The Benefit Plan is the set of health care services to which all members of the General Social Security Health System are entitled. The PBS seeks the comprehensive protection of families in maternity and general illness, in the phases of promotion and promotion of health and prevention, diagnosis, treatment and rehabilitation, for all pathologies.
The POS covers medicines in the current regulations of the Benefits Plan, which meet the following conditions: active principle, concentration, pharmaceutical form and specific use if it is detailed in the annex described by the Ministry of Health, of the current resolution that is currently regulating the POS.
The POS coverage includes medicines used in special programs such as Cancer, HIV/AIDS, Cardiovascular and renal, Hospital Medicines, among others, of which you can see the detail in resolution 2292 of 2021.
The coverage of medicines by the POS is contemplated for the indications approved by Invima; to access them it is necessary to have a medical formula completed by the treating professional, which meets all the requirements and characteristics contemplated in Decree 2200 of 2005. The doctor must prescribe in the International Common Name - DCI (generic name), and the The provider contracted by the EPS may dispense any of the medicines that have an approved Invima health registration and indication.
Resolution 2292 of 2021, aims to update and establish the health services and technologies financed with UPC resources, which must be guaranteed by the EPS and other Entities Obliged to Compensate -EOC, to SGSSS affiliates, in the territory nationally, under the quality conditions established by current regulations.
The provisions contained in this resolution apply to the management, surveillance and control bodies of the General System of Social Security in Health -SGSSS, Health Benefit Plan Administrative Entities -EAPB, health service providers and other actors and agents involved. in the General System of Social Security in Health.
