Saturday, February 4, 2023

These are the borders and healthcare services Sot will cover in 2023

With definitions for 14 car categories ranging from mopeds to utility vehicles, Inter-Municipal Public Service, Ministry of Health and Social Protection, and Ministry of Finance and Public Credit included in Article 1 of Decree 2497 Established the gap limit for the risk of Compulsory Traffic Accident Insurance -SOAT equal to about 50% of the last applicable value till December 14, 2022.

(Prepare your wallets: here is the full list of satay fees).

The Administrative Act, through which it seeks to reduce evasion in the acquisition of SOAT, indicates that, in the case of differential limits for exposure, 300 the legal daily minimum wage in force and health services that exceed the 800 legal daily minimum wage will be recognized by the Resource Administrator of the General System of Social Security in Health – ADRES-. In the conditions indicated by literal b of point 4 of article 199 of the Organic Law on the Financial System, as amended by point 7 of article 244 of Law 100 of 1993.

The coverage of health services referred to in the decree shall apply only to Compulsory Traffic Accident Insurance -SOAT policies that correspond to the categories of vehicles that are part of the differential limits for the risk issued in the measure.

The provision indicates that the coverage and amounts specified in the organic law of the financial system have not been modified.

(It’s official: The rate hike for 2023 will be 11.7%).

Similarly, he The Financial Superintendent of Colombia will calculate the maximum legal SOAT rate following the principles of equity, adequacy and moderation addressed in the Organic Law of the Financial System.

On the other hand, the effect generated by the measures of the decree will be financed with transfers that are appropriated from the general budget of the nation administered by ADRES in accordance with the General System of Social Security in Health -SGSSS-. Budget availability…

With regard to coverage, the measure states that an amount commensurate with the health services provided to victims of traffic accidents, catastrophic events of natural origin, terrorist incidents or other approved events, The SOAT will be covered by the insurance company or the general system of social security in health -administrator of the resources of the ADRES- In the following events:

1. By the insurer, when services are provided as a result of a traffic accident in which the vehicle involved is covered by the SOAT policy to a maximum value of 800 legal daily minimum wages in effect at the time of the accident.

2. In the same way, it will be the insurer for services rendered as a result of a traffic accident in which the vehicle involved is covered by the SOAT policy in categories specified by the standard.

3. In cases of traffic accidents in which two or more insured vehicles have taken part, each insurance company will cover the amount of compensation to the occupants of the insured. In case of non-occupant third parties, the claim can be made against any of the insurers.

4. When two or more motor vehicles have taken part in traffic accidents and among them the insured and the uninsured or unknown, procedure shall be provided for in the case of insured vehicles, but the recognition and payment of medical services, compensation and expenses for the uninsured or unknown. The payment to the occupants of the vehicle or vehicles and to third parties shall be the responsibility of the ADRES.

(Soat sales for motorcycles soared 474% in the first week of the discount).

In addition to the above, the measure provides that ADRES will cover services provided as a result of a traffic accident in which the vehicle involved is not identified or insured with SOAT, up to a maximum of 800 of the legal minimum wage. ,

Similarly, ADRES will be the entity that covers expenses for services rendered as a result of a traffic accident in excess of 300 legal daily minimum wages in which the vehicle involved is covered by the SOAT policy and the differential limit for Is part of. The risk specified in the measure.

In addition, the criteria indicate that payments for health services that exceed the coverage limits established by the provision shall be assumed by the health promotion entity to which the victim is affiliated, by the administrators of special and exceptional arrangements when the victim is one of these, or by the Administrator of Occupational Risks -ARL- to which it is attached in the case of an accident at work.

In the same sense, the decree indicates that populations not affiliated with the general system of social security in health, once the threshold is exceeded, will have the right to health care in institutions providing public or private health services.

It will notify the Secretary of Health or its replacement body, corresponding to the provider of services, so that the affiliation procedures for the case can be completed.

In the same way, the norm details that owners of vehicles that register good road behavior and do not report accidents affecting the SOAT policy and who have renewed their policy on time, can enjoy a one-time discount of 10% on the value are entitled to. of the premium issued for SOAT.

Finally, and on top of that, The Ministry of Health and Social Security passed Resolution 2709 which it defines the percentage of the SOAT premium to cover the payment of compensation commensurate with medical, surgical, pharmaceutical and hospital expenses for injuries and the recognition of compensation linked to Total cost resulting from traffic accidents.

In this sense, the provision indicates that companies authorized to issue SOAT policy must allocate 52.5% of the resources towards medical, surgical, pharmaceutical and hospital expenses for injuries and the total costs associated with the process of recognition and payment. Compensation.

Nation World News Desk
Nation World News Deskhttps://nationworldnews.com
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