Outpatient pharmacy expense refund

*Outpatient pharmacy refund coverage

Description

The insurer guarantees, in the conditions and with the limits and requirements detailed below, to provide the outpatient pharmaceutical coverage required by the insured parties.

Financial limits and refund percentages

The aforementioned coverage will include a refund of 50%, up to a limit of €200 per person per year, for medication dispensed at pharmacies prescribed by a doctor which, at the date on which it is dispensed, is financed by the National Health System and is required for the treatments or pathologies covered by the policy.

Refund procedure

SegurCaixa Adeslas will assume this coverage through the expense refund system, for which the Insured Party must fill in the refund request available on CaixaBankNow and attach:

• Original copy of the prescription which should include:
  • the identity of the doctor prescribing it, their signature and association number.
  • the identity of the patient
  • the identification of the product prescribed
• Payment receipt

To manage the refund, SegurCaixa Adeslas can exercise its right to request the clinical information required from the Insured Party that justifies the need for medication and that the aforementioned conditions have been met.

The Insurer will pay the related refund amount to the Insured Party following the receipt of the complete documentation specified. Such amount will be paid by bank transfer to the bank account indicated by the insured party in the refund application form.