If you are a beneficiary of ADSE, this article is for you. By 2017 there are several significant changes to take into account. Get to know them in this article.
As from 2017, the ADSE will be managed by a public institute of managed management. The health subsystem of civil servants has undergone significant changes and, if it is a beneficiary of this system, it is important that you know them.
The Minister of Health has issued a Decree-Law that changes the old model and the new rules are already in force.
Learn all about the changes in this article.
BUT, AFTER ALL, WHAT IS THE ADSE?
The ADSE – General Directorate of Social Protection for Public Employees – is an integrated service of the Ministries of Health and Finance, with administrative and financial autonomy.
It has as its main responsibility the management of the social protection system that concerns public sector workers.
The mission is to ensure that beneficiaries are protected with regard to health, disease prevention and any needs related to treatment and rehabilitation.
WHAT ARE THE RIGHTS AND DUTIES OF THE BENEFICIARIES?
- All beneficiaries of the system have the right to use the services and institutions that are health care providers integrated in the National Health Service;
- Under the Agreed Regime, the beneficiaries may use health entities with which ADSE has an agreement;
- Costs of healthcare provided by unconventional private entities may be reimbursed through the Free Regime;
- The right to access medical care outside Portugal is provided for.
- Beneficiaries are obliged to present the beneficiary card at the time of purchase of qualifying goods, as well as when they agree to provide the necessary health care;
- It is the duty of the beneficiary not to cede the ADSE card to other persons, taking care of its good use and not causing financial and patrimonial damages to the system;
- You have the duty to inform if there are changes in your professional or personal situation that may interfere with your condition of access to the system;
- They are subject to a monthly discount corresponding to 3.5% of their due date.
WHAT HAS CHANGED IN THE ADSE?
Among the various changes, the following stand out:
ENLARGEMENT OF BENEFICIARIES
This measure extends ADSE services to public servants who have an individual contract of employment, such as nurses operating in public hospitals.
It also aims to reduce the average age of the beneficiaries, which is 48 years old.
WORKING SPOUSES IN THE PRIVATE SECTOR ARE ENTITLED TO ADSE
It intends to count on the contribution of more family members of civil servants, who were previously excluded from the right to the health subsystem.
Spouses of civil servants who work in the private sector are granted access to services by charging a contribution fee.
CHILDREN OVER 25 YEARS OLD CAN JOIN ADSE
This entitlement is also extended to dependent beneficiaries. Starting in 2017, contrary to what happened previously, children over 25 years of age will be able to join the subsystem with a contribution.