Questionnaire Text

Questionnaire form view entire document:  text  image

3.4 Insurance subscriber
Does (Name) have the right to medical service:
Mark one or more answers
[] 1 In the Social Security (IMSS)?
[] 2 In the ISSSTE?
[] 3 By Pemex, Defense or Navy?
[] 4 By Seguro Popular?
[] 5 By insurance in private institutions?

In another institution?
Write down the name of institution
____

[] 6 So, you do not have the right to medical service?

Questionnaire instructions view entire document:  text  image

Questions 3.1, 3.2, 3.3 and 3.4 are asked to all people whatever their age.


3.4 Beneficiary

The question permits us to identify people who have the right to medical services in public or private health institutions, as well as those who are not beneficiaries of these services.

Beneficiary to a medical service is the right that a person has to receive medical attention in public or private health institutions.

[To the right of the text is a form for 3.4 Beneficiary.]

- As a result of labor benefits for the worker, when the company, factory or institution where worked, pays for public or private health organization, so that a worker and family members receive medical services.
- For being pensioned or retired, as well as family members who receive this benefit.
- For being registered in popular insurance of the Secretary of Health.
- For paying an installment in a voluntary manner or having acquired insurance for accessing medical services in any institution.

[p. 73]

In Social Security?

Workers, pensioned, retired and family members who are registered in the Mexican Institute of Social Security (IMSS).

People who acquired an option or voluntary insurance in IMSS.

Students of preparatory or high school, professional or post graduate school, who receive medical services in IMSS.

Do not consider as beneficiaries people who receive services of IMSS Opportunities, which at the moment is known as IMSS-Solidarity. When you identify these cases, mark option 6. Then there is no right to medical services.

In the ISSSTE?

Current workers of the federal government, pensioned and family members.

By Pemex, Defense or Navy?

Workers of Mexican Petroleum (Pemex), of the Secretary of National Defense (SEDENA), and the Secretary of Navy (MARINA), also those finished with military service, pensioned, retired as well as family members.

By Popular Insurance?

They are people registered in Popular Insurance who receive medical services that the Secretary of Health (SSA) offers.

It should not be confused with the occasional or regular attention that people get in the health centers and hospitals of SSA, since they are not beneficiaries.

By an insurance in private institutions?

People who directly pay for insurance for medical expenses or those whose company gives them medical insurance in hospitals or private clinics, in an anticipated manner, like those that are obtained by bank employees or insurance of larger medical expenses. It is important that they not be confused with occasional or regular medical attention that is paid at the moment when the service is received, since in these cases they are not considered beneficiaries.

In another institution?

Workers of state and city governments and other public organization as well as their beneficiaries, who have medical insurance from state governments. In each entity, they can have a different name, that is, known by the abbreviation that identifies them, for example, in the State of Mexico ISSEMyM, in the state of Sonora, ISSSTESON, in Aguascalientes, ISSSSPEA and in Nuevo León ISSSTELEON. In these cases, you should write down the name of the institution in the option "Other institution", using the abbreviations, since the complete name does not fit in the boxes. Also include people who have the right to medical service in an institution different than those that appear in the answer options, as well as cases in which you cannot identify the institution.

Then, there is no right to medical service?

People who declare to not have the right to receive medical service, as well as people who only have the right to medical services in the United States of America, or in any other country.

You should include in this option those who receive attention in IMSS-Opportunities or IMSS-Solidarity.

A person can have rights to medical service in more than one institution, which is why it is important that you read all options, even when they have responded affirmatively in the first.

[p. 74]

When a person is going through the procedures to receive medical attention, consider it a right.

Take into account the following:

When registering the name of the institution, do not use articles or prepositions (the, a, an, for, by of, etc). If the name of the declared institution has too many letters, use the following abbreviations: for hospital (H), clinic (CL), health center (CS), and for medical unity (UM).