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ASB_ARB_20070112.0004	0	10010.000	10019.900				The new system for health insurance: Will the new negotiations meeting scheduled today between the fund and the pharmacists lead to finalizing the points in dispute between the two parties?	0	0	0		
ASB_ARB_20070112.0004	0	20010.000	20019.900				Tunis - Al-Sabah: A meeting for new negotiations is scheduled to be held in Sfax today between the National Health Insurance Fund and the pharmacists to discuss a number of technical and organizational questions and arrangements related to the services of the new system for health insurance.	0	0	0		
ASB_ARB_20070112.0004	0	20020.000	20029.900				The meeting is expected to deal first with the pending questions between the two parties, as they need further clarification for the purpose of drawing closer the points of view on them, especially in matters related with how the pharmacists will deal with medical prescriptions for the members of the fund, how to regain the costs for the medicine, and the process that will allow the pharmacist to verify the eligibility of those covered.	0	0	0		
ASB_ARB_20070112.0004	0	30010.000	30019.900				Socially for regaining the medical expenses from the fund or not... while there is no information system that allows the pharmacist to at least quickly deal with these various stages at the present time.	0	0	0		
ASB_ARB_20070112.0004	0	40010.000	40019.900				The pharmacists put great importance on clarifying the technical questions that are still obscure, such as the time that it will take to verify the data about the member who is using the fund services before he is to be supplied with the list of medicines included in the medical prescription.	0	0	0		
ASB_ARB_20070112.0004	0	40020.000	40029.900				The pharmacists are afraid that the slowness in establishing a developed information system that will not only allow connecting the database related to the fund members and the information about them with the service providers, but it will also guarantee speedy electronic contact with the database, instead of wasting valuable time, which may hurt the interests of the pharmacist and the patient at the same time.	0	0	0		
ASB_ARB_20070112.0004	0	50010.000	50019.900				The pharmacists also expressed concern about the difficulties that may have negative consequences on their work, such as the proposal calling for leaving the function of verifying the medicines included in the medical prescription and their reference prices to the pharmacist, together with the recommendation for choosing the least expensive medicines...	0	0	0		
ASB_ARB_20070112.0004	0	50020.000	50029.900				Although refunding the costs of medicines relating to chronic and long-term diseases is settled, the problem is especially related to the other types of sicknesses, for which the rate of cost refunds will be gradually settled.	0	0	0		
ASB_ARB_20070112.0004	0	60010.000	60019.900				...Supplying the medicines	0	0	0		
ASB_ARB_20070112.0004	0	70010.000	70019.900				It is worth mentioning that supplying life support medicine is totally covered by the fund.	0	0	0		
ASB_ARB_20070112.0004	0	70020.000	70029.900				The fund covers 80% of the cost of the necessary or basic medicines.	0	0	0		
ASB_ARB_20070112.0004	0	70030.000	70039.900				The fund also provides for 40% of the medium medicines, and medicines that are listed as health wellness medicines are excluded from fund coverage; they are to be paid for by their beneficiary.	0	0	0		
ASB_ARB_20070112.0004	0	70040.000	70049.900				It is known that the Sickness Insurance Fund covers medical work, medicines, and medical necessities provided for in the basic system...	0	0	0		
ASB_ARB_20070112.0004	0	80010.000	80019.900				Covering ordinary sickness	0	0	0		
ASB_ARB_20070112.0004	0	90010.000	90019.900				It is worth noting that the basic goal of the first stage of applying the new sickness insurance system is represented in the opening up to the private medical sector in the field of chronic diseases. In addition to treatment in the public sector, the fund in this stage will provide the private sector with the targeted treatment necessities in the field of the external clinics and medical lodging by bearing the cost of the medical services such as check-ups, laboratory analysis, and medicine, in accordance to the method of refunding expenses, or paying the party in the field of treatment of chronic diseases and follow-up to pregnancy.	0	0	0		
ASB_ARB_20070112.0004	0	100010.000	100019.900				Further openness toward the medical private sector will be achieved upon entering the second stage in relation to the ordinary sicknesses, and in accordance to the method of refunding the expenses or the method of the paying party, in case of selecting the family doctor. Upon reaching the third and final stage, total openness toward the private stage will be achieved and the three methods for the coverage stipulated in the agreement between the social parties when the law was issued will be activated. They include the coverage method of the public sector, the coverage method of the private sector, in accordance to the method of the paying party.	0	0	0		
ASB_ARB_20070112.0004	0	110010.000	110019.900				It is worth mentioning that the Board of Directors of the National Fund for Sickness Insurance had approved the projects of the agreements concerning the doctors in free practice, dentists, and biologists after negotiations between them that has lasted for months. It is presently conducting a negotiation process with the pharmacists, before negotiating at a later time with the owners of private clinics.	0	0	0		
ASB_ARB_20070112.0004	0	120010.000	120019.900				Application texts	0	0	0		
ASB_ARB_20070112.0004	0	130010.000	130019.900				During the current year, a number of application texts related to the medical observation and the framework agreement organizing the relations between the fund and the service providers had been issued.	0	0	0		
ASB_ARB_20070112.0004	0	130020.000	130029.900				The fund started managing the existing systems, and preparations were made for the projects related to the orders concerning the coverage methods, controlling the stages of applying the new system, and the rates of subscription.	0	0	0