{"id":100,"date":"2018-05-04T15:27:34","date_gmt":"2018-05-04T12:27:34","guid":{"rendered":"http:\/\/www.eylulmuhasebe.com\/?p=100"},"modified":"2018-05-04T15:27:34","modified_gmt":"2018-05-04T12:27:34","slug":"hamile-bayanlarin-saglik-harcamalari","status":"publish","type":"post","link":"http:\/\/eylulmuhasebe.com\/?p=100","title":{"rendered":"(HAM\u0130LE) BAYANLARIN SA\u011eLIK HARCAMALARI"},"content":{"rendered":"

Devletimizin denetim mekanizmas\u0131n\u0131n yeterince \u00e7al\u0131\u015fmamas\u0131 veya \u00e7al\u0131\u015ft\u0131r\u0131lmamas\u0131 sebebi ile ^\u00d6zel Sa\u011fl\u0131k hizmetleri sunucular\u0131 ^ y\u00fcr\u00fcrl\u00fckte olan baz\u0131 kanun maddelerini sanki hi\u00e7 haberleri yokmu\u015f gibi i\u015flemyapmalar\u0131na ve sosyal g\u00fcvencesi olmayan insanlar\u0131n ma\u011fdur edilmesine sebep olmaktad\u0131r.<\/span><\/p>\n

5510 SAYILI YASANIN 67.MADDES\u0130NE \u0130ST\u0130NADEN ( HAM\u0130LE ) BAYANLARIN SA\u011eLIK HARCAMALARI<\/strong><\/span><\/p>\n

Merhabalar;<\/span><\/p>\n

Devletimizin denetim mekanizmas\u0131n\u0131n yeterince \u00e7al\u0131\u015fmamas\u0131 veya \u00e7al\u0131\u015ft\u0131r\u0131lmamas\u0131 sebebi ile ^\u00d6zel Sa\u011fl\u0131k hizmetleri sunucular\u0131 ^\u00a0 y\u00fcr\u00fcrl\u00fckte olan baz\u0131 kanun maddelerini sanki hi\u00e7 haberleri yokmu\u015f gibi i\u015flemyapmalar\u0131na ve sosyal g\u00fcvencesi olmayan insanlar\u0131n ma\u011fdur edilmesine sebep olmaktad\u0131r.<\/span><\/p>\n

Sosyal g\u00fcvenlik reformu 1 Ekim 2008 tarihinde y\u00fcr\u00fcrl\u00fc\u011fe girdi\u011finde, Say\u0131n Ba\u015fbakan ile \u00c7al\u0131\u015fma ve Sosyal G\u00fcvenlik Bakan\u0131\u2019n\u0131n reformla ilgili a\u00e7\u0131klamalar\u0131nda en ilgi \u00e7ekici ba\u015fl\u0131klardan birisi de; \u2018sosyal g\u00fcvencesi olmayan hamile bayanlar\u0131n hamileli\u011fi boyunca hamilelikle ilgili t\u00fcm tetkik ve tedavi ile do\u011fum masraflar\u0131n\u0131n SGK\u2019ca kar\u015f\u0131lanaca\u011f\u0131\u2019\u00a0<\/strong>konusu olmu\u015ftu. Bakanl\u0131ktaki g\u00f6rev de\u011fi\u015fiminden sonra da yeni \u00c7al\u0131\u015fma ve Sosyal G\u00fcvenlik Bakan\u0131 Say\u0131n \u00d6mer Din\u00e7er de ayn\u0131 konuda benzer a\u00e7\u0131klamalarda bulunmu\u015ftu.<\/span><\/p>\n

Fakat yap\u0131lm\u0131\u015f olan ara\u015ft\u0131rmalar sonucunda Yasa ile Uygulaman\u0131n \u00e7ok farkl\u0131 oldu\u011fu tespit edilmi\u015ftir. Peki 01.10.2008 tarihinden itibaren y\u00fcr\u00fcrl\u00fc\u011fe girmi\u015f olan yasa maddesi ne diyor;<\/span><\/p>\n

5510 say\u0131l\u0131 yasan\u0131n 67. maddesinin 1. f\u0131kras\u0131nda konu olduk\u00e7a a\u00e7\u0131k d\u00fczenlenmi\u015f, SGK taraf\u0131ndan sa\u011fl\u0131k harcamalar\u0131 kar\u015f\u0131lanacak ki\u015filerden; son bir y\u0131l i\u00e7inde toplam 30 g\u00fcn genel sa\u011fl\u0131k sigortas\u0131\u00a0prim \u00f6demi\u015f olma \u015fart\u0131 aranmayacak\u00a0<\/strong>olanlar teker teker say\u0131lm\u0131\u015ft\u0131r.<\/span><\/p>\n

S\u00f6z konusu f\u0131krada \u00f6zetle \u201c18 ya\u015f\u0131n\u0131 doldurmam\u0131\u015f olan ki\u015filer, t\u0131bben ba\u015fkas\u0131n\u0131n bak\u0131m\u0131na muhta\u00e7 olan ki\u015filer, acil haller, i\u015f kazas\u0131 ile meslek hastal\u0131\u011f\u0131 halleri, bildirimi zorunlu bula\u015f\u0131c\u0131 hastal\u0131klar, ki\u015filerin hastalanmalar\u0131na bak\u0131lmaks\u0131z\u0131n ki\u015fiye y\u00f6nelik koruyucu sa\u011fl\u0131k hizmetleri ile insan sa\u011fl\u0131\u011f\u0131na zararl\u0131 madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n\u0131 \u00f6nlemeye y\u00f6nelik koruyucu sa\u011fl\u0131k hizmetleri,\u00a0anal\u0131k sebebiyle ayakta veya yatarak; hekim taraf\u0131ndan yap\u0131lacak muayene, hekimin g\u00f6rece\u011fi l\u00fczum \u00fczerine te\u015fhis i\u00e7in gereken klinik muayeneler, do\u011fum, laboratuar tetkik ve tahlilleri ile di\u011fer tan\u0131 y\u00f6ntemleri, konulan te\u015fhise dayal\u0131 olarak yap\u0131lacak t\u0131bbi m\u00fcdahale ve tedaviler, hasta takibi, rahim tahliyesi, t\u0131bbi sterilizasyon ve acil sa\u011fl\u0131k hizmetleri, ilgili kanunlar\u0131 gere\u011fince sa\u011fl\u0131k meslek mensubu say\u0131lanlar\u0131n hekimlerin karar\u0131 \u00fczerine yapacaklar\u0131 t\u0131bbi bak\u0131m ve tedaviler,<\/strong>\u00a0afet ve sava\u015f ile grev ve lokavt hali\u201d h\u00fckm\u00fc yer almaktad\u0131r.<\/span><\/p>\n

Bu madde h\u00fckm\u00fcne istinaden SGK, 18 ya\u015f\u0131n\u0131 doldurmam\u0131\u015f olan ki\u015filerin sa\u011fl\u0131k harcamalar\u0131n\u0131 kay\u0131ts\u0131z \u015farts\u0131z kar\u015f\u0131lamaktayken\u00a0ayn\u0131 f\u0131krada yer almas\u0131na ra\u011fmen sosyal g\u00fcvencesiz bayanlar\u0131n hamilelikle ilgili masraflar\u0131n\u0131 kar\u015f\u0131lamamaktad\u0131r.<\/strong><\/span><\/p>\n

SONU\u00c7:<\/strong><\/span><\/p>\n

Hamile olan bayanlar\u0131n hi\u00e7bir sosyal g\u00fcvencesi olmasa veya Ba\u011f-Kur\u2019lu olup prim borcu bulunsa bile, SGK ile s\u00f6zle\u015fme yapm\u0131\u015f hangi sa\u011fl\u0131k kurulu\u015funa ba\u015fvururlarsa vursunlar, bu sa\u011fl\u0131k kurulu\u015flar\u0131 hamile bayan\u0131n hamilelikten kaynaklanan sa\u011fl\u0131k ihtiya\u00e7lar\u0131n\u0131 gidermek zorundad\u0131rlar. Sa\u011fl\u0131k ihtiya\u00e7lar\u0131 i\u00e7inde; muayene, yatakl\u0131 tedavi, tetkik, tahlil ve il\u00e2\u00e7 ihtiya\u00e7lar\u0131 \u00f6rnek olarak g\u00f6sterilebilir.\u00a0Hamile bayan\u0131n ba\u015fvurdu\u011fu sa\u011fl\u0131k kurulu\u015fu ise, Sa\u011fl\u0131k Uygulama Tebli\u011fi\u2019nin ekinde yer alan EK: 4 belgesini d\u00fczenleyerek SGK\u2019ya fatura etmeleri gerekmektedir.<\/strong>\u00a0Hamile bayanlar\u0131n sa\u011fl\u0131k giderlerinden dolay\u0131 5510 say\u0131l\u0131 yasaya g\u00f6re hastadan ilave fark \u00fccreti talep edilemez. Ancak, Sosyal G\u00fcvenlik Kurumu yetkilileri yasada olmas\u0131na ra\u011fmen Sa\u011fl\u0131k Uygulama Tebli\u011fi i\u00e7erisine fark \u00fccret al\u0131namayaca\u011f\u0131na dair h\u00fck\u00fcmler koymad\u0131klar\u0131 i\u00e7in, g\u00fcn\u00fcm\u00fcz itibariyle hastalardan fark \u00fccreti al\u0131nmaktad\u0131r\u00a0\u00d6zel Sa\u011fl\u0131k Sunucular\u0131 taraf\u0131ndan HAKSIZ olarak vatanda\u015flardan tahsil edilen\u00a0 tutarlar \u00f6ncelikle 5 Kat\u0131 kadar Geri iadesi ve her vatanda\u015f i\u00e7in 6.000 TL idari para cezas\u0131 ile cezaland\u0131r\u0131lmaktad\u0131r.<\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Devletimizin denetim mekanizmas\u0131n\u0131n yeterince \u00e7al\u0131\u015fmamas\u0131 veya \u00e7al\u0131\u015ft\u0131r\u0131lmamas\u0131 sebebi ile ^\u00d6zel Sa\u011fl\u0131k hizmetleri sunucular\u0131 ^ y\u00fcr\u00fcrl\u00fckte olan baz\u0131 kanun maddelerini sanki hi\u00e7 haberleri yokmu\u015f gibi i\u015flemyapmalar\u0131na ve sosyal g\u00fcvencesi olmayan insanlar\u0131n ma\u011fdur edilmesine sebep olmaktad\u0131r. 5510 SAYILI YASANIN 67.MADDES\u0130NE \u0130ST\u0130NADEN (&hellip<\/p>\n","protected":false},"author":1,"featured_media":22,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-100","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-makale"],"_links":{"self":[{"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=\/wp\/v2\/posts\/100","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=100"}],"version-history":[{"count":0,"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=\/wp\/v2\/posts\/100\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=\/wp\/v2\/media\/22"}],"wp:attachment":[{"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=100"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=100"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/eylulmuhasebe.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=100"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}