{"id":358,"date":"2024-10-04T16:28:18","date_gmt":"2024-10-04T13:28:18","guid":{"rendered":"https:\/\/www.halukcabuk.com\/al\/?page_id=358"},"modified":"2024-10-04T16:28:18","modified_gmt":"2024-10-04T13:28:18","slug":"informacion-mbi-sigurimet-shendetesore-private","status":"publish","type":"page","link":"https:\/\/www.halukcabuk.com\/al\/informacion-mbi-sigurimet-shendetesore-private\/","title":{"rendered":"Informacion mbi Sigurimet Sh\u00ebndet\u00ebsore Private"},"content":{"rendered":"<p>Procedurat p\u00ebr kontrollin n\u00eb lidhje me sigurimet sh\u00ebndet\u00ebsore private kryhen si m\u00eb posht\u00eb:<\/p>\n<ul>\n<li>N\u00ebse keni sigurim sh\u00ebndet\u00ebsor individual (sigurim sh\u00ebndet\u00ebsor privat), mund t\u00eb merrni nj\u00eb rimbursim nga sigurimi juaj duke paraqitur fatur\u00ebn e sh\u00ebrbimit t\u00eb kontrollit dhe kart\u00ebn e vler\u00ebsimit t\u00eb sigurimit. Po ashtu, testet radiologjike dhe t\u00eb gjakut t\u00eb nevojshme gjithashtu mund t\u00eb k\u00ebrkohen nga sigurimi me fatur\u00ebn p\u00ebrkat\u00ebse.<\/li>\n<li>N\u00ebse keni sigurim hibrid, pasi institucioni yn\u00eb nuk ka nj\u00eb marr\u00ebveshje me SGK, mund t\u00eb k\u00ebrkoni shum\u00ebn e faturave nga sigurimi juaj sipas kushteve t\u00eb kontrat\u00ebs s\u00eb sigurimit. (Shum\u00eb sigurime sh\u00ebndet\u00ebsore shtes\u00eb bien n\u00eb k\u00ebt\u00eb kategori. Ju lutem, shqyrtoni politik\u00ebn tuaj t\u00eb sigurimit sh\u00ebndet\u00ebsor.)<\/li>\n<li>N\u00ebse keni sigurim sh\u00ebndet\u00ebsor shtes\u00eb (TSS), ai nuk do t\u00eb jet\u00eb i vlefsh\u00ebm pasi ne nuk kemi nj\u00eb marr\u00ebveshje me SGK.<\/li>\n<\/ul>\n<p>Procesi p\u00ebr operacionet me sigurimet sh\u00ebndet\u00ebsore private zhvillohet si m\u00eb posht\u00eb (t\u00eb dy sigurimet individuale dhe hibride p\u00ebrfshihen):<\/p>\n<ul>\n<li>N\u00ebse keni nj\u00eb s\u00ebmundje q\u00eb k\u00ebrkon operacion, mjeku yn\u00eb do t\u00eb plot\u00ebsoj\u00eb formular\u00ebt e nevojsh\u00ebm dhe aplikimi juaj p\u00ebr sigurimin do t\u00eb p\u00ebrpilohet p\u00ebrmes spitaleve me t\u00eb cilat kemi marr\u00ebveshje.<\/li>\n<li>Gjat\u00eb aplikimit, shpenzimet p\u00ebr operacionin n\u00eb spital, materialet q\u00eb do t\u00eb p\u00ebrdoren gjat\u00eb operacionit dhe tarifa e mjekut e p\u00ebrcaktuar nga Shoqata Turke e Mjek\u00ebve do t\u00eb paraqiten p\u00ebr miratim nga sigurimi.<\/li>\n<li>Pas miratimit nga sigurimi, procedurat e spitalit dhe faturat p\u00ebr materialet paguhen drejtp\u00ebrdrejt n\u00eb spital nga sigurimi.<\/li>\n<li>Duhet t\u00eb paguani fillimisht tarif\u00ebn e mjekut dhe pastaj t\u00eb paraqisni fatur\u00ebn dhe miratimin nga mjeku p\u00ebr t\u00eb rimbursuar shum\u00ebn nga sigurimi juaj.<\/li>\n<\/ul>\n<p>P\u00ebr informacion m\u00eb t\u00eb detajuar, ju lutem kontaktoni me ne.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Procedurat p\u00ebr kontrollin n\u00eb lidhje me sigurimet sh\u00ebndet\u00ebsore private kryhen si m\u00eb posht\u00eb: N\u00ebse keni sigurim sh\u00ebndet\u00ebsor individual (sigurim sh\u00ebndet\u00ebsor privat), mund t\u00eb merrni nj\u00eb rimbursim nga sigurimi juaj duke paraqitur fatur\u00ebn e sh\u00ebrbimit t\u00eb kontrollit dhe kart\u00ebn e vler\u00ebsimit t\u00eb sigurimit. Po ashtu, testet radiologjike dhe t\u00eb gjakut t\u00eb nevojshme gjithashtu mund t\u00eb k\u00ebrkohen [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-358","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/pages\/358","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/comments?post=358"}],"version-history":[{"count":1,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/pages\/358\/revisions"}],"predecessor-version":[{"id":359,"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/pages\/358\/revisions\/359"}],"wp:attachment":[{"href":"https:\/\/www.halukcabuk.com\/al\/wp-json\/wp\/v2\/media?parent=358"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}