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Ministry of National Defence Dr. Alexandru Augustin Sibiu Emergency Military Clinical Hospital*

Available procedures

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Procedure regarding the reimbursement of the personal contribution for medicines, according to art.71 of Order M 110/2009 updated.*

The procedure applies to persons from the territorial area assigned to the Emergency Military Hospital "dr. Alexandru Augustin" Sibiu (SMU Sibiu) - persons from Sibiu, Alba and Hunedoara counties - according to Order M110/2009 art.4, let. (a-d), f), h), j).

Persons who do not wish or cannot find all the medicines at the pharmacies contracted with SMU Sibiu can pick up their prescriptions from any community pharmacy for a fee, requesting the following documents:

fiscal invoice - in original,
fiscal receipt - in original,
simple prescription/ CNAS type prescription (electronic) - "prescription" component and "release" component - in original.

In order to recover the personal contribution paid for medicines prescribed on arising sop C.N.A.S. (electronic) or simple prescriptions, the categories of personnel mentioned above draw up a report addressed to the commander of S.M.U. Sibiu (according to the model attached to the procedure or the form posted on the hospital website in the section "INFO PACIENTI") accompanied by the following documents:

· fiscal invoice - in original,

· fiscal receipt - in original,

· simple prescription - in original - as applicable

· prescription "prescribing" component - as applicable

· prescription "release" component - as applicable,

· copy of the identity document or identity card,

· copy of the latest pension voucher or certificate issued by the personnel office of the military unit (valid for maximum 6 months).

The report and documents are submitted to the hospital registry office (CDC) by mail or in person.

The report is resolved within 60 days from the registration of the request/report at the institution’s registry office.

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Procedure regarding the communication of medical documents upon request*

The procedure aims to regulate the specific conditions for issuing the medical documents requested by patients / relatives / authorized persons, as well as the conditions for transmitting the patient's medical data.

The issuance of medical documents requested by patients / relatives / authorized persons is carried out in strict accordance with the provisions of OMS 1410/2016 regarding the approval of the Application Norms of the Patient Rights Law no. 46/2003, ensuring compliance with the following rules:

a) The request concerning the communication of personal medical data is made by patients / relatives / authorized persons in writing, by completing the form "Request regarding the communication of personal medical documents," provided in annex no. 3 to OMS 1410/2016. This form is approved by the hospital commander and is assigned to B.R.S.M. for resolution.

b) In the case of minors, adults without discernment, and adults with temporary loss of legal capacity, the applicant must prove their status as a relative / legal representative.

c) In the case of authorized persons requesting patients' medical documents, they need to attach the "Patient's consent regarding the communication of medical data" provided in annex no. 5 to OMS 1410/2016.

d) The issuance of copies of requested medical documents is performed by the person nominated by the head of B.R.S.M. together with the custodian of the archival fund, within 30 calendar days from registration at the institution headquarters.

e) The issuance of copies of requested medical documents is done after the patients / relatives / authorized persons fill in the "Declaration regarding the communication of personal medical documents," provided in annex no. 4 to OMS 1410/2016.

The regulation of the process for issuing the medical documents requested by patients / relatives / authorized persons or other persons entitled to access information, according to the law, has as main objectives:

a) The patient has unrestricted access to personal medical data, under the law. Patient access to medical data can be direct or indirect – through legal relatives or through physicians nominated by the patient in Annex no.5 to the norms “Patient's consent regarding the communication of personal medical data” (Law 46/2003 updated).

b) All information regarding the patient's condition, investigation results, diagnosis, treatment, personal data are confidential, even after the patient's death. This information can only be provided if the patient explicitly gives consent or if the law expressly so requires. If the information is necessary for other accredited medical service providers involved in the patient's treatment, consent is no longer mandatory. (Law 46/2003 updated).

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Procedure regarding the medical examination for obtaining/extending the driving license and the gun license.*

The procedure is addressed to all applicants who wish to undergo the medical examination for obtaining/extending the driving license and the gun permit, within the Specialty Outpatient Clinic of the "Dr. Alexandru Augustin" Sibiu Military Emergency Hospital (SMU Sibiu).

According to the legislation in force, applicants must present:

- the medical examination form filled in with personal data (form downloaded from PCUe or from the institution's website);

- certificate from the family doctor, indicating medical history;

- identity card.

The medical examination is carried out at the specialty offices within the Integrated Outpatient Clinic, in accordance with the requirements established by the legislation in force.

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Issuance of medical leave certificates*

Medical leave certificates can be issued at the Sibiu Emergency Military Clinical Hospital for acute or chronic conditions for which consultations or medical care were provided either during hospitalization or on an outpatient basis.

The individuals who are entitled to medical leave and health social insurance benefits, the doctors who can issue medical leave certificates, the duration, conditions, and method of issuing them are provided in the Government Emergency Ordinance (OUG) no. 158/17.11.2005, the Implementation Rules for OUG no. 158/2005 (integral part of Order no. 15/2018) hereinafter referred to as RULES, the Instructions regarding the use and way of filling in the medical leave certificates from 01.07.2020 (integral part of Order 1192/2020) hereinafter referred to as INSTRUCTIONS, and Order no. M.66/2016 for the approval of the Regulation regarding the establishment, organization, functioning, and responsibilities of medical-military expert commissions, with subsequent amendments and completions.

The issuance of medical leave certificates is done both on forms with special regime and in electronic format, following a medical consultation, based on a certificate from the payer (issued on paper or by means of remote communication according to the model in Annex no. 7 of the RULES), except for emergency surgical-medical cases, certain types of burns including for the recovery period, as provided in art. 18 para. (5) of the RULES, quarantine, infectious-contagious diseases from group A, infectious-contagious diseases for which isolation is required, care for patients over 18 years old with oncological conditions, and the issuance of continued medical leave certificates for the same episode of disease by the attending physician who is obliged to draw up a plan for monitoring the disease evolution (according to art. 8 and 34 of the RULES, respectively art. 9, para. (1) of the INSTRUCTIONS).

In cases where medical leave certificates are issued for temporary work incapacity, family doctors and outpatient specialists prepare, under the conditions of art. 10 of the RULES, a plan for monitoring the progression of the disease, which the insured person is required to follow.

The issuance of the medical leave certificate for care of the patient with oncological conditions is based on the consent of the oncological patient (according to the model in Annex no. 15 of the RULES) and the certificate issued by the health insurance house where the patient is registered, indicating the number of days of leave for caring for patients with oncological conditions granted in the past 12 months, according to the model in Annex no. 7² of the RULES, within the maximum number of 45 calendar days in a 1-year interval, for a patient with oncological conditions (according to art. 11, para. (6) of the INSTRUCTIONS).

In the case of emergency surgical-medical situations for which the severity level of the disease did not require hospitalization, medical leave certificates are usually granted on the date of the consultation by the physician who attended the emergency (family doctor, outpatient specialist, emergency room doctor) for a maximum period of 5 calendar days (according to art. 26 of the RULES). If the medical leave certificates were not issued on the date of the consultation by the attending physician, they can be issued within 5 days from pressing event by the family doctor based on a recommendation issued by the emergency physician (according to art. 10, para. (2) of the RULES).

The medical leave certificate must be presented to the payer no later than the 5th day of the month following the one for which the leave was granted, according to art. 60 of the RULES, or no later than the end of the month in which the medical certificate was issued for the particular situations provided in art. 9 para. (4), art. 10 and 27 of the RULES.

The patient or, as the case may be, the person representing them, will receive copies 1 (white) and 2 (pink) of the medical certificate; these original forms, which have been transmitted via remote communication means, must be submitted by the insured person to the payers of social health insurance benefits within 30 days from their date of issue (art. 2, para. (8) of the RULES).

For civilians, medical leave can be granted for a maximum of 183 days within a 1-year interval, except for the conditions stipulated in art. 13, para. (3), letters a)-d) of OUG no. 158/2005, and art. 18 para. (3) of the RULES for which the duration may be longer. Starting with day 91, medical leave can be extended by the specialist up to 183 days with the approval of the social insurance expert physician, and in duly justified cases, it can be extended beyond 183 days for a maximum of 90 days with the approval of the specialty commission within the National Institute of Medical Expertise and Work Capacity Recovery (INEMRCM).

For active military personnel, police officers and prison police officers, medical leave can be granted for a maximum of 180 days within a 1-year interval, of which the first 90 days by the specialist physician, and starting with day 91, with the proposal of the medical-military expert commissions. After the completion of the 180 days, recovery medical leave can be granted for another 120 days, and in duly motivated cases for up to a maximum of 550 days, at the proposal of the medical-military expertise commissions, according to art. 61, para. (4) of OUG 158/2005, respectively art. 3 and 5 of M66/2016.

Ministry of National Defence Dr. Alexandru Augustin Sibiu Emergency Military Clinical Hospital*

B-dul. VICTORIEI nr. 46

Telefon: 0269 211209

Fax: 0269 210577

Email: secretariat@spitalmilitarsb.ro

www.spitalmilitarsb.ro

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