At least we must cover the common services of the SNS (Social Security):
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WE COVER
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WE DO NOT COVER (under the responsability of the mutual insurance company)
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Primmary care
Assistance in a country member of the EU by refunding the payment
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Travel in a non UE country
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Specialised care
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Consultations
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Day hospital and medical-surgical
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Hospital stay
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Hospital home-care unit
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Psychiatric hospitalization
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Rehabilitation
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Human assisted reproduction
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Mental care (diagnostic, clinical monitoring y psychopharmacotherapy)
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Transplantation
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Plastic, esthetic and reconstructive surgery
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Coverage agreements with MUFACE, ISFAS and MUGEJU do not include international assistance. We suggest you to go to the Provincial Delegation of your Mutuality for further information about the procedures you have to do.
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Emergencies care
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External prosthesis
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Hospice
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Pharmaceutical material
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Dental care
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In dentistry and diagnostic tests related to these treatments, fillings (except those included in Children oral health program), dentures, root canals, osseointegrated orthodontics (unless as consequence of an accident or disease) and Periodontics
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Hospitalary medicines
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Cosmetic surgery not related to accident, illness or congenital malformation
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Medical transport
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Psychoanalysis and psychoanalytic psychotherapy , hypnosis, ambulatory narcolepsy , psychological and social placement test patients suffering from neurodegenerative dementias in psychiatric care
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Other services
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Podología
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Oxygen therapy and respiratory therapy
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Prothesic surgical implants, therapeutic o diagnostics
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Preemptive programs (vaccination calendar, antibiotic chemoprophylaxis, preemptive breat cancer programs, cervical cancer and colon cancer)
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Occupational Therapy, and Acupuncture and Homeoterapia
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Who is covered by the mutual insurance company?
From the date the mutual that the mutual insurance member is assigned to Asisa he has access to the assistance.
Both holders and beneficiaries are given by the mutual insurance company.
Newborns are covered by Asisa with the policy of the mother from their delivery and until after one month.
When will I receive my health card?
Once the mutual insurance company has confirmed your registration, Asisa will send you the health no later than 7 days.
When can I start using the insurance?
The healthcare policy is available since the day the policy holder requests in the Mutual insurance company the registration to ASISA but until the mutual insurance company does not confirm the registration we cannot send the health card to the policyholders.
However, in Asisa even if you do not have the card you can benefit from our services:
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You can show up as member of Asisa providing your ID and your mutual company membership number.
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Also, you can go to any of our offices and we will provide you a temporary card.
In both cases, the Health professional will provide an extraordinary receipt with all his personal information and the type of assistance received signed by the insured.
What happens if I go abroad?
Asisa provides coverage in all the member countries of the UE under the agreement with the mutual insurance company and through reimbursement system: “ Cross-border assistance by Asisa includes those health benefits of the common portfolio of SNS portfolio whose coverage is provided by Asisa. The type of coverage will be the reimbursement of the expenses.”.
Travel assistance in non UE member countries is not included in the coverage provided to mutual insurance members. We suggest you to go to the Provincial Delegation of your Mutual insurance company for further information about the procedures you have to do.
Where can I ask for a prescription stub?
Prescriptions are provided by the correspondent Mutual insurance member, hence, you have to go to the Provincial Delegation of your mutual insurance member to ask for them.
What dental coverage do I have with my policy?
The coverage of treatments due to stomatologic diseases, including all the extractions, peridontics and one mouth cleaning per year, if more mouth cleanings are needed a report from a specialist will be required.
Additionally the program of oral healthcare for youngers than 15 years will be included. It consists in periodical checkups, application of topical fluoride and fillings. Excluded, in cost and colocation, are dental prosthesis, osseointegrated dental implants and orthodontics.
We suggest you to go to your Provincial Delegation to obtain information related to you insurance compensations and those treatments that are excluded and the process required to request the compensations.
