Services that Small and Medium Enterprises (SMEs) can access in the medical sector include healthcare consultations, employee health check-ups, occupational health services, and insurance benefits, among others.
The Unified Medical Assistance Package (OMSM) within the Social Health Insurance Fund system offers a wide range of medical services to insured citizens in [Country Name]. This comprehensive package includes emergency medical care, outpatient services, specialized medical care, provision of medications, supply of medical devices, and durable medical equipment necessary for treatment or rehabilitation.
From 2025, some services such as consultative-diagnostic assistance, ambulatory drug provision, inpatient and outpatient care for 12 chronic diseases subject to dynamic observation will be transferred to the OMSM package. Additionally, from 2026, the remaining chronic and some socially significant diseases, as well as ambulatory hemodialysis, will be included in the OMSM package.
Outpatient services under the OMSM package include laboratory and instrumental diagnostic studies, outpatient high-tech medicine, home hospital care in epidemiological cases, and medical rehabilitation. Planned hospitalization in a 24/7 hospital is also provided, excluding those covered under the GPMP.
The patient's pathway in OMSM begins with a family doctor who determines further treatment, forms a preliminary diagnosis, and refers the patient for further consultative-diagnostic services, if necessary. Pathological anatomical diagnosis is a service provided under the OMSM package.
It is important to note that insured citizens can receive the full volume of medical care at the expense of the OMSM system, based on medical indications, regardless of the amount of contributions they have paid. All citizens of the country have access to emergency care, ambulance services, family doctor visits, and emergency surgeries regardless of insurance status, within the framework of the basic package of GOSMP.
However, to obtain the specific, detailed list of OMSM services as defined by the Social Health Insurance Fund system, it is necessary to consult official documentation or authoritative sources directly linked to that system, as the current search results do not contain this information. For more precise details, please provide the region, country, or the official body managing the OMSM.
- In 2025, the OMSM package within the Social Health Insurance Fund system will expand to cover consultative-diagnostic assistance, ambulatory drug provision, and medical rehabilitation services for managing health-and-wellness, particularly for 12 chronic medical-conditions.
- By 2026, the OMSM package is expected to include therapies-and-treatments for various socially significant diseases, ambulatory hemodialysis, and outpatient services such as laboratory and instrumental diagnostic studies under the health-and-wellness category.
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