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Sakın para ödemeyin! takvim.com.tr Giriş Tarihi : 27 Ağustos 2011 , 00:00 Güncelleme Tarihi : 27 Ağustos 2011 , 12:59
Trafik kazaları sebebiyle üniversitelere bağlı hastaneler ve diğer bütün resmi ve özel sağlık kurum ve kuruluşlarının sundukları tedavinin gerektirdiği tüm sağlık hizmet bedelleri, kazazedenin sosyal güvencesi olup olmadığına bakılmaksızın Sosyal Güvenlik Kurumu (SGK) tarafından karşılanacak.
Trafik Kazaları Nedeniyle İlgililere Sunulan Sağlık Hizmet Bedellerinin Tahsiline İlişkin Usul ve Esaslar Hakkında Yönetmelik, Resmi Gazete'nin bugünkü sayısında yayımlanarak yürürlüğe girdi.
Ülke içinde meydana gelen trafik kazaları nedeniyle ilgililere sunulan sağlık hizmet bedellerinin tahsiline ilişkin usul ve esasları belirleyen yönetmelik, Zorunlu Trafik Sigortası, Zorunlu Taşımacılık Sigortası ve Zorunlu Koltuk Ferdi Kaza Sigortasını kapsıyor.
Trafik kazaları sebebiyle üniversitelere bağlı hastaneler ve diğer bütün resmi ve özel sağlık kurum ve kuruluşlarının sundukları tedavinin gerektirdiği tüm sağlık hizmet bedelleri, kazazedenin sosyal güvencesi olup olmadığına bakılmaksızın, SGK tarafından yayımlanan Sosyal Güvenlik Kurumu Sağlık Uygulama Tebliğinde yer alan hükümler doğrultusunda karşılanacak.
SGK tarafından karşılanan sağlık hizmet bedelleri için bu yönetmelikle belirlenen usul ve esaslara göre, ilgili sigorta şirketleri ve Güvence Hesabı tarafından SGK'ya aktarım yapılacak.
Zorunlu Trafik Sigortası poliçesi düzenleme yetkisi bulunan sigorta şirketleri, kısa süreliler dahil yazdıkları sigorta priminin bu yönetmelik ekinde yer alan hesaplama yöntemine göre belirlenen kısmını, primin tahakkuk ettiği ilgili ayı izleyen 3. ay sonuna kadar defaten veya 3 eşit taksitte SGK'ya aktaracaklar.
Zorunlu Taşımacılık Sigortası ile Zorunlu Koltuk Ferdi Kaza Sigortası poliçesi düzenleme yetkisi bulunan sigorta şirketleri de yazdıkları sigorta priminin söz konusu hesaplama yöntemine göre belirlenen kısmını, primin tahakkuk ettiği ilgili ayı izleyen 3. ay sonuna kadar defaten veya 3 eşit taksitte SGK'ya aktaracaklar.
Güvence Hesabı da Zorunlu Trafik Sigortası, Zorunlu Taşımacılık Sigortası ve Zorunlu Koltuk Ferdi Kaza Sigortası için ilgili sigorta şirketlerinden tahsil ettiği tüm katılım paylarının yüzde 15'ini, tahsilatı izleyen ayın 10. gününe kadar SGK'ya aktaracak.
SGK alacağının süresinde ödenmemesi halinde, Sosyal Sigortalar ve Genel Sağlık Sigortası Kanunu uyarınca, ödenmeyen kısım, sürenin bittiği tarihten itibaren ilk üç aylık sürede her bir ay için yüzde 3 oranında gecikme cezası uygulanarak artırılacak ve ilgili diğer hükümler uygulanacak.
Trafik kazaları sebebiyle sağlık hizmeti talebine konu olabilecek isteğe bağlı sigortaları düzenleyen sigorta şirketlerinin anılan poliçeler çerçevesindeki sorumlulukları saklı kalacak.
Bu Yönetmelik hükümleri kapsamında Kuruma yapılan aktarımla, sigorta şirketlerinin ve Güvence Hesabının Zorunlu Trafik Sigortası, Zorunlu Taşımacılık Sigortası ve Zorunlu Koltuk Ferdi Kaza Sigortası poliçeleri kapsamında sigortalılara ve hak sahiplerine karşı sağlık/tedavi giderleri teminatı bakımından sorumlulukları sona erecek.
Yönetmelik çerçevesindeki sağlık hizmet bedelleri için Zorunlu Trafik Sigortası, Zorunlu Taşımacılık Sigortası ve Zorunlu Koltuk Ferdi Kaza Sigortası çerçevesinde sigortalı olan kişilerden ayrıca talepte bulunulamayacak.