Fondo Nacional de Salud, also known as FONASA, is the financial entity entrusted to collect, manage and distribute state funds for health in Chile. It is funded by the public (7% of employees' monthly income).[1] It was created in 1979 by Decree Law No. 2763.
FONASA is part of the NHSS and has executive power through the Chilean Ministry of Health. FONASA headquarters are in Santiago and decentralized public service is conducted by various Regional Offices.[2]
Twelve million beneficiaries benefit from FONASA. It provides health benefits and health care by professionals and institutions.[3]
Beneficiaries
editJoining the FONASA contributor as a beneficiary is done automatically when a person has not opted to join private insurance through ISAPRE when:
- An employee allocates 7% of gross income for FONASA, regardless of the social welfare system to which it belongs (INP and AFP)
- Unemployed worker receives unemployment allowance granted by the mayor of the residence
- INP and AFP Pensioner and allocates 7% of its contribution to FONASA
FONASA beneficiaries are:
- Dependents of contributors. Includes children up to 18 years of age or students under 24 years
- Pregnant women until the sixth month of the birth of child
- Pension beneficiaries of invalidity and old age
- People with mental disabilities, any age, provided they are not causing family subsidy (SUF)
Beneficiaries by December 2009.[4][5]
| System | Affiliates | % |
|---|---|---|
| Fonasa | 12,504,226 | 73.49 |
| Isapre | 2,705,917 | 15.90 |
| Total pop. | 17,014,491 | 100.00 |
Choice of care
editAll beneficiaries are placed into four sections according to their income.
There are two types of care arrangements:
- Modality of Institutional Care: Delivered in public health facilities (clinics, rehabilitation centers and hospitals CDT).
- Free Choice Modality: Delivered by professional and private health facilities and who have signed an agreement with FONASA. Public hospitals are included in free choice modality if the recipient chooses their physician and/or are hospitalized in a private room. The focus of this modality is paid through a Health Care Bonus. The value of the bonus depends on the level of registration of the professional or health facility where he or she attends. There are three levels with 1 being the cheapest and 3 being the most expensive.
See also
editReferences
edit- ^ "Certificado de afiliación a Fonasa". ChileClic. 2010-04-23. Archived from the original on 2010-04-13. Retrieved 2011-09-17.
- ^ "FONASA (@FONASA) op Twitter". Twitter.com. Retrieved 2011-09-17.
- ^ "FONASA". Fonasa.cl. Archived from the original on 2011-09-17. Retrieved 2011-09-17.
- ^ "Fonasa: Estadisticas Fonasa". Fonasa.cl. 2007-01-12. Archived from the original on 2010-07-31. Retrieved 2010-08-02.
- ^ "Beneficiarios de Isapres por Comunas a Diciembre 2009 - Biblioteca Digital. Superintendencia de Salud. Gobierno de Chile". Supersalud.cl. Retrieved 2010-08-02.