Health in Chile - Auge Plan

Auge Plan

There are a number of high-mortality pathological conditions (currently 69) that have special guarantees for both Isapre and Fonasa affiliates. The Auge (from the Spanish Acceso Universal con Garantías Explícitas, "Universal Access with Explicit Guarantees") or Ges (Garantías Explícitas en Salud, "Explicit Guarantees in Healthcare") plan includes four guarantees in relation to these illnesses:

• Access: individuals will be able to get attention from a network of providers near their place of residence,
• Opportunity: there is a maximum pre-established time limit to get attention (both initial attention and after the diagnosis),
• Quality: services will follow technical requirement standards that will be established based on medical evidence, and
• Financial coverage: payment to providers cannot be an obstacle to attention. There will be a maximum copayment of 20% of the cost, with the total not to exceed one month of income for the family in a year.