{"id":19589,"date":"2024-10-16T09:47:17","date_gmt":"2024-10-16T09:47:17","guid":{"rendered":"https:\/\/ancs.sn\/?page_id=19589"},"modified":"2024-12-06T15:57:57","modified_gmt":"2024-12-06T15:57:57","slug":"mutuelle","status":"publish","type":"page","link":"https:\/\/ancs.sn\/en\/mutuelle\/","title":{"rendered":"Mutual insurance"},"content":{"rendered":"
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\tMSANCS<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t

GENERAL INFORMATION ABOUT THE MUTUAL HEALTH\nOF THE NATIONAL ALLIANCE OF HEALTH COMMUNITIES (MSANCS)\n<\/h2>\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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1.\tWho are we?\n<\/h2>\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The ANCS health mutual is being set up as part of the national Universal Health Coverage programme, which was launched in 2013 by the Senegalese government with the aim of improving affordability and equity of access to healthcare for all Senegalese. Its aim is to provide medical care for ANCS targets, including people affected by HIV and their families, NGO workers in particular and the community in general.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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2.\tHow can I benefit from MSANCS services? \n<\/h2>\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Beneficiaries of health care benefits offered by the mutual insurance company are subject to the following conditions:\u00a0\u00a0<\/p>

  • Type of membership : <\/strong>Membership is family, grouped and individual, and the membership fee is payable only once on enrolment;
    • Family or individual membership : <\/strong>membership fees are set at 1\u00a0000 FCFA.<\/strong><\/li>
    • Group membership : <\/strong>
      • Between 50 <\/strong>and 149 <\/strong>associate members, membership fees are set at 500 F CFA <\/strong>per member;<\/li>
      • Between 150 et 499 <\/strong>associate members, membership fees are set at 250 <\/strong>F CFA per member;<\/li>
      • From 500 <\/strong>members, a lump sum of 100\u00a0000 F CFA <\/strong>is requested.<\/li><\/ul><\/li>
      • Contribution formula<\/strong>:<\/li>
      • Guaranteed minimum care package (mandatory)<\/em><\/strong>:<\/li><\/ul><\/li><\/ul>

        The membership fee is 7000<\/strong> FCFA<\/strong>It is individual, and each beneficiary must pay his or her contributions in advance in order to receive health care benefits.<\/p>

        The membership fee is annual (12 months) with half-yearly payments.<\/p>

        • Specific package (optional)<\/em><\/strong>:<\/li><\/ul>

          The membership fee is 15 000<\/strong> FCFA<\/strong>It is individual, and each beneficiary must pay his or her contributions in advance in order to benefit from the healthcare services guaranteed by this package.<\/p>

          • Observation period<\/strong>:<\/li><\/ul>

            It is for one (1) month if the subscription is annual and (2) months if it is semi-annual.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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            3.\tList of documents to be supplied<\/h2>\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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            • The member must provide : <\/strong><\/li><\/ul>

              -A photocopy of your identity card ;<\/p>

              -Two (2) passport photos.<\/p>

              • The beneficiary must provide : <\/strong><\/li><\/ul>

                -A photocopy of the NIC and two (2) passport photos for each spouse;<\/p>

                -A birth certificate and two passport photos for each child under 18.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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                4.\tWhat services are included in the packages?<\/h2>\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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                GUARANTEED MINIMUM CARE PACKAGE<\/strong>\n\n(Health centers and hospitals (Mandatory referral for hospital care)<\/em><\/td>\n<\/tr>\n
                Benefits covered by the mutual health insurance plan<\/strong><\/td>\nCoverage rates<\/strong>\n\nby the health mutual<\/strong><\/td>\n<\/tr>\n
                Outpatient care<\/strong><\/td>\n\u00a0<\/u><\/strong><\/td>\n<\/tr>\n
                - General curative consultations, dental, ophthalmology and other specialists<\/td>\n80%<\/td>\n<\/tr>\n
                - Dressings, injections, transfusions<\/td>\n80%<\/td>\n<\/tr>\n
                - Minor outpatient surgery<\/td>\n80%<\/td>\n<\/tr>\n
                - Ambulatory and dental care<\/td>\n80%<\/td>\n<\/tr>\n
                - Ultrasound<\/td>\n80%<\/td>\n<\/tr>\n
                - X-ray (only in public facilities) \/Scanner\/Echography<\/td>\n80%<\/strong><\/td>\n<\/tr>\n
                - Medical analysis\/Laboratory<\/td>\n80%<\/strong><\/td>\n<\/tr>\n
                Medicines Private dispensaries\n\n- (capped at 100,000F per year)<\/td>\n\u00a050%<\/strong><\/td>\n<\/tr>\n
                - Generic drugs (IB)<\/td>\n80%<\/strong><\/td>\n<\/tr>\n
                Transport<\/strong><\/td>\n\u00a0<\/u><\/strong><\/td>\n<\/tr>\n
                - Ambulance<\/td>\n80%<\/td>\n<\/tr>\n
                Hospitalization<\/strong><\/td>\n\u00a0<\/u><\/strong><\/td>\n<\/tr>\n
                - Hospitalization (1 to 7 days)<\/td>\n80%<\/strong><\/td>\n<\/tr>\n
                - Hospitalization (over 7 days)<\/td>\n50%<\/strong><\/td>\n<\/tr>\n
                - Ultrasound<\/td>\n80%<\/td>\n<\/tr>\n
                - Medical analysis\/Laboratory<\/td>\n80%<\/td>\n<\/tr>\n
                - Generic drugs<\/td>\n80%<\/td>\n<\/tr>\n
                - Medical Consumables<\/td>\n80%<\/td>\n<\/tr>\n
                Maternity ward<\/strong><\/td>\n\u00a0<\/u><\/strong><\/td>\n<\/tr>\n
                - Prenatal consultation<\/td>\n80%<\/td>\n<\/tr>\n
                - Post-natal consultation<\/td>\n80%<\/td>\n<\/tr>\n
                - Planification familiale<\/td>\n80%<\/td>\n<\/tr>\n
                - Simple delivery<\/td>\n80%<\/td>\n<\/tr>\n
                - Hospitalization<\/td>\n80%<\/td>\n<\/tr>\n
                - Ultrasound<\/td>\n80%<\/td>\n<\/tr>\n
                - Medical analysis\/Laboratory<\/td>\n80%<\/td>\n<\/tr>\n
                - Generic drugs<\/td>\n80%<\/td>\n<\/tr>\n
                Exclusions<\/u><\/strong>\u00a0:\n\n- Eyeglasses\n\n- Contact lenses\n\n- Prostheses (including dentures)\n\n- Orthotics\n\n- Treatment outside Senegal\n\n- Physiotherapy\n\nParapharmacies\n\n- Gels and lubricants\n\n- Hypertension products<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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                SPECIFIC PACKAGE <\/strong>\n\n(Health centers, private practices and clinics, hospitals (Compulsory referral for hospital care services)<\/td>\n\n<\/tr>\n
                Benefits covered by the mutual health insurance plan<\/strong><\/td>\nCoverage rates<\/strong>\n\nby the health mutual<\/strong><\/td>\n<\/tr>\n
                Outpatient care<\/u><\/strong><\/td>\n\u00a0<\/u><\/strong><\/td>\n<\/tr>\n
                - General curative consultations, dental, ophthalmology and other specialists<\/td>\n80%<\/td>\n<\/tr>\n
                - Dressings, injections, transfusions<\/td>\n80%<\/td>\n<\/tr>\n
                - Minor outpatient surgery<\/td>\n80%<\/td>\n<\/tr>\n
                - Ambulatory and dental care<\/td>\n80%<\/td>\n<\/tr>\n
                - Ultrasound<\/td>\n80%<\/td>\n<\/tr>\n
                - X-rays: CT, MRI and mammography<\/td>\n80%<\/td>\n<\/tr>\n
                - Medical analysis\/Laboratory<\/td>\n80%<\/td>\n<\/tr>\n
                - Medical analysis\/Private laboratories<\/td>\n25%<\/td>\n<\/tr>\n
                Private pharmacies\n\n- (annual ceiling 150000F)<\/td>\n50%<\/td>\n<\/tr>\n
                - Generic drugs (IB)<\/td>\n80%<\/td>\n<\/tr>\n
                Transport<\/u><\/strong><\/td>\n\u00a0<\/u><\/td>\n<\/tr>\n
                - Ambulance<\/td>\n80%<\/td>\n<\/tr>\n
                Hospitalization<\/u><\/strong><\/td>\n\u00a0<\/u><\/td>\n<\/tr>\n
                - Hospitalization (1 to 7 days)<\/td>\n80%<\/td>\n<\/tr>\n
                - Hospitalization (over 7 days)<\/td>\n80%<\/td>\n<\/tr>\n
                - Ultrasound<\/td>\n80%<\/td>\n<\/tr>\n
                - Medical analysis\/Laboratory<\/td>\n80%<\/td>\n<\/tr>\n
                - Generic drugs<\/td>\n80%<\/td>\n<\/tr>\n
                - Medical Consumables<\/td>\n80%<\/td>\n<\/tr>\n
                Maternity ward<\/u><\/strong><\/td>\n\u00a0<\/u><\/td>\n<\/tr>\n
                - Prenatal consultation<\/td>\n80%<\/td>\n<\/tr>\n
                - Post-natal consultation<\/td>\n80%<\/td>\n<\/tr>\n
                - Planification familiale<\/td>\n80%<\/td>\n<\/tr>\n
                - Simple delivery<\/td>\n80%<\/td>\n<\/tr>\n
                - Hospitalization<\/td>\n80%<\/td>\n<\/tr>\n
                - Ultrasound<\/td>\n80%<\/td>\n<\/tr>\n
                - Medical analysis\/Laboratory<\/td>\n80%<\/td>\n<\/tr>\n
                - Medical analysis\/Private laboratories<\/td>\n25%<\/td>\n<\/tr>\n
                - Generic drugs<\/td>\n80%<\/td>\n<\/tr>\n
                - Surgery (ceiling 500,000F)<\/td>\n80%<\/td>\n<\/tr>\n
                - Prostheses (dental ceiling 50,000 F CFA)<\/td>\n80%<\/td>\n<\/tr>\n
                - Eyewear (maximum 50,000 F CFA)<\/td>\n80%<\/td>\n<\/tr>\n
                Exclusions<\/u><\/strong>\u00a0:\n\n- Contact lenses\n\n- Orthotics\n\n- Treatment outside Senegal\n\n- Cosmetic surgery\n\n- Physiotherapy\n\nParapharmacies\n\n- Gels and lubricants<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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                Our partners <\/h2>\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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                \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

                MSANCS INFORMATIONS GENERALES SUR LA MUTUELLE DE SANTE DE L\u2019ALLIANCE NATIONALE DES COMMUNAUTES POUR LA SANTE (MSANCS) 1. Qui sommes-nous ? La Mutuelle de sant\u00e9 de l\u2019ANCS est mise en place dans le cadre du Programme national de Couverture Maladie Universelle qui a \u00e9t\u00e9 lanc\u00e9 en 2013 par le gouvernement du S\u00e9n\u00e9gal dans le but […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-19589","page","type-page","status-publish","hentry"],"yoast_head":"\nMutuelle - ANCS<\/title>\n<meta name=\"description\" content=\"D\u00e9couvrez la Mutuelle de Sant\u00e9 de l\u2019ANCS : une initiative pour offrir une couverture sant\u00e9 accessible et renforcer la r\u00e9silience des communaut\u00e9s face aux d\u00e9fis de sant\u00e9 au S\u00e9n\u00e9gal.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ancs.sn\/en\/mutuelle\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mutuelle\" \/>\n<meta property=\"og:description\" content=\"D\u00e9couvrez la Mutuelle de Sant\u00e9 de l\u2019ANCS : une initiative pour offrir une couverture sant\u00e9 accessible et renforcer la r\u00e9silience des communaut\u00e9s face aux d\u00e9fis de sant\u00e9 au S\u00e9n\u00e9gal.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ancs.sn\/en\/mutuelle\/\" \/>\n<meta property=\"og:site_name\" content=\"ANCS\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/share\/1J8ELRMTiV\/?mibextid=LQQJ4d\" \/>\n<meta property=\"article:modified_time\" content=\"2024-12-06T15:57:57+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ancs.sn\/wp-content\/uploads\/2024\/11\/MUTUELLE.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/ancs.sn\\\/mutuelle\\\/\",\"url\":\"https:\\\/\\\/ancs.sn\\\/mutuelle\\\/\",\"name\":\"Mutuelle - 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