The National House of Health Insurance reminds the doctors and laboratories in contractual relations with the health insurance houses, but also to the patients that a series of medical analyzes are settled above the value of the monthly ceiling.
The analyzes for certain conditions are settled by the CAS over the maximum allowed ceiling. Archive
The following categories of paraclinical services are settled over the contract value, according to the National Health House:
Chronic diseases. The analyzes and investigations recommended for the insured persons for the monitoring of chronic diseases, if the referral ticket is marked with one of the indications “Monitor 2” … “Monitor 8”;
Prevention. The analyzes and investigations recommended to the insured and uninsured persons for the purpose of prevention, if the referral ticket is marked with one of the indications “Prev 1” … “Prev 7”;
Confirmation of oncological diseases. The analyzes and investigations recommended for insured and uninsured persons to confirm/infirm the suspicion of oncological disease, if the referral ticket is marked with the indication “SO”;
Oncological conditions. The analyzes and investigations recommended to the insured persons with oncological affection, if the referral ticket is marked with the indication “AO”;
Task. The analyzes and investigations recommended to the persons provided by the family doctors and the specialized obstetrics-gynecology in the consultations of monitoring the pregnancy evolution, if the referral ticket is marked with the indication “G”;
Hepatitis and HIV. The analyzes recommended for the uninsured persons in order to perform the test for hepatitis B, hepatitis C and pregnant virus, HIV virus, if the referral ticket is marked with the “HS” indication.
