The cooperation between the Health Fund of Republic Srpska and the Atlas general hospital
The insured patients at the Health Fund of the Republic Srpska are entitled to being treated in the Atlas general hospital in Belgrade, in case the treatment can not be performed in the health institutions in the Republic Srpska.
The procedure for sending patients to be treated in the Atlas general hospital in Belgrade is the following:
- Relevant health institution in RS (medical consilium) where a patient has been treated, suggests that further treatment should be continued outside RS, as it is not possible to be performed in Republic Srpska.
- A health institution sends a suggestion with necessary documentation to the Health Fund attached.
- The Fund’s Committee considers the suggestion and approves a further treatment then a final conclusion (decision) is sent to a policy holder’s home address or one can pick it up personally at the Fund’s office.
- Upon receiving a referral letter a patient should contact the Atlas General hospital call centre in order to make an appointment for consultation and to book a date for operation. For the first appointment it is necessary to bring the original referral letter for hospital treatment together with complete medical documentation.
The policy holder pays:
Policy holders who get the approval for hospital treatment outside RS in institutions which have the signed contract with the Fund, it covers all costs, except for participation which is paid by policy holders who are not exempt from paying this participation.
Hospital treatment on personal request
The exception is hospital treatment outside RS on personal request, when the Fund covers 30% of costs and a policy holder covers 70% of costs as hospital treatment could have been performered in RS but a policy holder has insisted to being treated in institutions outside RS. Treatment outside RS on personal request is also approved for institutions which the Health Fund has a signed agreement with.