If unfortunately you or someone you know suffer a traffic accident With injured people, it is important that you know which are the reference medical centers in Santa Cruz de la Sierra to avoid setbacks with the UNIvida insurance company.
According to the website of the state insurer (https://www.univida.bo) Victims must be helped at the medical center closest. However, the reality is that many hospitals and clinics say that they do not cover SOAT and choose to refer them to the assistance centers referred to on the aforementioned website. Also, if is affiliated with a public health fund They will also refer you to a center that covers traffic accident insurance.
The medical centers referred to UNIvida for care in Santa Cruz de la Sierra They are: Barta Clinics, Figueroa, Kamiya, Trauma Clinic, Cardenal Maurer, Melendres, Medicmel, Niño Jesús I and Niño Jesús II. Likewise, the Center for Specialties in Physical-Dynamic Rehabilitation and the Physioactive Rehabilitation Center.
In the following link you can find the referred medical centers throughout the country.
https://www.univida.bo/templates/univida/CENTROS_MEDICOS_DE_CONVENIO_PARA_AP_HASTA_JUNIO_2021.pdf
What are the next steps after an accident?
According to UNIvida, notification of the incident must be given to the transit operating agency.
With the notice of the incident, The code corresponding to the claim is assigned and the physical opening is carried out. of the file with the documentation presented. At the same time, the circumstances in which the incident occurred are evaluated for coverage, verifying whether these fall within any of the causes for exclusion of coverage indicated in article 32 of Supreme Decree 27295 of December 20, 2003.
In accordance with article 32, cases of death or bodily injury that occur in the following are excluded from SOAT coverage:
circumstances:
a) Automobile or other motorized vehicle competitions.
b) Traffic accidents that occur outside the national territory.
c) Traffic accidents that occur in areas that are not freely accessible to the public,
caused by vehicles that were circulating within those areas.
d) As a consequence of wars and earthquakes.
e) Suicide or self-inflicted injuries, legally proven.
Every medical center must attend traffic accidents
According to article 39 of DS 27295, every medical center is under the unavoidable obligation to care for victims of traffic accidents for which they must take the necessary precautions.
The refusal will be considered a crime of denial of provided assistance and sanctioned by Article 281 of the Penal Code. If an official of any public medical center refuses to provide medical attention to a victim of a traffic accident, Article 154 of the same body will apply to this effect.
criminal noun.
However, according to the testimony of some victims, it is important that the injured person and the family know that they should go to another medical center that is not referred to on the list.or excludes SOAT coverage, as mentioned by some ambulance services that transport the injured. Yes indeed, The process becomes longer and more time consuming and for this reason, some medical centers deny care with the justification that they lack the appropriate equipment.
The regulations indicate that if the victim requires specialized medical care and the medical center does not have the necessary equipment or supplies, the director or person in charge of the medical center, under his or her responsibility, may authorize his or her transfer to another center that has the conditions. appropriate to provide the required care.
Likewise, the insurance company, with the consent of the injured party or their family members, You may request transfer to another medical center, as long as this fact does not represent any danger in the treatment of the victim.
Guarantee of payment of medical expenses
In article 40, it is established thatpresentation of the SOAT Certificate to the medical centers, by those involved in traffic accidents, it is sufficient payment guarantee backed by the entity insurer, consequently no medical center may improperly retain the patient once his medical treatment has concluded.
Every medical center has the obligation to allow entry of accredited medical professionals by the insurers to verify the services provided to the patient by the SOAT as well as grant access to all documentation and information in this regard, issuing the medical report containing the hospitalization diagnosis.
The administration or direction of the health establishment, under responsibility
official, must send the Medical Certificate containing the treatment and discharge conditions (epicrisis), issued by the treating doctor and a photocopy of the patient’s Clinical History to the insurer, along with the documents provided for in article 29 of this regulation.
Documents for SOAT compensation coverage
The documents contemplated in art. 29 of the decree for the payment of compensation to proceed, the injured party or the beneficiaries, when applicable, must present only the following documentation:
Single Regulation of Mandatory Traffic Accident Insurance
to. In the case of accidents with death:
– Document that identifies the deceased.
– Accident certificate issued by the Traffic Operational Body.
– Certificate from the forensic doctor.
– Declaration of Heirs.
The forensic doctor’s certificate may be replaced by a medical certificate, when there is a justified impediment or force majeure.
b. In the case of accidents with injuries
– Document that identifies the injured party.
– Accident certificate issued by the Traffic Operational Body.
– Medical certificate.
– Declaration of total and permanent disability when applicable.
– Invoices or receipts.
The Medical Certificate may be replaced by a Medical Report, which will have the same corresponding legal effects.
Also read
ECONOMY
SOAT registers 50 accidents per day in Bolivia, Santa Cruz leads the ranking
Between January and March, 6,393 accidents were recorded throughout the country, of which 3,344 are from Santa Cruz and 1,425 from La Paz. Univida paid Bs 27.8 million for the SOAT
