Coverage and public programs
- Programa Sumar+ (public health coverage for people without insurance, Ministerio de Salud)A Ministerio de Salud program for people with no obra social (work-based health insurer) or prepaga (private health plan), supporting a set of priority services in provincial public hospitals and health centers. Its free line, 0800 222 7100, gives information and takes complaints.www.argentina.gob.ar/salud/sumarmas
- Obras sociales (work-based health insurers, Ministerio de Justicia)Derecho Fácil’s plain guide: who must be enrolled (employees, retirees and pensioners, and their families), that an obra social can’t ask for a medical exam or make you wait for the services it must cover, and that cover continues for 3 months after a job of more than 3 months ends.www.argentina.gob.ar/justicia/derechofacil/leysimple/obras-sociales
- Mi Agente del Seguro (find your health insurer, SSS)Look up which obra social or prepaga the Superintendencia de Servicios de Salud (SSS, the health insurance regulator) has you registered with, using a CUIL or CUIT (tax ID numbers) or a DNI (national ID number).www.argentina.gob.ar/sssalud/usuarios/mi-obra-social
- Realizar opción de cambio (changing your health insurer, SSS)Workers and monotributistas (people on the simplified tax regime) can change obra social or prepaga free and online, once a year; retirees and pensioners do it through ANSES. Some people, such as those whose job has ended, can’t use it.www.argentina.gob.ar/servicio/realizar-opcion-de-cambio-libre-eleccion-de-agentes-del-seguro
- Afiliate a PAMI (joining PAMI, the health insurer for retirees)PAMI, the Instituto Nacional de Servicios Sociales para Jubilados y Pensionados, serves retirees and pensioners, their dependent family members, people with disabilities and war veterans. Members choose a médico de cabecera (family doctor), who is the way in to its services.www.pami.org.ar/afiliateapami