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Patient transfer

According to the MUFACE-insurers Agreement for 2018, there are 3 types of healthcare transport: urgent, non-urgent and regular

The transfer of sick people is undertaken in accordance with the standards considered in the MUFACE Agreement with insurance companies for the years 2018 and 2019, Resolution of 28 December 2017. This is that which regulates the healthcare for civil servants.

Next, we will discuss:

Types of healthcare transport considered in the Agreement

In accordance with Chapter 2.10, there are 3 types of transport for healthcare:

  • Urgent healthcare transport
  • Non-urgent healthcare transport
  • Transport by regular means

Urgent healthcare transport

It is land, air, or maritime transport, assisted or unassisted as required by the patient's clinical situation, in cases where it is necessary for their adequate transfer to the health centre that can optimally address the emergency situation.

Non-urgent healthcare transport

The displacement of sick or injured people that are not in an urgent or emergency state, and that for exclusively clinical reasons are unable to travel via regular means of transportation to a health centre to receive care, or to their home after receiving the corresponding care, and who may or may not require healthcare during the journey. This non-urgent healthcare transport must be accessible to people with disabilities.

The non-urgent healthcare transport service list includes assisted transport, indicated for patients requiring technical or healthcare assistance en route, and non-assisted healthcare transport, for people who do not require technical or healthcare assistance during the journey.

Types of journeys understood as non-urgent healthcare transport

Non-urgent healthcare transport is understood as including the following types of relocation:

  • Transfer of a patient from a health centre to their home after hospital discharge or after care in emergency services.
  • Specific transfer of the patient from their home to consultations, healthcare centres and/or transfer from a health centre to their home
  • Periodic patient transfers from their home address to health centres and/or transfer from health centre to their home address.
  • Transfer of the patient displaced to a municipality other than that of their home address to receive emergency care, with or without hospital admission, and it is decided to transfer them to the municipality where they live, either to their home or to another healthcare centre.

Clinical criteria indicating non-urgent healthcare transport

The doctor determines whether medical transport is necessary, using a written prescription. This takes into consideration the health condition and the degree of autonomy of the patient, in order for them to make the journey by regular means of transport.

Prescribed transport will be considered justified provided the patient fulfils at least one of the two following criteria:

  1. Limitations for autonomous travel that require the support of a third party.
  2. The patient's clinical situation prevents them using regular means of transport.

When a patient has been forced to make transfers by taxi or private vehicle, since no healthcare transport was provided by the organisation despite having been previously requested by the interested party, where the entitlement requirements for non-urgent healthcare transport have been met, the expenses generated by taxi travel will be paid or, if a private vehicle was used, a compensatory payment of 15 euros per journey will be provided, plus 0.25 euros per additional kilometre in inter-urban trips of more than 25 km.

Transport by regular means

Regular transport is that made by car, bus, train, or if this entails island provinces or the cities of Ceuta or Melilla, by boat or plane.

Regular transport is a right in the following cases:

  • When the necessary healthcare at each level is unavailable, requiring the beneficiary to move from their home location, either temporarily or permanently, to the nearest town where the necessary services are available or to the locality to which the Organisation transfers them, with the prior consent of the beneficiary.
  • To Level IV services and Reference Services, located in a province other than that of residence.
    In island regions, travelling expenses are included for inter-island journeys for Level III specialities. In the case of Formentera, Gomera, and El Hierro expenses are covered for inter-island journeys for Level II specialities.
  • Cases of necessary relocation to a town different to that of the home address to receive healthcare deriving form a work-related accident or disease.

In addition, in following cases, the patient will have right to travelling expenses for a companion:

  • Patients aged under 15 (in the case of Ceuta, Melilla, and island provinces, people aged under 18).
  • Anyone who can prove a disability level equal to or more than 65%.
  • Residents of Ceuta, Melilla, and island provinces when prescribed by their doctor, in which case they must provide a written prescription from the doctor.

Transfers will be evaluated according to their cost, in normal or tourist class, on regular transport routes by bus, train, ship, or plane.

The rest of the healthcare benefits to which MUFACE members have access are as follows:

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DKV 24-hour doctor

Remote medical advice.

Digital health

Quiero Cuidarme free app.

Online appointment

From your mobile through the private customer area.

Quiero cuidarme Más

Online medical video consultation app.

Exclusive offers

For mutual society members and their relatives.

DKV Club Salud y Bienestar

Discounts on healthcare services.

Exclusive offers for mutual society members and relatives