NFZ

What medical services can I use this year in the facilities of Luxmed Medical Center under the current contract with the National Health Fund ?

CM Luxmed Lublin

Primary health care - family doctor
Orthopedic outpatient clinic
Audiology outpatient clinic
Diabetology outpatient clinic
Gastroenterology outpatient clinic
Hematology outpatient clinic
Sports medicine outpatient clinic
Neurology outpatient clinic
Oncology outpatient clinic
Pulmonology outpatient clinic
Home hospice
Colposcopy as part of the Cervical Cancer Prevention Program
Mammography as part of the Breast Cancer Prevention Program.
Colonoscopy
Gastroscopy
Dentistry
Day rehabilitation center
Rehabilitation clinic
Outpatient physiotherapy
Prenatal Testing Program
Magnetic Resonance
Computed Tomography

CM Luxmed Biłgoraj Branch

Gynecology outpatient clinic
Oncology outpatient clinic
Cytological examination as part of the Cervical Cancer Prevention Program
Mammography as part of the Breast Cancer Prevention Program.

CM Luxmed Chelm Branch

Speech therapy clinic
Orthopedic outpatient clinic
Endocrinology outpatient clinic
Rehabilitation clinic
Outpatient physiotherapy
Day rehabilitation center

What documents are proof of health insurance?

In connection with the introduction of the system of electronic verification of beneficiaries' entitlements (eWUŚ), the verification of patients' entitlements is carried out each time before the benefit on the basis of the PESEL number. In the case of a child under 3 months of age, who may not yet have been assigned his/her own PESEL number, the right to benefits is confirmed by the PESEL number of the child's parent or guardian.

In the absence of notification in the system, the patient if he confirms insurance will have the opportunity to fill out a statement about the patient's right to health care services.

On this basis, a patient can be admitted free of charge on a given day for a service contracted with the National Health Service, or have a prescription issued for reimbursement on a commercial visit.

Do I need to have a document of insurance when signing the declaration to join the POZ?

Since 01.01.2013, in connection with the introduction of the system of electronic verification of the rights of recipients (eWUŚ), verification of the rights of patients is carried out each time before the service on the basis of the PESEL number. In the case of a child under 3 months of age, who may not yet have their own PESEL number assigned, the right to benefits is confirmed by the PESEL number of the child's parent or guardian.

In the absence of notification in the system, the patient, if he confirms insurance, will have the opportunity to fill out a statement of the patient's right to health care services. On this basis, the patient can be admitted free of charge on a given day for a service contracted with the National Health Service. Therefore, carrying a current insurance document is not required. At registration, the patient presents an identity document (ID card, passport, driver's license, in the case of students under 18 years of age, school ID card and biometric ID card in the case of children) together with the PESEL number.

Is it possible for a doctor on a private visit to make a referral for laboratory/diagnostic tests, rehabilitation, outpatient clinic or hospital under the National Health Service?

As part of commercial treatment, a doctor may not issue referrals for tests reimbursed by the National Health Fund. Such referrals can be issued only in the case of treatment in clinics and outpatient clinics that have signed an agreement with the provincial branch of the National Health Fund in a given calendar year. In most cases, a referral issued by a family doctor is required for specialized treatment. For specialized examinations and rehabilitation, the patient may be referred only and exclusively by a specialist of a National Health Fund outpatient clinic, on the basis of the patient's documented history of treatment within that clinic.

In life-threatening or health-threatening situations, a doctor may issue a referral for hospital treatment.

What should I do if the eWUŚ system does not confirm my insurance?

In the absence of notification in the system, the patient has the opportunity to fill out a statement of the patient's right to health care services, based on which the patient can be admitted free of charge on a given day for a service contracted with the National Health Service.

A patient in such a situation should verify his insurance with the premium payer as soon as possible and with this document report to the appropriate branch of the National Health Fund, where he should explain the lack of notification in the eWUŚ system.