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Ministry of National Defense Dr. Alexandru Augustin Sibiu Emergency Military Clinical Hospital*

Available procedures

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Procedure regarding the reimbursement of the personal contribution for medicines, according to art.71 of updated order M 110/2009.*

The procedure applies to individuals in the territorial area assigned to the "Dr. Alexandru Augustin" Emergency Military Hospital Sibiu (SMU Sibiu) - individuals from the counties of Sibiu, Alba, and Hunedoara - according to Order M110/2009 art.4, letter (a-d), f), h), j).

Individuals who do not wish or cannot find all medicines at pharmacies contracted with SMU Sibiu can pick up their prescriptions at any community pharmacy at their own expense, requesting the following documents:

tax invoice - original,
receipt - original,
simple prescription/CNAS type prescription (electronic) - "prescription" component and "dispensing" component - original.

To recover the personal contribution paid for medicines prescribed on C.N.A.S. (electronic) or simple prescriptions, the categories of personnel listed above prepare a report to the commander of S.M.U. Sibiu (according to the model attached to the procedure or the form posted on the hospital's website in the ”INFO PATIENTS” section) accompanied by the following documents:

· tax invoice - original,

· receipt - original,

· simple prescription - original - as applicable

· prescription component "prescription" - as applicable

· prescription component "dispensing" - as applicable,

· copy of identity bulletin or identity card,

· copy of the latest pension slip or certificate issued by the personnel office of the military unit (valid for maximum 6 months).

The report and documents are submitted to the hospital (CDC) registry by mail or in person.

The report is resolved within 60 days from the registration of the request/report at the institution's registry.

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Procedure regarding the communication of medical documents upon request*

The procedure aims to regulate the specific conditions for issuing medical documents requested by patients / relatives / authorized persons, as well as the conditions for transmitting the patient's medical data.

The issuance of medical documents requested by patients / relatives / authorized persons is carried out in strict accordance with the provisions of OMS 1410/2016 regarding the approval of the Rules for the application of the Patient Rights Law no. 46/2003, ensuring compliance with the following rules:

a) Requests regarding the communication of personal medical data are addressed by patients / relatives / authorized persons, in writing, by completing the "Request regarding the communication of personal medical documents" form, provided in Annex no. 3 to OMS 1410/2016. The respective form is approved by the hospital commander and is assigned to B.R.S.M. for resolution.

b) In the case of minors, adults without discernment, and adults with temporary loss of exercise capacity, the applicant must prove that they are a relative / legal representative.

c) In the case of authorized persons requesting medical documents of patients, it is necessary to attach the "Patient's Agreement regarding the communication of medical data" provided in Annex no. 5 to OMS 1410/2016.

d) Issuing copies of the requested medical documents is carried out by the person nominated by the head of B.R.S.M. together with the manager of the archival fund, within 30 calendar days from registration at the institution's headquarters.

e) Issuing copies of requested medical documents is done after patients / relatives / authorized persons complete the "Declaration regarding the communication of personal medical documents" form, provided in Annex no. 4 to OMS 1410/2016.

The regulation of the process for issuing medical documents requested by patients / relatives / authorized persons or other individuals entitled to access the information according to the law aims mainly at:

a) The patient has unrestricted access to personal medical data, in accordance with the law. The patient's access to medical data can be direct or indirect – through legal relatives or through doctors nominated by them in Annex no. 5 to the rules "Patient's Agreement regarding the communication of personal medical data" (Law 46/2003 updated).

b) All information regarding the patient's condition, investigation results, diagnosis, treatment, personal data are confidential, even after their death. This information can only be provided if the patient gives explicit consent or if the law expressly requires it. If the information is necessary for other accredited medical service providers involved in treating the patient, granting consent is no longer mandatory. (Law 46/2003 updated).

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Procedure regarding the medical examination for obtaining/extending the driving license and the gun license.*

The procedure is addressed to all applicants who wish to undergo the medical examination for obtaining/renewing the driving license and the firearms permit, within the Specialty Outpatient Clinic of the Emergency Military Hospital "dr. Alexandru Augustin" Sibiu (SMU Sibiu).

According to current legislation, applicants must present:

- the medical examination form filled in with personal data (form downloaded from PCUe or from the institution’s website);

- certificate from the family doctor mentioning pathological history;

- identity card.

The medical examination is carried out at the specialty offices within the integrated Outpatient Clinic, according to the requirements established by current legislation.

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Issuing medical leave certificates*

Medical leave certificates can be issued at the Sibiu Emergency Military Clinical Hospital for acute or chronic conditions for which consultations or medical care have been provided, either through hospitalization or outpatient services.

Individuals entitled to medical leave and health social insurance allowances, doctors authorized to issue medical leave certificates, the duration, conditions, and method of issuance are stipulated in the Government Emergency Ordinance (GEO) no. 158/17.11.2005, the Implementing Rules of GEO no. 158/2005 (an integral part of Order no. 15/2018) hereinafter referred to as the RULES, the Instructions regarding the use and completion of medical leave certificates as of 01.07.2020 (an integral part of Order 1192/2020) hereinafter referred to as the INSTRUCTIONS, and Order no. M.66/2016 for the approval of the Regulation on the establishment, organization, operation and duties of medical-military expertise commissions, with subsequent amendments and completions.

Medical leave certificates are issued either on special-regime forms or in electronic format, following a medical consultation, based on the certificate from the payer (issued on paper or sent by remote means according to the model in Annex no. 7 of the RULES), except for medical-surgical emergencies, certain types of burns, including for the recovery period, as provided in art. 18 para. (5) of the RULES, quarantine, infectious-contagious diseases of group A, infectious-contagious diseases for which isolation is instituted, care of patients over 18 years of age with oncological conditions, and the issuance of subsequent medical leave certificates for the same illness episode by the attending physician who is required to prepare a follow-up plan for the evolution of the disease (according to art. 8 and 34 of the RULES, as well as art. 9, para. (1) of the INSTRUCTIONS).

In cases where medical leave certificates are issued for temporary incapacity for work, family doctors and outpatient specialists shall draw up, under the provisions of art. 10 of the RULES, a follow-up plan for the evolution of the disease, which the insured person is obliged to observe.

The issuance of the medical leave certificate for the care of a patient with oncological conditions is made based on the consent of the oncology patient (according to the model in Annex no. 15 of the RULES) and the certificate issued by the health insurance house where the patient is registered, showing the number of days of leave granted for the care of the oncology patient in the last 12 months, according to the certificate model in Annex no. 7² of the RULES, within the maximum number of 45 calendar days in a 1-year interval for an oncology patient (according to art. 11, para. (6) of the INSTRUCTIONS).

In cases of medical-surgical emergencies where the severity of the disease did not require hospitalization, medical leave certificates are usually granted on the date of the consultation by the doctor who attended the emergency (family doctor, specialist from outpatient care, emergency room) for a maximum period of 5 calendar days (according to art. 26 of the RULES). If the medical leave certificates were not issued on the date of consultation by the doctor who attended the emergency, they can be issued within 5 days from the date of the event by the family doctor based on the recommendation issued by the doctor who attended the emergency (according to art. 10, para. (2) of the RULES).

The medical leave certificate must be submitted to the payer no later than the 5th of the month following the one for which the leave was granted, according to art. 60 of the RULES, or no later than the end of the month in which the certificate was issued in particular situations provided in art. 9 para. (4), art. 10, and 27 of the RULES.

The patient, or as the case may be, their representative, will receive copies 1 (white) and 2 (pink) of the medical certificate; these original forms, which have been transmitted by remote means, must be submitted by the insured person to the payers of health social insurance allowances within 30 days from their issuance date (art. 2, para. (8) of the RULES).

For civilians, medical leave can be granted for a maximum of 183 days within a 1-year interval, except for the conditions provided in art. 13, para. (3), letters a)-d) of GEO no. 158/2005, and art. 18 para. (3) of the RULES for which the duration may be longer. Starting with the 91st day, medical leave may be extended by the specialist doctor up to 183 days with the approval of the social insurance expert doctor, and in duly justified cases, it may be extended beyond 183 days for up to 90 days with the approval of the specialty commission within the National Institute for Medical Expertise and Recovery of Work Capacity (INEMRCM).

For active military personnel, police officers, and prison police officers, medical leave can be granted for a maximum of 180 days within a 1-year interval, of which the first 90 days are granted by the specialist doctor, and starting with the 91st day, at the proposal of the medical-military expertise commissions. After the completion of 180 days, recovery medical leave may be granted for another 120 days, and in duly justified cases up to a maximum period of 550 days, at the proposal of the medical-military expertise commissions, according to art. 61, para. (4) of GEO 158/2005 and art. 3 and 5 of M66/2016.

Ministry of National Defense Dr. Alexandru Augustin Sibiu Emergency Military Clinical Hospital*

B-dul. VICTORIEI nr. 46

Telefon: 0269 211209

Fax: 0269 210577

Email: secretariat@spitalmilitarsb.ro

www.spitalmilitarsb.ro

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