Lineamientos de la normativa sobre cobertura de prestaciones de salud en el Derecho Argentino

The guidelines of the regulations that ensure coverage of health-related services under Argentine law are presented, taking into account the public, social security, and private subsystems. In this regard, the National State has advanced in establishing minimum service baskets for individuals with exclusive public coverage, through prioritized care pathways developed in coordination with the Provinces. For individuals with formal employment or private health insurance, the service basket is defined through the Mandatory Medical Program (Programa Médico Obligatorio, PMO). The Provinces determine the service coverage for their public sector and provincial social security institutions. The analysis also addresses special coverage laws enacted by the National Congress, which broaden coverage but apply varying criteria for defining the obligated parties, the scope of coverage duties, the services involved, and other aspects.