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In the event of close contact with a suspected or confirmed COVID-19 sufferer, you must contact the health services in your autonomous region. If you display symptoms and have a medical prescription, you can ask for an appointment at the laboratories designated to perform the test. For any other matters, you must call the Client Care Service.
Coronaviruses are a large family of viruses that can infect humans and a variety of animals. SARS-CoV-2 is a new kind of coronavirus which affects humans and is passed on from person to person. There are still many unanswered questions about the virus and the illness it causes: COVID-19. As knowledge progresses, recommendations are updated.
The most common symptoms include fever, a cough and feeling short of breath. In some cases there may be a reduced sense of smell and taste, shivering, sore throat, aching muscles, headache, general weakness, diarrhoea or vomiting. Most cases are mild. There are also asymptomatic cases (displaying no symptoms).
In more serious cases, the infection can lead to pneumonia, serious breathing difficulty, kidney failure and even death. The most serious cases generally occur with people of advanced age or who suffer a chronic illness, such as heart or lung disorders or immunodeficiencies.
The main vulnerable groups are the over-60s and people diagnosed with high blood pressure, diabetes, cardiovascular illnesses, chronic lung disorders, cancer, immune deficiencies and pregnant women (under the precautionary principle).
It is passed on by direct contact with the respiratory droplets emitted when a sufferer coughs, sneezes or talks. How contagious it is depends on the amount of the virus in the respiratory system. These droplets affect other people through the nose, eyes or mouth. They can also be infected if they touch their nose, eyes or mouth with their hands after touching surfaces contaminated with these droplets.
The health authorities are monitoring the epidemiological situation constantly to determine the necessary measures of control appropriate to the situation at an early stage. The current situation can be consulted through this link.
No specific treatment exists, but in the cases mentioned use is being made of some antivirals and other medication that have shown a certain effectiveness according to some studies. There are, however, many therapeutic options to control the symptoms, so healthcare improves the prognosis. As it is an infection caused by a virus, antibiotics are NOT to be used as a means of prevention or treatment. However, patients with COVID-19 may possibly be given antibiotics on medical instructions because they might suffer coinfections caused by bacteria.
Generic individual protective measures against respiratory illnesses include:
People in whom any of the compatible respiratory symptoms suddenly appear – fever, cough and a feeling of lack of air – must stay at home and telephone our Medical Guidance Service. If you are suspected of having COVID-19, you will be told what steps to take in accordance with the protocols laid down by the Ministry of Health or your autonomous region.
If you have been in close contact with someone suspected or confirmed to have COVID-19, the health service in your Autonomous Region will contact you. Close contact is considered to include anybody who has been in contact with a person with probable symptoms or diagnosed with COVID-19 from 48 hours before the symptoms appeared or before diagnosis if the person is asymptomatic.
For the contact to be considered close, you must have provided care or been in the same place as the sick person at a distance of less than 2 metres for more than 15 minutes, without suitable protective measures.
You must go into quarantine at home for 10 days from last contact. Quarantine at home consists of staying at home, preferably in a single room, for 10 days from last contact and not going out unless it is essential (e.g. for healthcare). During this time, and then for a further 4 days if required, you must watch for the appearance of symptoms. You must take preventive measures, leave your room as little as possible and avoid contact with the people you live with. If you leave the room you must wear a surgical mask.
At this time there are two main tests to detect an active infection: a rapid antigen detection test and a viral RNA detection test using RT-PCR (or a similar technique). In both cases a swab is used to take a sample of fluid from the nose or throat.
SegurCaixa Adeslas covers diagnosis in the case of a clinical suspicion of COVID 19 as well as healthcare for confirmed cases, with the limits, scope and care network specified in the policy.
SegurCaixa Adeslas covers testing to detect active infection (PCR and antigen test) for all insured parties who display symptoms that are suspicious or compatible with the illness, and that have been assessed beforehand by a doctor and present the pertinent prescription.
SegurCaixa Adeslas also covers testing to diagnose SARS-CoV-2 indicated and prescribed before carrying out certain diagnostic tests or some surgical operations, in line with current recommendations.
To obtain coverage for these tests, SegurCaixa Adeslas must assess each case beforehand and will then authorise said test (if the coverage criteria are met).
So that SegurCaixa Adeslas can make this evaluation, the insured party must provide the company with the following documentation so that it can review their case:
It is very easy to obtain authorisation online. Access your Customer area and in the left-hand side menu, click on Medical services > Authorisations.
In other cases not covered by healthcare insurance policies, SegurCaixa Adeslas offers the option of taking these tests at special prices at a selection of healthcare centres, so that insured parties can find out whether or not they have an active infection of COVID-19 and/or detect antibodies before travelling, visiting the family, returning to work or for any other reason. Find out more here.
Testing as part of epidemiological monitoring of close asymptomatic contacts is the responsibility of the public health services in the different autonomous regions, or of the industrial health services in the case of people about to return to work. Within the framework of this responsibility, each autonomous region determines the criteria to be followed in conducting diagnostic testing of asymptomatic close contacts and is responsible for carrying out the tests in these cases.
Furthermore, in cases not covered by healthcare insurance policies, SegurCaixa Adeslas offers the option of taking these tests at special prices at a selection of healthcare centres, so that insurance parties can find out whether or not they have an active infection of COVID-19 and/or detect antibodies before travelling, visiting the family, returning to work or for any other reason. Find out more here.
In cases not covered by healthcare insurance policies, SegurCaixa Adeslas offers the option of taking these tests at special prices at a selection of healthcare centres, so that insurance parties can find out whether or not they have an active infection of COVID-19 and/or detect antibodies before travelling, visiting the family, returning to work or for any other reason. Find out more here.
Vaccination against COVID-19 is being organised by the Spanish Ministry of Health and the health services of each autonomous region for the whole population.
You can find information about this on the Ministry website and also on that of your autonomous region. If you belong to a civil servants' mutual society, you can also consult its website.
The COVID-19 emergency means maximum caution must be applied in trips, which can only be made in the cases determined by current regulations.
If you are obliged to travel, you are recommended to seek full information from official sources before travelling as there may be unexpected restrictions on mobility as a result of emergency measures to control foci of contagion.
To find out more you can consult the following official sources:
If you still have any doubts, you are reminded of the contact telephone numbers available for medical guidance and emergencies:
Service aimed at patients identified as confirmed cases or with symptoms compatible with COVID-19 who are isolated at home.
You can access the service through your Adeslas office, the client care line and our 24h emergency platform.
What does the telephone support service consist of?
It is a service aimed at patients with mild symptoms who have to be isolated at home, for whom a monitoring procedure will be followed to assess the progress of the illness and give them the support they need.
You can use the private area of the website to carry out most processes related to health insurance quickly and efficiently. To do this, you must be registered and logged on using your ID or passport number and password
If you have not registered yet, you can do so using this link (remember to have your Adeslas Health Card number to hand).
Registering is very easy: just click on this link and then follow the steps shown on the screen. Remember you need to have your Adeslas insurance card and ID handy. You'll only have to do this once.
Finding a professional or centre in the medical pool is very simple; just access the Adeslas Medical Pool and follow these steps:
Applying for authorisation is very easy. Once you are in the private area use the left-hand menu to access Medical Services > Authorisations (Servicios Médicos > Autorizaciones). There are two ways to apply for authorisation; you can choose whichever suits you better:
Access your private area and on the left-hand side of the menu, click on Receipts and payments > Refunds (Recibos y Pagos > Reembolsos).
Have the invoices close at hand! Before requesting the refund, ensure that you have all the required documentation to hand.
It is essential to detail the following items in the invoice or copy.
Step by step to request a refund
Enter the private area and go to Medical services > Online Guidance (Servicios médicos > Orientación Online). In this section you can follow on-line queries you have already made, or you can create a new query. To create a new query, fill in the form and within 48 hours you will get a reply from a medical professional.
Within the private area, go to Your insurance policies (Tus seguros). A menu will appear in which you can consult any insurance you have, change the details or ask for a replacement card.
Below you are reminded of the contact telephone numbers at your disposal for processes and paperwork related to health insurance (if you have not been able to do this through the private area)
If you are insured by Adeslas, on the mutual society website you will find full information about the cover and benefits of your health service.
Adeslas Emergency Coordination Centre for Mutual society Members: 900 32 22 37
If you are abroad and need medical care you must call the SOS ASSISTANCE service number, shown on the back of the Adeslas card, which is the following:
SOS Assistance line +34 91 745 32 80
If you are insured with the Adeslas Expats product you can use the following means of contact and information: