Comfenalco Valle Delagente » Health » EPS copays
They are monetary contributions that must be made exclusively by Affiliates who are beneficiaries of the Mandatory Health Plan POS, in accordance with the Contributing Affiliate's Base Contribution Income. The values of the Copayments correspond to a part of the value of the demanded service and are intended to help finance the system.
The services to which Copayments will apply are:
And all other services contained in the Compulsory Health Plan, with the exception of:
2020 Copays
Amount of copayments per beneficiary affiliate: The value per calendar year allowed for copayments will be determined for each beneficiary based on the income of the contributing affiliate, expressed in legal monthly minimum wages in force as follows:
COPAYMENTS – Contributory Regime Year 2020 | ||||
---|---|---|---|---|
TOP IN THE SAME EVENT | MAXIMUM CAP YEAR | |||
Stratum | Maximum stop in % | Maximum limit in pesos | Maximum stop in % | Maximum limit in pesos |
Stratum 1 (Less than 2 SMLMV) | 28,7% | $251.929 | 57,50% | $504.737 |
Stratum 2 (Between 2 and 5 SMLMV) | 115,00% | $1.009.473 | 230,00% | $2.018.947 |
Stratum 3 (Greater than 5 SMLMV) | 230,00% | $2.018.947 | 460,00% | $ 4.037.894 |
*The rate applies according to the rate agreed by the EPS with the IPS
COPAYMENTS – Subsidized Regime Year 2020 | ||||
---|---|---|---|---|
Sisben level | Top in the same event | Maximum cap per year | ||
Maximum stop in % | Maximum limit in pesos | Maximum stop in % | Maximum limit in pesos | |
LEVEL 0 | Does not apply | Does not apply | Does not apply | Does not apply |
LEVEL 1 | Does not apply | Does not apply | Does not apply | Does not apply |
LEVEL 2 | 50% | $ 439.902 | 100% | $ 877.803 |
*The value applies according to the rate agreed by the EPS and the IPS.
Note. As established in Agreement 260 of 2004, it is important to take into account that:
When the percentage of the total value of the service exceeds the stipulated limits, the user will only pay the maximum values per event or per year, as the case may be.
The Ministry of Health and Social Protection, in accordance with the special laws on Health, has defined specific population groups that are exempted from payment of moderator fees and co-payments and the conditions for application of said exceptions, information that can be consulted at the annexed document Circular 0016 of March 22, 2014 issued by the Ministry, valid at the national level. Only for the Subsidized Regime in the city of Bogotá DC, Decree 345 of 2008 issued by the Mayor's Office of Bogotá also applies (see information in attached documents)