescribed by nurses and do not require the consent of a physician. These include bandages, aids for incontinent patients and stoma patients.

Newly paid services

From 1 January, the following benefits will be covered by the public health insurance:

● early detection of eye defects in preschool children
● examination by a pulmonologist as part of an early lung cancer detection program
● initial comprehensive examination of the patient in the podiatric office

Paid vaccination

● Optional vaccination against tick-borne encephalitis in people over 50 is now fully covered.
● There has also been a change in the reimbursement of meningococcal vaccination in children. In the case of group B, it is now possible to start vaccination by the first year of the child’s life compared to the current six months. In other groups A, C, W, Y, the payment is extended to children under 14 years of age, so far it was only up to 2 years.
● Influenza vaccination for people over the age of 65 and medical staff is also fully covered.

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Home care

● Until now, paid home care could only be prescribed by the attending physician after hospitalization of the patient.
● It can now be indicated for a limited period (14 days, in the case of palliative care up to 3 months) by other doctors. For example, outpatient specialists, emergency doctors or emergency admissions. Even in cases where the patient was not hospitalized.

Artificial insemination

● A novelty from the Ministry of Health raises the age of women until it is possible to perform artificial insemination by in vitro fertilization. And from 39 to 40 years.
● However, the rule remains that this method is paid to women a maximum of three times in their lifetime (four times if only one embryo was inserted in the first two cases).

You can find the whole article in the printed form of the daily Aha! (Jan 12, 2022)

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