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Reimbursement of the personal contribution related to medicines and medical services/investigations according to Order M110/2009*

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In accordance with the provisions of the Order of the Minister of National Defense no. M 110/2009 – Instructions regarding medical and pharmaceutical assistance in the Ministry of National Defense during peacetime, with subsequent amendments and completions, the following categories of persons benefit from medical assistance and medicines within S.C.M.U. Timișoara:
a) active military personnel;
b) volunteer soldiers and ranks, including during the training period;
c) pupils and students of military educational institutions;
d) reserve military personnel called to duty, regardless of rank, only during the period of call-up;
e) family members of active military personnel*);
f) reserve and retired military personnel, military pensioners;
g) family members of reserve and retired military personnel;
h) military pensioners on grounds of disability as a result of accidents at work or illnesses contracted during and due to fulfilling military obligations, who later opted for a pension from the state social insurance system;
i) public officials and contractual civilian personnel from the Ministry of National Defense (civilian personnel);
j) veterans, widows and disabled persons of war, as well as other categories of persons provided for in special laws;
k) other categories of persons, in accordance with the law.
*) By family members of active military personnel is meant spouse, children and parents who are legally dependent on them (art. 112 of Law no. 80/1995 regarding the status of military personnel, with subsequent amendments and completions).
From the budget of the Ministry of National Defense, the cost of the personal contribution for subsidized medicines and the cost of medicines not included in the lists of subsidized medicines is covered for the categories of persons provided for in art. 4 letters a) - f), h) and j).
The reimbursement of medicines prescribed on simple prescriptions is made with the cumulative fulfillment of the following conditions:
a) the prescribed medicines are not provided free of charge through national health programs;
b) the prescribed medicines are not included in the lists of subsidized or free medicines.
Depending on the medical services available within S.C.M.U. Timișoara, according to the normative acts in force, the following are ensured:
1) primary health care and health promotion services, early detection of diseases;
2) specialized outpatient and inpatient medical services;
3) dental medicine services;
4) emergency medical services;
5) medical services for health recovery-rehabilitation (physiotherapy);
6) medico-military expertise.
The categories of persons provided for in letters a) - g) benefit from the reimbursement of the personal contribution for medical services established by the normative acts in force, from the budgetary funds of the Ministry of National Defense.
The categories of persons provided for in letters e) - h) and j) benefit free of charge from the medical services mentioned at points 1) - 5) above, under the conditions provided by law.
Persons provided for in letter i) benefit from the reimbursement of medical services provided from the Ministry of National Defense budget only if the condition occurred due to a work accident or an occupational disease.
Persons provided for in letter k) benefit from medical assistance within S.C.M.U. Timișoara, pursuant to applicable legal provisions.
Reimbursement of the personal contribution related to medicines.
- persons who are unable to obtain medicines from the pharmacy of the S.C.M.U. Timișoara outpatient clinic or from pharmacies contracted with S.C.M.U. Timișoara or do not find all prescribed medicines in these pharmacies, may collect prescriptions from any community pharmacy contracted with the health insurance house, at their own expense, requesting the following documents:
- tax invoice (in original);
- receipt (in original);
- simple prescription/CNAS type prescription (electronic) – "prescription" component and "dispensing" component (in original).
- to recover the personal contribution paid for medicines prescribed on CNAS type (electronic) or simple prescriptions, the categories of persons mentioned in art. 5.1. of this procedure must prepare a report to the commander of S.C.M.U. Timișoara (according to the attached model – Annex no.1), accompanied by the following documents:
- tax invoice issued by the pharmacy that dispensed the medicines (in original);
- receipt corresponding to the tax invoice (in original);
- simple prescription (in original);
- medical recommendation (copy of CNAS type prescription);
- the pharmacy-dispensed medicines form (copy);
- copy of identity document;
- copy of documents proving the status as reserve/retired military personnel/military pensioner (pension coupons, military pensioner ID/veteran ID, etc.);
- the report and supporting documents shall be submitted to the S.C.M.U. Timișoara registry (C.D.C.) by mail or in person and registered at the outpatient pharmacy of S.C.M.U. Timișoara;
- the designated commission analyzes the request and checks the supporting documents; the deadline for resolving the request regarding the reimbursement of the personal contribution related to the cost of medicines is 30 days from the registration of the request;
- after analyzing the request, the commission prepares a minutes, approved by the commander, and forwards it to the financial-accounting structure;
- if the documents are not complete/correct, they will be returned to the applicant with the necessary recommendations;
- payment will be made by the financial-accounting structure of the hospital, according to the allocated budget, without exceeding the legal deadline;
- any grievances/complaints regarding the manner of resolving the requests shall be submitted at the S.C.M.U. Timișoara headquarters.
Reimbursement of the personal contribution related to medical services/investigations.
- to recover the personal contribution paid for medical services/investigations, the categories of persons mentioned in art. 5.1. of this procedure must prepare a report to the commander of S.C.M.U. Timișoara (according to the attached model – Annex no.2), accompanied by the following documents:
- recommendation or approval of the specialist doctor from the Clinical Military Emergency Hospital "Dr. Victor Popescu" Timișoara;
- copy of the identity card/document;
- receipt/tax invoice/receipt (in original) showing the value of the medical expenses incurred;
- pension coupon copy (as applicable);
- copies of documents proving that family members of military personnel are legally dependent on them (as applicable);
- other documents deemed necessary, depending on the situation;
- the report and supporting documents shall be submitted to the S.C.M.U. Timișoara registry (C.D.C.) by mail or in person;
- the designated commission analyzes the request and checks the supporting documents; the deadline for resolving the request regarding the reimbursement of the personal contribution related to the cost of medical services/investigations is 30 days from the registration of the request;
- after analyzing the request, the commission prepares a minutes, approved by the commander, and forwards it to the financial-accounting structure;
- if the documents are not complete/correct, they will be returned to the applicant with the necessary recommendations;
- payment will be made by the financial-accounting structure of the hospital, according to the allocated budget, without exceeding the legal deadline;
- any grievances/complaints regarding the manner of resolving the requests shall be submitted at the S.C.M.U. Timișoara headquarters.
The report accompanied by documents shall be submitted at the hospital registry (C.D.C.), in person or by mail.
*
Entitled persons
Regulated professions
Required documents

Denumire

Descriere

Obligatoriu

Semnătură digitală

Tip document

Descarcă


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Report on reimbursement of medicine costs*
Descarcă
Formular tipizat
Document obligatoriu
Semnatură digitală obligatorie
Se poate obține prin OOTS
Report on the reimbursement of the value of medical services/investigations*
Descarcă
Formular tipizat
Document obligatoriu
Semnatură digitală obligatorie
Se poate obține prin OOTS
Issued documents

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Tip document

Descarcă


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None
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Deadlines
Resolution time:
60
Calendar days
Case filling duration:
5
Calendar days
Notification deadline:
5
Calendar days
Appeal routes
Any notifications/complaints regarding the way requests are handled shall be submitted at the headquarters of S.C.M.U. Timișoara.
*
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Last updated: 
15 January 2024
Publicat de către: 
A paragraph is a self-contained unit of a discourse in writing dealing with a particular point or idea. Paragraphs are usually an expected part of formal writing, used to organize longer prose.
Institution responsible with document: 
Publicat de către: 
A paragraph is a self-contained unit of a discourse in writing dealing with a particular point or idea. Paragraphs are usually an expected part of formal writing, used to organize longer prose.
Ministry of National Defence Emergency Military Clinical Hospital, Dr. Victor Popescu, Timisoara*
*Content marked with an asterisk (*) has been automatically translated and may not fully reflect the original meaning. For objective interpretation, please consult the Romanian version.
Ministry of National Defence Emergency Military Clinical Hospital, Dr. Victor Popescu, Timisoara*
Timișoara, str. Gheorghe Lazăr, nr.7, jud. Timiș
Telefon: 0256201811
Fax: 0256201823
Email: secretariat@smutm.ro
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Ministerul Apărării Naționale - Spitalul Clinic Militar de Urgență ,,dr. Victor Popescu” Timișoara - RELAȚII PUBLICE
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