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The Supervisory Board of the Health Insurance Fund decided to support the year 2015 list of health services

PRESS RELEASE
27.11.2014

At the meeting held this week, the Supervisory Board of the Health Insurance Fund made a proposal to the Minister of Health and Labor to submit the list of health services for the year 2015 to the Government for approval.

This year, 93 applications to update the list of health services were accepted for the proceedings.  The Management Board of the Health Insurance Fund made a proposal to the Supervisory Board to satisfy 59 of them wholly or partially.

"The list of health services that will enter into force next year will create for people with a number of additional possibilities for obtaining a higher quality and more modern medical treatment. The total impact of the changes to next year’s budget of the Health Insurance Fund will form more than  € 40 million," said the Chairman of the Supervisory Board of Health Insurance Board, the Minister of Health and Labor Urmas Kruuse. "For example, from the new year, for the treatment of people with various diagnoses will be added services, which until now have only been available abroad," the Minister added.

From next year forward, the possibilities of family doctors to refer patients to necessary tests will expand - a therapy fund will be created, and the examination fund will be increased by 5%. Also will be modified the underlying indicators of payment for the additional remuneration for quality and the maximum price of the additional compensation. The range of the e-consultation specialty will expand the options of referring to a hematologist, a neurologist, and a pediatrician. As a result of this modification, from the year 2015 it is possible to receive e-consultation service on eight specialties - urology, endocrinology, ear-nose-throat diseases, lung diseases, rheumatology, pediatrics, neurology, and hematology.

In specialized medical care were added a number of new evidence-based and cost-effective services that give people a more diversified range of opportunities for obtaining the necessary medical attention.

Also, a number of options were added to the list of hospital drugs for treatment of people with different diagnoses, for example for the treatment of patients with advanced Parkinson's disease, lupus, and hematologic diseases. Also were added a number of modern cancer treatment options for lung tumors, ovarian tumors, and certain types of leukemia. As a new possibility, biosimilars were added to the list of service.

In cooperation with professional associations and service providers, the limit prices for independent inpatient nursing care and home nursing service have been updated.

As of the New Year, in the list of health services of the Health Insurance Fund will be added two entirely new services which until now have only been available abroad. From the New Year, the Health Insurance Fund will also pay for the surgery of bridging of the cornea performed in Estonia, and for the resorbable implant kits of craniofacial osteosynthesis.The list of the health services of the Health Insurance Fund is a list of medical services, procedures, hospital medications etc., along with their prices and payment terms. The Health Insurance Fund will pay for the services provided in the list of health services to the Health Insurance Fund service provider, who has a contract signed with the Health Insurance Fund, if they are provided to the insured person for based and cost-effective services that give people a more diversified range of opportunities for obtaining the necessary medical attention.

Also, a number of options were added to the list of hospital drugs for treatment of people with different diagnoses, for example for the treatment of patients with advanced Parkinson's disease, lupus, and hematologic diseases. Also were added a number of modern cancer treatment options for lung tumors, ovarian tumors, and certain types of leukemia. As a new possibility, biosimilars were added to the list of service.

In cooperation with professional associations and service providers, the limit prices for independent inpatient nursing care and home nursing service have been updated.

As of the New Year, in the list of health services of the Health Insurance Fund will be added two entirely new services which until now have only been available abroad. From the New Year, the Health Insurance Fund will also pay for the surgery of bridging of the cornea performed in Estonia, and for the resorbable implant kits of craniofacial osteosynthesis.

The list of the health services of the Health Insurance Fund is a list of medical services, procedures, hospital medications etc., along with their prices and payment terms. The Health Insurance Fund will pay for the services provided in the list of health services to the Health Insurance Fund service provider, who has a contract signed with the Health Insurance Fund, if they are provided to the insured person for medical reasons. The list of health services is updated in collaboration with hospitals and specialists in the field. All applications and procedural documents submitted for changing the list are published on the website of the Health Insurance Fund.