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Seguro Popular


Arroyos

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Just wanted to confirm that you can renew Seguro Popular at the community hospital near Jocotepec even though we initially enrolled in Chapala. Plus we just need copies of proof of residence, CURP, and ID if Mexican or Permanente or other expats immigration cards. Would just like to see this hospital and confirm we don't have to see doctor after we renew. Thanks.

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4 hours ago, Arroyos said:

Just wanted to confirm that you can renew Seguro Popular at the community hospital near Jocotepec even though we initially enrolled in Chapala. Plus we just need copies of proof of residence, CURP, and ID if Mexican or Permanente or other expats immigration cards. Would just like to see this hospital and confirm we don't have to see doctor after we renew. Thanks.

You don´t need to see  your clinic´s GP  Dr. when renewing but you need to go to your assigned SP clinic for a medical file to be started when you first sign up.

 

Google Translation:

"Seguro Popular rights

The people affiliated to the popular insurance have diverse rights among which are:

Receive health services, medicines and other methods necessary for the diagnosis and treatment of diseases covered by Seguro Popular and access to Seguro Popular hospitals.

Comprehensive health service.

Access to care

Decent treatment, quality care and respect.

Receive the medications that are necessary for your care and that correspond to the health service offered by the Seguro Popular.

Receive all the necessary information, clarify and orient everything related to your health care, as well as the risk and the different alternatives that exist for diagnostic, treatment and surgical procedures depending on the case, if applicable.

The annual report of the Seguro Popular must be given [to members].

There must be a clinical file.

You have the right to decide freely about your medical care.

You have the right to grant or not consent to accept or reject medical treatment or procedures.

You have the right to be treated confidentially.

He should be given the facility to get a second opinion.

You have the right to receive urgent medical care.

You can receive information about all procedures and services offered at health care facilities.

You should not cover specific recovery fees for each service you receive from Seguro Popular.

You can file complaints with the various health authorities and inform about procedures and forms of care."

 
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Many of us have had Seguro Popular for years, not used it, and have not started a clinical file. Are you saying that if it is not done immediately after sign up, we do not have coverage? I understand that it must be done before we receive services, but immediately after sign up? Is that your opinion or a requirement of Seguro Popular which is not mentioned above? Thank you.

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This board has provided answers on both sides for years. Yes, you need a file. No, you don't need a file. It doesn't matter when, as long as you create one before you need to use the system... and it will save a lot of headaches and time.

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I signed up with SP in Jocotepec last year and they said I did NOT need to go to a SP clinic to start a file.  

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My wife said you don´t need to go to the clinic you are assigned to to start a medical file.

She said if you travel to another state you need to get a form filled out at your clinic to be able to go to a clinic where you travel to with the list of locations. For emergencies you can go to any emergency room at Seguro Popular hospitals in any location for service. The medical file at your clinic stays there. The medical file at the SP hospital when seeing specialists stays there. Your local SP clinic GP Dr. refers you to specialists. You get an appointment by going into your clinic in the mornings for usually the next day of 2 or 3.

At a hospital to see a specialist when you arrive at the time of your appointment  they have 5  more patients arriving at that same hour. You arrive early and ask the people close to the door: "Who is the last person to arrive to see Dr. ***** ?. You then get behind that person when the Dr.´s assistant comes out the door and asks who is here to see Dr. *****? They put a number beside your name on the list and when the person before you goes in maneuver yourself close to the door to go in next. People will try to cut in if the assistant or Dr. doesn´t call your name - which happens. If you don´t get your name on the list even arriving about 45 minutes early everyone after you will get in first. You will wait and at the end if they call your name then you get in. I have seen them not call names at some hospitals only make a list and take your vitals before the Dr. arrives and others they call your name - depends. People over 70 or obviously vey sick or disabled can ask if they can go ahead of others there and usually the people waitng will say OK. Sometimes they will wheel in a patient from emergency in front of everyone to get a diagnosis, get papers for tests or medicine prescriptions from a specialist and your wait will be longer. The Dr.s work 1/2 days and most have a private practice the other 1/2 day so you might be seen by a specialist you might pay for at a private speciality consultorio or medical tower in a  private hospital. Hospital Angeles is the exception and other high end ones as these Dr.s are top notch. If you make appiontments later in the morning or later in the afternoon the backlog they always create will mean a longer wait time.

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13 hours ago, Arroyos said:

Just wanted to confirm that you can renew Seguro Popular at the community hospital near Jocotepec even though we initially enrolled in Chapala. Plus we just need copies of proof of residence, CURP, and ID if Mexican or Permanente or other expats immigration cards. Would just like to see this hospital and confirm we don't have to see doctor after we renew. Thanks.

I guess  the best answer is for you to go and find out,  given the inconsistencies in the Mexican Health Systems.... what may work for some people may not work for you... And please report back

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8 hours ago, lakeside7 said:

I guess  the best answer is for you to go and find out,  given the inconsistencies in the Mexican Health Systems.... what may work for some people may not work for you... And please report back

Isn't that the truth.

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Thank you all for your posts.  In the end, I went to the Chapala SP clinic where I had originally registered, as it was the last day before my expiry date from the last renewal.  The renewal process was very prompt and efficient.  I gave the lady in the appropriate room all the required information.  All she asked for was copies of my passport, permanente, CURP and proof of domicile.  Had the renewal paper in 5 minutes.  Good for another 3 years.

I asked about the clinical file (archivo clinica) and she sent me to another SP office in the building.  Unfortunately the fellow was out and they told me I needed a copy of my renewal for this fellow in order for him to set up a file.  Went to papeleria and obtained, returned but the guy was still away.  There happened to be a fellow at the front who seemed to be "in the know" and low and behold he was a Mexican doctor from Jocotepec.  So he confirmed that in an emergency, you don't need a clinical file .  Just go to the SP hospital, which in my case would be the community hospital in Joco.  He said you only need a clinical file at an SP clinic if you wish to receive services, e.g. get immunizations, see a doctor for medical problems.  If the doctor determines you might need surgery, eg. for a hernia, then he will send you to the appropriate SP hospital for the required operation.  I only have this for what I call catastrophies, because I can't get private insurance.

Hope all this helps with some of the questions above.

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