You're pregnant? You will go to a specialist without queue and for free
When I got pregnant, these provisions did not yet apply. Later, no one told me about these changes. Ignorance of my rights cost me a lot of stress and money, so you must know them.
The terrible results of my thrombophilia in the first weeks of pregnancy meant that almost from the very beginning of my pregnancy, I should be under the care of a hematologist. When I called the clinic, it turned out that there are no records for this year anymore, and for 2018 they will start at the end of the year, long after my termination. So I decided to go to a hematologist privately. I checked a few known names, the registration of which, by calling, it turned out that admitting new patients is suspended… until further notice! Then I started looking for any hematologist who would consult me and make sure that I was pregnant and that the treatment was right. I have not found. Fortunately, I found an immunologist - also privately, but the doctor with the title of professor did an excellent job of consulting the treatment of my pregnancy with thrombophilia.
Private visits to a specialist
I had visits to the immunologist once a month on average, sometimes more often. The cost of such a one-time visit is over PLN 200, plus a set of tests confirming whether the treatment received is sufficient and ensures that the markers of the disease are at the appropriate level, which does not endanger the health and life of not only the child, but also mine. Added to this were the costs of testing the height of NK cells. The price of a single set of tests was therefore on average from 400 to 600 PLN. Of course, neither the Child's life nor mine have a price, so I covered these costs myself every month. I was lucky that I could afford such expenses, many Polish families could exceed such a cost.
It was December 2016. Did you know that from January 2017 this story should be completely different?
One day, looking for information on a completely different topic, I came across new regulations that say that:
From January 2017 pregnant women
are admitted to a specialist doctor and pharmacy
Usually, however, only if they know about it.
A woman with a referral, e.g. to an endocrinologist, hematologist or immunologist, is not put on the waiting list, but is admitted on the same day or within a maximum of 7 working days from reporting.
The change is introduced by the adopted act "For life"Whose art. 18 para. 2 modifies Art. 47c paragraph 1 of the Act of 27 August 2004 on health care services financed from public funds. After the change it sounds like this:
"1. Pregnant women, beneficiaries up to 18 years of age, possessing the certificate referred to in art. 47 section 1, persons referred to in art. 43 section 1, war and military invalids and veterans have the right to receive health care services out of order and from pharmaceutical services provided in pharmacies. Children without a queue will be admitted to specialists and in the pharmacy who have a severe and irreversible impairment or an incurable disease.
- If it is not possible to provide the benefit on the day of application, it should be made at a different time, except for the order resulting from the waiting list. However, in the case of outpatient healthcare services, the benefit should be provided not later than seven business days from the date of notification - we read in the act.
In order not to wait for a visit for months, a woman should have:
- certificate confirming pregnancy, issued by a primary care physician, health insurance physician with 2nd degree specialization or obstetrics and gynecology specialist,
- referral to a specialist doctor.
What has changed in practice?
It was the end of April 2017. At the next private visit, I asked my pregnancy doctor for a certificate confirming that I was pregnant and for a referral to an immunologist. I called the University Clinical Center in Gdańsk to arrange a visit. I have received information that in the event of a shortened registration deadline, I need to appear in person with the original certificate and referral in order to register. I went there the next day with a certificate that I was pregnant and a referral from a private doctor.
I was accepted without a queue for registration at UCK and I was offered to see a specialist within 5 days (I came across a long May weekend).
I have an appointment for a specific day and specific time. The only problem I encountered was when presenting the referral - I was informed that for the purposes of registration it would be enough, but on the day of the visit, I should present a referral from a clinic that has an agreement with the National Health Fund, and not a referral from a private office.
So I went to my family doctor as part of the care provided by my clinic, I received the necessary referral with whom I appeared on the day of the registration visit.
The visit took place as part of my insurance at ZUS - free of charge, I also received a referral for a set of tests, for which I also did not have to pay. It is also not without significance that the visit took place at the same doctor who used to see me in a private clinic.
Can you? You can, usually as long as you know the rules.
If you came across problems and health centers that hide behind ignorance of these laws, I have prepared a law for you to print - relevant parts are marked in yellow >> click. Now nobody will be able to refuse you free visits to specialists during pregnancy literally "on the spot".
Beloved, like and share - let as many pregnant women as possible enjoy free, best specialist care in Poland. Our pregnancies are the greatest miracle, but sometimes also the most difficult. Myself, without the support of the best specialists, daily injections and medications, I was not able to carry on any pregnancy.