Mexico - Obtain Authorization to Receive Medical Care at Another Clinic

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Procedure

Step 1:

1. To Obtain Authorization to Receive Medical Care at Another Clinic, the applicant has to approach the Institute of Security and Social Services for State Workers link
2. The applicant has to contact the Public Healthcare Institutions (IMSS or ISSSTE).
3. The applicant has to visit the primary healthcare clinic affiliated with IMSS, ISSSTE, or the relevant public institution. Explain the medical condition and why the applicant requires care at another clinic.
4. The doctor at the primary clinic will evaluate their medical condition and determine whether specialized care at another clinic is necessary.
5. If the doctor determines that they need care at another clinic, they will issue a referral or authorization document specifying the type of care required and the approved clinic.
6. Take the referral or authorization document to the clinic where you're authorized to receive care. They will review the document, assess your situation, and provide the necessary treatment.

Step 2:

1. After that Get in touch with the private health insurance company. They will provide you with specific instructions on how to request authorization for medical care at another clinic.
2. Insurance providers may ask for details about the medical condition, treatment plan, and the clinic where they want to receive care.
3. The applicant might need to provide medical records, test results, and other relevant documentation.
4. An application form will be provided to the applicant by the concerned officer.
5. The applicant has to fill in all the necessary details in the application form. (Incomplete applications are not accepted)
6. Make sure that the applicant has attached all the necessary documents that are mentioned in the “Required Documents” section of this page.
7. The applicant has to attach the photocopies of the required documents along with the application form while submitting.
8. Submit all the documents with the completed form to the concerned officer.
9. The applicant has to pay the prescribed fee as requested by the authority.
10. After receiving the application, the concerned authority will check the submitted application and document set. If all are in place, the application will be accepted.
11. An acknowledgment receipt will be provided. Please save it for future reference.
12. Then the application will be processed further. All the updates on the application status will be sent via SMS to the applicant’s mobile number.
13. If the applicant's request is approved, they can proceed to the authorized clinic to receive the required medical care.
14. The clinic will coordinate with the applicant's insurance provider for billing and payment.
15. This entire process can be completed within 3 - 4 weeks or as per the timeline advised by the respective department authority.

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Required Documents

• Application form
• Proof of Address
• Medical documents
• Referral or Authorization Document
• Treatment Plan
• Doctor's Note
• Referral document
• Any other documents (If required)

Office Locations & Contacts

Institute of Security and Social Services for State Workers


Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado
Jesús García Corona 140 Col. Buenavista 06350 Mexico City
Telephone: 51409617
Citizen Attention: 54488903
Email - [email protected]
Contact link

Eligibility

The eligibility requirements to obtain an authorization to receive medical care at another clinic in Mexico are as follows:

• The insured person must be a member of the IMSS (Mexican Institute of Social Security).
• The insured person must have a valid IMSS card.
• The insured person must be referred to another clinic by their IMSS doctor.
• The other clinic must be an authorized IMSS clinic.

Fees

• The fee for this procedure is free of cost.

Validity

Explain the time until which the certificate/document is valid.
e.g. Birth Certificate Valid Forever

Documents to Use

Please attach documents that can be used by people. e.g. links

Sample Documents

Please attach sample completed documents that would help other people.

Processing Time

• This entire registration process can be completed within 3 -4 weeks or as per the timeline advised by the respective department authority.

Related Videos

Videos explaining the procedure or to fill the applications.
Attach videos using the following tag <&video type='website'>video ID|width|height<&/video&> from external websites.
Please remove the '&' inside the tags during implementation.
Website = allocine, blip, dailymotion, facebook, gametrailers, googlevideo, html5, metacafe, myspace, revver,
sevenload, viddler, vimeo, youku, youtube
width = 560, height = 340, Video ID = Can be obtained from the URL of webpage where the video is displayed.
e.g In the following url 'http://www.youtube.com/watch?v=Y0US7oR_t3M' Video ID is 'Y0US7oR_t3M'.

Instructions

• Applicants must complete the application form before submitting it. Incomplete applications will not be accepted.
• Applicants must provide genuine information while applying for this procedure.

Required Information

• Name
• Surname
• Address
• ZIP code
• Gender
• Mobile number
• Medical Information
• Clinic Information
• Reason for Request
• Consent and Signature
• Supporting Document

Need for the Document

• Obtaining authorization to receive medical care at another clinic in Mexico is the process of getting permission from the IMSS (Mexican Institute of Social Security) to receive care at a clinic other than your regular IMSS clinic. This may be necessary if your regular clinic does not have the necessary facilities or expertise to provide the care that you need, or if it is located too far away from your home.

Information which might help

There are several benefits to obtaining an authorization to receive medical care at another clinic in Mexico. These include:

• The applicant may be able to receive the care that you need more quickly, as the other clinic may have shorter wait times.
• The applicant may be able to receive the care that you need closer to home, which can be more convenient for you.
• The applicant may be able to receive the care that you need from a specialist if your regular clinic does not have the necessary expertise.
• The applicant may be able to receive the care that you need at a lower cost, as the IMSS will reimburse you for some of the costs.

Other uses of the Document/Certificate

Please explain what are other uses of obtaining this document/certificate.
e.g. Birth Certificate can be used as proof of identity.

External Links

link

Others

Here are some additional things to consider when deciding whether or not to obtain an authorization to receive medical care at another clinic in Mexico:

• The severity of your condition.
• The availability of care at your regular clinic.
• The ability to travel to the other clinic.
• The applicant budgets.