Good news for patients: more medical devices will be reimbursed
The National Health Insurance Fund under the Ministry of Health (NHIF) announced that the number of medical devices available for rent by patients with diabetes mellitus is increasing. Patients who require smart insulin pumps for home-based health care can already rent them free of charge as they are compensated from the budget of the Compulsory Health Insurance Fund (CHIF). This option allows patients not only receive vital services but also save at least a few thousand euros a year.
"In the background of celebration of World Diabetes Day we are pleased to announce that from now on the list of medical devices that are necessary for ensuring home-based health care and that are available free of charge as they are reimbursed from the budget of the CHIF also includes so called smart insulin pumps. Such pumps are more comfortable or even vital for most patients, especially for children, because they are used with a permanent glucose measurement sensor which allows the assessment of blood glucose and stop insulin injections if glycemic level drops. Thus, now the patients with diabetes mellitus can choose and rent an insulin pump that best suits their needs", - was pleased to announce Giedrius Baranauskas, the Head of Orthopedic Appliances Compensation Division of the NHIF.
The costs of rent of smart insulin pumps for the patients with type 1 diabetes mellitus are reimbursed 100 % from the budget of the NHIF. The reimbursement of costs of rent of these insulin pumps also includes four permanent glucose measurement sensors per month.
Home-based treatment with a smart insulin pump can be prescribed when a constant monitoring of blood glucose is required for the patients under 24 years of age, also for pregnant women and for women who are planning to become pregnant (is prescribed for a 1-year period when diabetes is uncontrolled). Furthermore, patients must consent to use glucose measurement sensors at least 70 % of their time, to be able to use an insulin pump with such sensors.
"Consilium of Doctors always decides on the prescription of medical devices. Patients with diabetes mellitus are prescribed with smart insulin pumps in cases where their use helps to reduce the frequency of hypoglycemia, in cases of severe hypoglycemia or in cases where the sensation of hypoglycaemia is impaired and this leads to disturbance in consciousness, seizures. Such treatment is also applied when the patient is unable to recognize the symptoms of hypoglycemia or to report them. This usually happens in children with diabetes mellitus under 5 years of age or disabled people", - explained G. Baranauskas.
Persons who want to rent a smart insulin pump should contact a company that has entered into agreement with the NHIF for the reimbursement of costs of rent of medical devices. The company will enter into and sign an agreement with the patient for the issue, warranty service and ongoing maintenance of an insulin pump. The NHIF has already entered into agreement for the reimbursement of costs of rent of smart insulin pumps with "Monameda".
The costs of rent of smart insulin pumps were never compensated so far. For this reason, people had to pay from their own pocket not only for pumps but also for glucose sensors. 2700 euros – such were the average annual costs of sensors per patient. From now on the rent of smart insulin pumps with 4 permanent glucose measurement sensors for almost 5 400 euros per one patient per year is reimbursed from the budget of the CHIF.
It is estimated that almost 1 million 400 thousand euros per year from the budget of the CHIF will be required for the reimbursement of costs of rent of smart insulin pumps.
The reimbursement of rent of medical devices is a new service of the NHIF that was launched only this year. The rent of artificial ventilation machines and simple insulin pumps is also currently reimbursed from the budget of the CHIF.
The NHIF invites you:
Your questions are welcome by email firstname.lastname@example.org or phone: local 8 700 88888, international +370 5 236 4114