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IMSS requirements


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22 minutes ago, Mostlylost said:

IMSS is not only a medical system. It is the closest thing to Social Security in the USA.  Millions of Mexicans receive a pension from IMSS. My brother in law receives just under $50,000MX per month. He pays nothing for medical coverage for himself and his wife.  

Wow, that's quite a stipend... no?

 

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23 minutes ago, gringohombre said:

I think that Seguro Popular and IMSS have been folded into one system. Not sure of the new name. 

No. Both are seperate. Seguro Popular is now a scaled down system called INSABI. The only thing folded into one is purchasing of medicines, which is not going well at all.

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1 hour ago, Mostlylost said:

IMSS is not only a medical system. It is the closest thing to Social Security in the USA.  Millions of Mexicans receive a pension from IMSS. My brother in law receives just under $50,000MX per month. He pays nothing for medical coverage for himself and his wife.  

My understanding when we joined 22 years ago was that foreigners were only allowed access to the medical  benefits.  The rest.... a form of worker's comp, social security pension,  access to loans etc. was only available for those who had the full broad coverage such as that paid into in premiums by registered group employers. Once a year payers (like us) did not have access to that.

Can't say for sure today, (we dropped it 2 years ago)  but you could check in Chapala clinic.

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1 hour ago, Natasha said:

My understanding when we joined 22 years ago was that foreigners were only allowed access to the medical  benefits.  The rest.... a form of worker's comp, social security pension,  access to loans etc. was only available for those who had the full broad coverage such as that paid into in premiums by registered group employers. Once a year payers (like us) did not have access to that.

Can't say for sure today, (we dropped it 2 years ago)  but you could check in Chapala clinic.

You are correct. The only part of the system a non Mexican can access is the health insurance. 

To join you must have a residency card,  be under 70 years of age, pay the annual fee for your age group, and pass a physical exam. Some preexisting conditions are not covered and these include malignant tumors, congenital diseases, chronic degenerative diseases, addictions, mental illness, and HIV—among others.  If you have any preexisting excluded conditions, you cannot enroll into the IMSS insurance program.

Other specific preexisting conditions are covered on ‘deferment’ and these don’t preclude you for joining the program, but are subject to specific waiting periods before you can seek healthcare services within the IMSS system related to them.

Fees fo 2020 enacted in March for 60-69 years of age $12,250.   

Your current passport(s)

Your current residency permit(s)

Proof of address, e.g. your latest electricity bill

Marriage certificate (if applicable)

Application form and health questionnaire provided by IMSS

Two photographs, same format and rules as those for your residency permit

Bank payment receipt for the first-year’s premium (made on the day you visit the local IMSS office) 

After you’re enrolled, you’ll be assigned to a local clinic, where you will go to see your doctor, go for regular check-ups, and obtain prescriptions for any medications you may need.  If you need the services of a specialist, referrals are made to IMSS medical specialists only via your assigned doctor.

Exclusions when joining:

Six months:   Benign breast lump.        Ten months:  Birth.

One year:

Lithotripsy

Surgery for gynecological conditions, except malignant neoplasms of the uterus, ovaries and perineal floor.

Surgery for venous insufficiency and varicose veins.

Sinus and nose surgery.

Varicocele surgery.

Hemorrhoidectomy and rectal fistula surgery and rectal prolapse.

Tonsillectomy and adenoidectomy.

Hernia surgery, except intervetabral disc herniation.

Hallux valgus surgery.

Strabismus surgery.

Two years:

Orthopedic surgery. 

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