The president of the Employers’ Confederation of the Dominican Republic, Laura Peña Izquierdo, highlighted that the Dominican Social Security System delivered from 2010 to 2022 more than RD$658,000 million to Family Health Insurance for medical care and benefits, contemplated in the Law 87-01, impacting close to 10 million affiliates.
The leader of the entity that groups private employers and that is a member of the National Social Security Council (CNSS), explained that in addition to the fact that the system affiliated almost the entire documented population, other achievements are the subsidies granted from September 2008 to December 2021 totaling 295,674 for maternity; 249,782 for lactation; 973,874 due to common illness.
The president of Copardom stated that these subsidies implied a disbursement as of December 31, 2021 of RD$26,820,749,930.61 for the 1,519,330 reported and approved attendances.
Peña Izquierdo pointed out that “today there is a System that promotes prevention, which does not discriminate by age or disease, covering congenital and pre-existing diseases.”
The president of Copardom said that “since the implementation of the Family Health Insurance, in September 2007, we started with a capita of 483 pesos, producing 13 increases to date, which in turn has generated updates in the catalog of benefits, among them producing greater impact in the increases in coverage of outpatient medicines, for catastrophic illnesses, expansion of kidney transplant coverage up to 3,500,000 pesos and inclusion of laparoscopic procedures, mastectomy and breast reconstruction, among others.
pending points
However, the business leader indicated that despite these advances, it is a challenge for the System to update the Catalog of Health Services Benefits, which seeks to improve the benefits for members, always attached to the sustainability of the System and that be a faster process.
In addition, the inclusion of health benefits for pensioners, implementation of primary care and the subsidized contributory regime, among others.
“We hope that we face these and any other opportunity to improve the System through consensus and the strengthening of the institutional framework,” added the president of Copardom.