para pdf ai con ni - Spanish Studies Abroad

Transcription

para pdf ai con ni - Spanish Studies Abroad
SIGUIENTE
DIRECT MEMBERS
ANTERIOR
SIGUIENTE
Binario 210 Plans: Characteristics And Extent Of Their Coverage
Coverage of diseases existing prior to enrollment will always be provided within plan 1015 regardless of the plan chosen by the member. Plan 1015 complies with the
mandatory medical program (PMO) established by resolutions 939/00 and 201/02 of the health ministry.
All of the services included in this plan will be provided in the ways and as from the time detailed in this brochure.
If due to any circumstance OSDE BINARIO were to provide services for diseases or conditions existing prior to membership, or before the times set forth for their provision,
the member shall be automatically assigned to plan 1-015, for all and any effect regardless of the choice he/she may have made.
SERVICES AND COVERAGE
F R O M
E N R O L L M E N T
D A T E
DOCTOR OFFICE VISITS
• 100 % coverage of medical visits with listed providers
Office visits: At presentation of your credential and identity document you can be attended in the private office of the different
professionals or the outpatient facilities of institutions with their own medical staff listed in your brochure according to specialty.
Home visits: With a moderate fee per patient to be paid by the member.
For further information please refer to the brochure or your nearest CAP (Customized Attention Center).
ROUTINE PROCEDURES, COMPLEMENTARY AND DIAGNOSTIC TESTS
(laboratory tests, X-rays, echography, tomography, etc.)
• 100 % coverage: no authorization is required for low and medium complexity procedures, Contrast, radioactive and disposable material, etc.
Prescriptions are valid for 30 days.
• Home-performed tests: this service is free of charge when justifiably unable to move to facility.
• Wide geographic distribution of network facilities.
EMERGENCY
In order to give immediate response to your request of home care it is important to differentiate types of emergency:
Medical emergency: refers to a medical condition manifesting itself by acute signs or symptoms which could result in placing a person’s life in danger if medical attention
is not provided rapidly by specially trained teams (e.g. unconsciousness, convulsions, etc.).
RED LINE: 4310-5200 (attended by specialists who will be able to help you determine the course of action).
Medical urgency: condition which, while not placing a person’s life in danger, needs quick medical attention. It may require ambulatory care or inpatient hospitalization
(e.g.: kidney colic, simple fractures, etc.).
URGENCY COORDINATION SERVICE: 4310-5050
Optional number: 4313-3653 and rotating lines.
When transportation is needed in case of an accident, OSDE BINARIO provides coverage up to a facility equipped with the required complexity (within the country).
ANTERIOR
SIGUIENTE
When emergency or urgency care or medical attention is needed, Polyvalent Centers (hospitals and clinics with their own medical staff with an active and/or passive ward for the
different specialties) are also available to members. Attention will be provided at presentation of your OSDE BINARIO credential and your ID.
If you need a specialist (ophthalmologist, traumatologist, otorrhinolaryngologist, etc.), and you are not physically prevented from moving, it is advisable to go to a Specific Referral
Center.
If you have not joined OSDE through our Metropolitan Branch, you can contact the contracted service at any of our branches.
It should be reminded that bed reservation at our listed facilities, be it for urgency or programmed inpatient hospitalization, is subject to availability at the time of the event.
SERVICES AND COVERAGE
C O V E R A G E
T O
B E
O B T A I N E D
W I T H
Y O U R
C R E D E N T I A L
ALLERGY
Total or partial testing through listed providers.
PHONOAUDIOLOGY AND PHONIATRICS - KINESIOLOGY - PHYSIATRICS
Through listed providers, according to medical prescription
• Office visits: 100% coverage in physiatric, kinesic, phonoaudiology and other auxiliary treatments.
• Home visits: When it is necessary to perform a treatment at home, with a moderate fee to be paid by the member.
EMERGENCY INPATIENT HOSPITALIZATION
Emergency inpatient hospitalizations derived from non-preexisting pathologies will be covered through network providers.
Acute polytraumatisms and / or pathologies including ambulance transportation, hospitalization, prescription medicines and drugs in hospitalization, prosthesis and implants
manufactured in the country, etc., such as:
- Marrow decompression due to traumatism
- Incarcerated hernia
- Amotio retinae
- Eventration.
- Foreign body extraction in conjuntiva
- Appendectomy.
- Otorhinolaryngological drainage and puncture
- Cholecystostomy in acute cholecystitics
- Toracotomy for drainage or pneumothorax
- Morgani’s hydatid, Testicular torsion
- Fistula closure in pneumothorax
- Fracture immobilization, non-congenital traumatic luxation and surgery
Coverage is for all the listed services provided within the country, except when otherwise specifically stated. OSDE BINARIO is entitled to request
authorization or previous evaluation by the Medical Auditing Department.
ANTERIOR
OSDE BINARIO’s Auditing Department is entitled to corroborate whether such pathologies result from a preexisting
condition. In such case coverage will be provided within plan 1-015.
In case of an emergency inpatient hospitalization in a listed facility, admission procedures may be performed within the
first 24 working hours after the event, through the facility, via fax or personally at any OSDE BINARIO Customized
Attention Center.
AMBULATORY MEDICINES
OSDE BINARIO has a wide network of listed pharmacies where you can buy medicines with a 40 % discount at
presentation of membership credential, prescription and ID.
Covered medicines and drugs are those included in the Pharmaceutical Manual and/or Schedule, with the exception of:
over-the-counter medicines, nutritional supplements or substitutes, anorectics or anovulatory drugs, medicines for
esthetic and / or cosmetic purposes, homeopathic products and formulas to be prepared at pharmacies, as well as any
product not included in the mentioned manual or expressly excluded from this benefit by OSDE BINARIO. A list of
exclusions is available at all contracted pharmacies.
IMPORTED MEDICINES
40 % coverage exclusively through reimbursement, provided the drug is not produced in the country and would have
otherwise been covered by OSDE BINARIO.
DENTIST CARE
Through listed providers, 100 % coverage of:
• Office visits.
• Dental care.
• Endodontics.
• Radiology.
• Surgery.
• Odontopediatrics.
• Periodontics.
ORTHODONTICS AND FUNCTIONAL ORTHOPEDICS
100 % coverage up to age 18 inclusive, with specialized contracted dentists.
SIGUIENTE
ANTERIOR
SIGUIENTE
TOURISM
Through our Travel Agency you can access the following services:
• Comprehensive advice and sale of tourist services.
• Local and international car rental.
• Programmed tours including air and land services as well as excursions to any destination.
• Minitourism: weekend packages.
• Reservation and sale of local and international accommodation. Instant confirmation.
• Ski, trekking and adventure tourism.
• Information about local and international spa centers, health tours. Reservation and sale of these services.
• Travel insurance (health, loss of baggage and other services).
VACCINES
OSDE BINARIO offers a 40 % discount in all network pharmacies at presentation of credential, prescription and ID, provided the vaccines are included in the Pharmaceutical
Manual or Schedule.
If you opt for its provision at a Vaccination Center, OSDE BINARIO offers a 40 % reimbursement of the cost of the vaccines as per the Pharmaceutical Manual at presentation
of the bill together with a copy of the prescription.
SERVICES AND COVERAGE
AFTER ENROLLMENT HAS BEEN EFFECTIVE FOR TWO MONTHS
(If these services are to be granted before the established time, they will be provided within Plan 1-015)
RADIOACTIVE MATERIAL
100 % coverage in listed Specialized Centers or through reimbursement at values set by the C.N.E.A. (National Committee of Atomic Energy).
HIGHER COMPLEXITY PROCEDURES
They include high technology and low frequency procedures such as transesophagic echodoppler, echography and/or tomography-controlled biopsy, transcranial echodoppler, etc.).
Coverage in such cases will be 100 % in listed facilities, at presentation of credential, prescription, ID and authorization by OSDE BINARIO (as required), which may be
obtained personally or by fax at any OSDE BINARIO Customized Attention Center.
Coverage is for all the listed services provided within the country, except when otherwise specifically stated. OSDE BINARIO is entitled to request
authorization or previous evaluation by the Medical Auditing Department.
ANTERIOR
SIGUIENTE
PSYCHOPATHOLOGY
OSDE BINARIO offers psychopathology services in the way of a brief therapy, based on the psychotherapy concept that is focused on
defining a goal and planning a specific process of short duration aimed at its achievement.
All of the services in psychopathology are provided with a moderate fee.
Psychodiagnosis
Individual therapy: up to a maximum of 30 sessions.
Group therapy: up to a maximum of 50 sessions.
Family therapy: up to a maximum of 15 sessions.
Couple therapy: up to a maximum of 20 sessions.
SERVICES AND COVERAGE
AFTER ENROLLMENT HAS BEEN EFFECTIVE FOR 6 MONTHS
(If these services are to be granted before the established time, they will be provided within Plan 1-015)
INTRAUTERINE DEVICE (IUD)
100 % coverage through listed professionals, including IUD provision and insertion. This procedure requires previous authorization
to be obtained at any of our Customized Attention Centers.
PHLEBOLOGY
OSDE BINARIO offers 100 % coverage of up to 8 sclerosant treatment sessions performed by listed professionals.
This treatment requires previous authorization to be obtained at any of our Customized Attention Centers.
PROGRAMMED CLINICAL AND SURGICAL INPATIENT HOSPITALIZATION - EMERGENCY - INTENSIVE CARE UNIT - CORONARY CARE UNIT
Listed facility and professional:
100 % uncapped coverage, including:
• Drugs, medicines and disposable material used during hospitalization.
• Pre and post-surgery tests.
• Hospitalization expenses and professional fees.
• Accompanying family member for children up to age 12 inclusive, during inpatient hospitalization.
• Private and/or shared room as set forth in provisions for each plan.
ANTERIOR
SIGUIENTE
Listed facility and out-of-network professional
There is the possibility of using a listed facility and an out-of-network doctor.
100% coverage of hospital expenses and reimbursement of professional fees up to the amounts set forth for each plan.
CUSTOMIZED ATTENTION
All OSDE BINARIO members are visited by a social worker during their stay at a hospital in order to solve any possible
inconvenience.
DIAGNOSTIC AND ACUTE SYNDROME INPATIENT HOSPITALIZATION
Includes total uncapped coverage of diagnostic methods.
HOME HEALTH CARE
For specific therapeutic purposes, patients will receive home health care, including kinesiology, laboratory tests, X-rays and nursing care.
Such care will be provided in those acute cases when treatment may be completed at home, subject to endorsement by the Medical Advisory Department.
Coverage will be for a limited period of time according to the case requirements, being the final decision in charge of OSDE BINARIO.
PSYCHIATRIC INPATIENT HOSPITALIZATION
Total coverage of up to 60 days’ hospitalization in contracted facilities.
CARDIOVASCULAR REHABILITATION
When the prescription or need arises after enrollment and does not result from pre-existing condition, OSDE offers 100% coverage for a period of 6 months for the
following pathologies:
• Post acute myocardial infarction
• Post cardiosurgery
• Post angioplasty
• Ischemic events
Coverage is for all the listed services provided within the country, except when otherwise specifically stated. OSDE BINARIO is entitled to request
authorization or previous evaluation by the Medical Auditing Department.
ANTERIOR
SERVICES AND COVERAGE
AFTER ENROLLMENT HAS BEEN EFFECTIVE FOR TEN MONTHS
(If these services are to be granted before the established time, they will be provided within Plan 1-015)
MATERNITY
Listed facility and professional:
100 % coverage of pregnancy and delivery ( normal or pathological):
• Diagnostic methods
• Consultations with specialists.
• Diagnostic and/or therapeutic tests and practices related to pregnancy.
• Psycho-prophylaxis course
• Uncapped obstetric inpatient hospitalization, both for normal and Cesarean delivery
Listed facility and out-of-network professional:
100 % coverage of hospital expenses (order issued by OSDE BINARIO), reimbursement of professional fees according to
amounts and caps set forth for each plan.
You can request the corresponding estimates at any Customized Attention Center in order to choose among the proposed
alternatives.
Newborn care
Total newborn care with listed providers in all cases (incubators, high complexity procedures, surgery, etc.)
SERVICES AND COVERAGE
AFTER ENROLLMENT HAS BEEN EFFECTIVE FOR 12 MONTHS
(If these services are to be granted before the established time, they will be provided within Plan 1-015)
CORONARY TRANSLUMINAL ANGIOPLASTY
Listed facility and professional:
100 % coverage in the same conditions as described for cardiovascular surgery. When out-of-network professionals are used,
OSDE BINARIO offers special coverage for such purpose for all and any concept up to the amounts established for each plan.
SIGUIENTE
ANTERIOR
SIGUIENTE
CARDIOVASCULAR SURGERY WITH EXTRACORPOREAL CIRCULATION
Listed facility and professional:
Total coverage of auxiliary diagnostic tests and procedures (nuclear medicine procedures, hemodynamic procedures in
inpatient hospitalization):
• 100 % radioactive, disposable and contrast material).
• 100 % professional fees.
Total uncapped coverage of inpatient hospitalization and surgery:
• 100% drugs, medicines and disposable material (including extracorporeal circulation pump).
• 100% professional fees.
• 100% valvular prosthesis and implants (provided by OSDE BINARIO).
• 100% post-surgery follow-up and tests.
When out-of-network professionals are used, OSDE BINARIO offers special coverage for such purpose for all and any concept
up to the amounts established for each plan.
REFRACTIVE SURGERY - STRABISMUS
100 % coverage according to pre-established modalities subject to previous medical auditing.
DENTAL PROSTHESIS
OSDE BINARIO provides a special coverage, relative to scale per prosthesis type up to the annual amounts set forth for your plan.
SERVICES AND COVERAGE
A F T E R E N RO L L M E N T H AS B E E N E F F ECT I V E FO R 24 M O N T H S
(If these services are to be granted before the established time, they will be provided within Plan 1-015)
SPECIAL COVERAGE
OSDE BINARIO offers the following coverage subject to this condition and according to pre-established provisions:
• Hearing aids
• Cardiac Pacemakers
• Implantable defibrillator
• Corneal grafting
• Intraocular lens
• Free coverage for the term of one year for the family group at death of primary member
• Burial expenses at death of primary member, spouse or children under age
Coverage is for all the listed services provided within the country, except when otherwise specifically stated. OSDE BINARIO is entitled to request
authorization or previous evaluation by the Medical Auditing Department.
ANTERIOR
CHRONIC HEMODIALYSIS
When the prescription or need arises after enrollment and does not result from preexisting condition,
OSDE BINARIO provides total uncapped coverage through listed providers:
• 100 % disposable material.
• 100 % professional fees.
NON-SURGICAL ORTHOSIS AND PROSTHESIS MADE IN THE COUNTRY
50 % coverage (prosthesis, orthosis, orthopedic footwear, sports orthopedic footwear, insoles, corsets and splints).
SURGICAL PROSTHESIS AND IMPLANTS MADE IN THE COUNTRY
100 % coverage in prosthesis and implants made in the country, provided directly by OSDE BINARIO.
KIDNEY TRANSPLANTS
When the prescription or need arises after enrollment and does not result from a preexisting condition,
OSDE BINARIO offers total coverage of presurgery patient and donor tests, inpatient hospitalization and surgery.
• 100 % medicines and disposable material.
• 100 % professional fees.
• 100 % post-transplant medicines and drugs (by direct provision).
ONCOLOGY TREATMENTS
In listed facilities 100 % coverage of:
• Lineal accelerator.
• Telecobaltotherapy.
• Radiotherapy.
• Radioisotopes.
• Radiumtherapy.
• Chemotherapy: By direct provision of cytostatics according to pathology, subject to presentation of oncology plan
and protocol. Corticotherapy that might accompany this type of treatment will also have 100 % coverage.
SIGUIENTE
ANTERIOR
SIGUIENTE
MODES OF MEDICAL COVERAGE ABROAD
This service is coordinated by the Medical Advisory Department
Consultation and/or referral centers:
OSDE BINARIO has arranged for high complexity health institutions in the USA, Canada and Israel at international level to
act as consultation and/or referral centers. All of them have their own renowned staff in all the different specialties and
state-of-the-art facilities and technology concentrating consultations from all over the world.
Interconsultation service
At a member or a professional’s request, a consultation with the professionals listed for Plan 510 can be arranged, providing
it is justified by the type of pathology.
OSDE BINARIO also offers a consultation service with institutions of international prestige, enabling you to access a second
opinion on your diagnosis. This service may be required by the patient or the attending professional. OSDE BINARIO will
analyze the feasibility of a consultation abroad through its Medical Advisory Department at reception of the clinic history and
a copy of the tests performed, guiding the member in the necessary procedures.
OSDE BINARIO will send the information to the consultation center and bear the cost of the expenses derived from it.
Programmed referral
This service considers the possibility of carrying out high complexity procedures, which are not performed in the country, in contracted centers abroad. If a trip to one of the contracted
centers is decided jointly by OSDE BINARIO’s Medical Advisory Department and the patient, additional information about the following topics will be required from these institutions:
1) Estimated length of stay.
2) Complexity degree of the proposed services.
3) Estimated cost.
Coverage by OSDE BINARIO will be up to the reimbursement caps established for your plan. Travel and accommodation expenses will be born by the member.
USE OF EMERGENCY SERVICE IN NEIGHBOURING COUNTRIES
Medical attention
At presentation of your credential and ID, emergency medical attention may be obtained at any of the contracted centers in Brazil, Chile, Paraguay and Bolivia listed in your brochure.
Coverage is for all the listed services provided within the country, except when otherwise specifically stated. OSDE BINARIO is entitled to request
authorization or previous evaluation by the Medical Auditing Department.
ANTERIOR
SIGUIENTE
COVERAGE OF SERVICES WITH OUT-OF-NETWORK PROVIDERS
Reimbursement
When using out-of-network facilities and/or professionals, the benefits included in this service schedule can be accessed
according to the provisions set forth by OSDE BINARIO, the amounts and caps established for each plan and waiting times
mentioned in the brochure. The documentation required in each case may be checked at any of our Customized Attention Centers.
Restrictions to coverage
Coverage of conditions existing prior to enrollment will always be provided within Plan 1-015, regardless of the plan chosen
by the member. Plan 1-015 meets the requirements of the Mandatory Medical Program (PMO) set up by Resolutions 939/00
and 201/02 of the Ministry of Health.
OSDE BINARIO provides no coverage for treatments, procedures and surgeries which:
• are in an experimental stage.
• are not endorsed scientifically.
• are contrary to legal regulations in force.
• are opposed to the natural life process of an individual.
• Blood provision.
• Chronic psychiatric inpatient hospitalization.
• geriatric inpatient hospitalization.
• cosmetology.
• are for lesions resulting from delinquent or criminal maneuvering by the affected party.
• are for lesions resulting as a consequence of participating in professional competitions,
tests or skill and / or speed demonstrations of any kind (sport motorcycling, car racing, parachuting or parasailing).
• Inpatient hospitalization in any ethiology or pathology chronic process, irreversible or not susceptible to improvement with
medical and / or surgical treatment, except for acute episodes or complications or terminal stages appearing in the course
of such processes. Such cases shall have to be evaluated by OSDE BINARIO’s Medical Auditing Department.
• Practices not included in the Mandatory Medical Program (PMO).
ANTERIOR
SIGUIENTE
Provisions
WHO CAN JOIN OSDE
• Independent entrepreneurs.
• Self-employed workers (professionals, businessmen, etc.).
• Those not included in the category of workers on an employment basis, independent businessmen or self-employed professionals
who have been or still are related to the abovementioned activities.
For example:
• Pensioners (under age 65), except for those who were enrolled in OSDE BINARIO at the time of their retirement.
• Beneficiaries of subsidies or benefits covered by law.
• Directors of corporations who charge fees for their position (only through the company they represent).
Requirements
• Enrollment application form (F1), with complete information on the primary member.
• Age limit for new enrollments or when there is no continuity: 64 inclusive, both for the primary member and spouse.
• It is essential to state C.U.I.T. or C.U.I.L. number in F1.
• Present identification document (DNI, LC, LE or CI) at enrollment.
EFFECTIVE ADMISSION DATE
Admission is effective as from date of acceptance of application, except when the applicant requests in writing that such admission is effective as from a later date.
Applications must be submitted together with a complete health statement and, in the case of pre-existing illnesses; a clinic history attached to the form, which will be
evaluated by the Medical Auditing Department to decide on admission.
The final decision on the application made will be formally notified by credible means of communication. Applications can also be submitted through our website.
PROVISIONAL APPLICATION COUPON
The provisional application coupon, which is part of the application form, enables the applicant and family group to make use of medical services in visits and low complexity
practices as a provisional benefit until a final plastic card is issued at acceptance of application.
The use of any service during the evaluation period does not imply final acceptance of the applicants. Provisional application coupons are valid for 20 days.
Regarding pharmaceutical services during the mentioned period, the member shall pay 100% of the expenses, being entitled to claim 40 % reimbursement at presentation
of a medical prescription containing information from provisional membership card, invoice and medicine packaging slip.
Coverage is for all the listed services provided within the country, except when otherwise specifically stated. OSDE BINARIO is entitled to request
authorization or previous evaluation by the Medical Auditing Department.
ANTERIOR
SIGUIENTE
SYSTEM BENEFICIARIES
Required documentation
System beneficiaries are:
• The primary member.
• Spouse or common-law spouse.
• Children up to age 20 inclusive.
• Stepchildren – Common law spouse’s children (up to age 20 inclusive, with a photocopy of birth certificate).
• Additional junior member (between ages 21 and 25 inclusive and between ages 26 and 35 inclusive, with different fees depending on
age group). Disabled children regardless of age. Admission in these cases requires a certificate issued and signed by the National
Institute for the Disabled (Ramsay 2250 – Capital City). Such certificate must state that disability is total and permanent, and admission
will be subject to OSDE’s medical auditing.
• Ward under 21 (guardianship appointed by Juvenile court).
When a family group including parents in charge had been enrolled through a company, the change in membership status to direct
enrollment allows the inclusion of those parents in the group.
• Grandchildren in charge: children of single mother under 21 years of age can make up her parents’ primary family group by paying an
amount equivalent to one more member instead of the additional fee, provided both of them (single mother and child) are effectively in
the primary member’s charge. A birth certificate stating such situation is required. This benefit will be maintained until the single
mother is 25 inclusive.
• It should be highlighted that in the case of pregnant daughters over 21 included in the family group it is advisable that they withdraw
from the group and start a new separate enrollment with the purpose of providing coverage for the newborn, given that being the
mother of age, coverage of the newborn cannot be provided through a grandparent.
• In the case of single sons below 21 with children, admission within the family group will exclusively be made when the court has given
the paternal grandparent custody of the child.
ANTERIOR
SIGUIENTE
DEFINICIÓN DE APORTES POR INTEGRANTES
Primary member aged 18 to 25 inclusive: ...................................... NEO
Primary member aged 26 to 35 inclusive: ..................................... Young individual
Primary member aged 36 and above: ............................................ Individual
Children between ages 21 and 25: ................................................. Junior additional (reduced fee)
Children between ages 26 and 35: ................................................. Young individual
Parents: ......................................................................................... Additional in charge
Nuclear family group: Billing will be made according to the number of members.
Young individual: Between ages 18 and 21, with explicit authorization from either both parents or guardian who empower
them and assume their obligations.
CHANGES IN MEMBERSHIP
Admission of relatives after primary member’s enrollment
They must be reported by means of an enrollment application form (Admissions), complete with the following information:
• Primary member’s enrollment number.
• Full name of primary member.
• Information about relatives to enroll.
• First month of contribution.
• Number and company name only in the case of direct groups (direct members and/or through a company).
WAITING TIMES
In order to use the benefits, relatives enrolled after the primary member will be subject to the waiting times set forth for this
membership category (direct). Children born under OSDE BINARIO’s coverage, whose mother had complied with the waiting
time established for maternity, will not be subject to waiting times.
Effective date
From date of presentation or the month following it.
Form 1 may be sent by fax to inform about enrollment. Changes in membership as well as in personal information or plan may
be made by phone, fax or through our website www.osdebinario.com.ar.
Coverage is for all the listed services provided within the country, except when otherwise specifically stated. OSDE BINARIO is entitled to request
authorization or previous evaluation by the Medical Auditing Department.
ANTERIOR
SIGUIENTE
WITHDRAWAL OF PRIMARY MEMBER AND RELATIVES
It must be informed to OSDE BINARIO by means of a telegram, letter or copy of the death certificate or a membership
application form (F1) checking the "Withdrawal" box, complete with the following information:
• Membership number.
• Full name of primary member and/or relative to be withdrawn.
• Last month of contribution.
• Reason for withdrawal.
• Name and signature of primary member.
This is a procedure to be made personally by the primary member. Consequently, withdrawal of primary member automatically results in
withdrawal of the family group.
Credentials are to be returned at presentation of form.
ANTERIOR
MEMBERSHIP INTERRUPTION DURING ABSENCE FROM THE COUNTRY
The possibility of restoring membership without losing seniority or the benefits that accompany it, to those members
who requested membership interruption due to a transitory absence from the country, will only be possible subject to
compliance with the following conditions:
• That membership interruption is requested by the member in writing before leaving the country
(a model application letter is provided by OSDE).
• That a request for restoration of membership is expressly made within 60 days after date of return.
• That the period of absence is not less than 6 (six) months or more than 24 (twenty-four) months.
• That membership has been effective for at least 1 (one) year before the benefit is requested.
• That the request is accepted by OSDE’s General Manager or a Branch manager and an officer specially
appointed by the branch.
• When the request is for the family group, a photocopy of the ticket must by submitted.
Repetition of this request will only be attended to when the interested party pays at least 1(one)-year fees of the
corresponding plan and complies with the above requirements.
Requirements
Passport or documents proving stay abroad.
Coverage is for all the listed services provided within the country, except when otherwise specifically stated. OSDE BINARIO is entitled to request
authorization or previous evaluation by the Medical Auditing Department.
SIGUIENTE
ANTERIOR
WAYS OF PAYMENT
Payment can be made in the following ways:
• ATMs of the Link and Banelco networks.
• To the cashier at listed banks.
• Rapipago.
• By direct debit with credit cards: Visa, MasterCard, American Express, diners, Cabal, Carta Credencial and Carta Franca.
• By direct debit from a current or savings account in listed banks.
• By phone draft. This service is exclusive for Metropolitan Branch members.
• Internet: www.paykey.com.ar and www.pagomiscuentas.com.ar
REIMBURSEMENT
Payment of reimbursements will be made through Red Datanet by crediting the amount to the member’s bank account.
SIGUIENTE
ANTERIOR
SIGUIENTE
1200368 - enero 2003
ANTERIOR
Av. Leandro N. Alem 1067 - Piso 9 - C1001AAF - Buenos Aires - Tel.: 4310-5000
[email protected] - www.osdebinario.com.ar