ADSE will have changes next year

by Andrea
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ADSE will have changes next year

ADSE will have changes next year

Public employees covered by ADSE will pay a maximum of 500 euros per surgery and receive greater reimbursement for consultations.

From 2025, ANS will change its usage policy. The changes will make the beneficiaries save around 11.2 million euros, as pointed out in , where it is written that this health insurance has “more than 1.3 million beneficiaries”, most of them civil servants.

It’s a “commitment to more and better healthcare,” he writes. Now, “beneficiaries will bear a maximum cost of €500 for any surgery carried out under the Conventioned Regime, with ADSE assuming the entire remaining value”.

Furthermore, Reimbursements for consultations under the free regime also increasenamely nutrition consultations and teleconsultations, as highlighted by , and in these consultations there will be a contribution of 25 euros (an increase of almost €5). There will still be more participation in consultations under the agreed regime.

Providers of the scheme will also have a 6% increase in the amounts that ADSE pays.

The amount paid by insurance for general clinic consultations also increases from 20 to 25 euros. In the specialty, ADSE paid 25, and now it will pay 35€.

There is no increase in insurance payments, but there are slight increases in copayment. In particular, in consultations under the agreed regime the user will have to pay an additional euro (5€), and in specialist consultations this amount also increases from 5 to 7 euros.

According to the statement, These measures will cost 13 million euros (approximately the value of the savings is lost to public employees who benefit from the health subsystem, points out Renascença).

According to, artificial intelligence will to help, carrying out a automatic coding. Furthermore, a signature on copayment documents will no longer be required.

An application will also be created where refund requests can be submitted and the ADSE cards will be delivered to the beneficiary’s home address.

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