Social security in Pelaxia: Difference between revisions
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Pelaxia has a universal multi-payer health care system with three main types of health insurance: | Pelaxia has a universal multi-payer health care system with three main types of health insurance: | ||
''' | # '''"Statutory Health Insurance" (Fondos Comunes de Salud) known as sickness funds,''' | ||
# "Private Health Insurance" (Medicina Prepaga Privada) and | # '''"Private Health Insurance" (Medicina Prepaga Privada) and''' | ||
# “Medical Assistance for Pelaxians” (MEDAPEL) provided by the government.''' | # '''“Medical Assistance for Pelaxians” (MEDAPEL) provided by the government.''' | ||
Health insurance is compulsory for the whole population in Pelaxia. Salaried workers and employees below the relatively high income threshold of more than 70,000 NSD per year are automatically enrolled into one of currently around 105 public non-profit "Fondos de Salud" at common rates for all members, and is paid for with joint employer-employee contributions. Provided payment is negotiated in complex corporatist social bargaining among specified self-governed bodies (e.g. physicians' associations, workers unions and the province) at the level of federal provinces. The sickness funds are mandated to provide a unique and broad benefit package and cannot refuse membership or otherwise discriminate on an actuarial basis. | Health insurance is compulsory for the whole population in Pelaxia. Salaried workers and employees below the relatively high income threshold of more than 70,000 NSD per year are automatically enrolled into one of currently around 105 public non-profit "Fondos de Salud" at common rates for all members, and is paid for with joint employer-employee contributions. Provided payment is negotiated in complex corporatist social bargaining among specified self-governed bodies (e.g. physicians' associations, workers unions and the province) at the level of federal provinces. The sickness funds are mandated to provide a unique and broad benefit package and cannot refuse membership or otherwise discriminate on an actuarial basis. | ||
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===MEDAPEL=== | ===MEDAPEL=== | ||
[[File:Medapel.JPG|thumb|right|MEDAPEL logo]] | [[File:Medapel.JPG|thumb|right|MEDAPEL logo]] | ||
MEDAPELs the publicly-funded universal health care insurance scheme in Pelaxia, operated by the nation's Ministry of Health and Wellness. It is the main way unemployed, veterans and pensioned Pelaxian citizens access most health care services in Pelaxia, fully covering the cost of most primary health care services in the public and private health care system. International visitors from Cartadania have subsidised access to medically necessary treatment under reciprocal agreements. All Pelaxian citizens and permanent residents enrolled in MEDAPEL have access to health care in public hospitals. | |||
Many specialties and allied health services are partially covered by MEDAPEL, including laboratories, psychology and psychiatry, ophthalmology, physiotherapy and audiology, with the exception of dental services. The list of services covered, the standard operating fee for the service, and the portion of that fee covered, is set out in the Medapel Benefits Schedule (MBS). | Many specialties and allied health services are partially covered by MEDAPEL, including laboratories, psychology and psychiatry, ophthalmology, physiotherapy and audiology, with the exception of dental services. The list of services covered, the standard operating fee for the service, and the portion of that fee covered, is set out in the Medapel Benefits Schedule (MBS). | ||