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En los casos de contratos plurianuales se considerar\u00e1n los mismos por cada a\u00f1o de ejecuci\u00f3n. La cantidad de titulares deber\u00e1 estar indicada en el contrato.\n\nEn este sentido, tal como lo hemos expuesto precedentemente, a fin de dar mayor participaci\u00f3n a potenciales oferentes en cumplimiento del principio de Igualdad y Libre Competencia es que solicitamos que sea reformulado, debiendo quedar el pliego redactado de la siguiente forma:\n\nLos contratos a ser considerados para la sumatoria del \u00cdtem anterior deber\u00e1n ser de al menos 450 beneficiarios (titulares y adherentes) y con una vigencia m\u00ednima de 12 meses. En los casos de contratos plurianuales se considerar\u00e1n los mismos por cada a\u00f1o de ejecuci\u00f3n. \n", "author": {"name": "DOCTO SRL", "id": "PY-RUC-80033608-9"}, "answer": "Ver Adenda 1", "dateAnswered": "2024-04-01T10:47:08-04:00"}, {"id": "4", "date": "2024-03-22T14:36:52-04:00", "title": "CONSULTA 4", "description": "En la pagina de la DNCP, aparece el \u00edcono de la subasta, sin embargo, en los detalles del PCB, es por apertura de sobres puesto que no figuran los datos del inicio de la carga de ofertas ni de la fecha de la competencia en la caratula de la licitaci\u00f3n. Favor verificar a que tipo de licitaci\u00f3n corresponde", "author": {"name": "DOCTO SRL", "id": "PY-RUC-80033608-9"}, "answer": "Efectivamente, el presente llamado es con la modalidad complementaria de \"Subasta a la Baja Electr\u00f3nica\". Todos los datos  est\u00e1n publicados en el SICP. ", "dateAnswered": "2024-03-25T13:59:26-04:00"}, {"id": "2", "date": "2024-03-22T14:34:18-04:00", "title": "CONSULTA 2", "description": "PBC P\u00c1GINA 22/74 (Experiencia Requerida) \n\nCitado dice:\n\nExistencia Legal de cinco (5) a\u00f1os como m\u00ednimo, a ser comprobada a trav\u00e9s del primer certificado de registro y habilitaci\u00f3n\nexpedida por el MSP y BS.\n\nSin embargo, en el \n\nPBC P\u00c1GINA 23/74 (Capacidad T\u00e9cnica)\n\nCitado dice:\n\n4. Presentar la documentaci\u00f3n que acredite el cumplimiento del art\u00edculo 245 de la Ley N\u00b0 836/80 C\u00f3digo Sanitario que exige estar habilitado por el Ministerio de Salud P\u00fablica y Bienestar Social como prestadora de servicios de salud mediante el sistema de atenci\u00f3n m\u00e9dica prepaga, para lo cual el oferente deber\u00e1 acreditar vigencia de habilitaci\u00f3n ininterrumpida durante el menos dos (2) periodos de vigencia presentando los \u00faltimos dos (2) certificados de registro y habilitaci\u00f3n expedidos por la Direcci\u00f3n de Establecimientos de Salud, Afines y Tecnolog\u00eda Sanitaria.\n\n\nEstos dos puntos son contradictorios puesto que los periodos de vigencia de los certificados de registro y habilitaci\u00f3n por la Direcci\u00f3n de Establecimientos de Salud, Afines y Tecnolog\u00eda Sanitaria son de 5 (cinco) a\u00f1os por periodo, entonces se estar\u00eda exigiendo 10 a\u00f1os de antig\u00fcedad. \n\nSe solicita modificar este item de forma a que quede ajustado a 5 (cinco) a\u00f1os, quedar\u00eda redactado de la siguiente forma:\n \nModificaci\u00f3n solicitada:\n\n4. Presentar la documentaci\u00f3n que acredite el cumplimiento del art\u00edculo 245 de la Ley N\u00b0 836/80 C\u00f3digo Sanitario que exige estar habilitado por el Ministerio de Salud P\u00fablica y Bienestar Social como prestadora de servicios de salud mediante el sistema de atenci\u00f3n m\u00e9dica prepaga, para lo cual el oferente deber\u00e1 acreditar vigencia de habilitaci\u00f3n ininterrumpida durante el menos un (1) periodo de vigencia presentando el \u00faltimo certificado de registro y habilitaci\u00f3n expedidos por la Direcci\u00f3n de Establecimientos de Salud, Afines y Tecnolog\u00eda Sanitaria.\n\nObservaci\u00f3n a tener en cuenta sobre el punto anterior:\n\nAl solicitar el Certificado de Registro y autorizaci\u00f3n del Ministerio de Salud P\u00fablica y Bienestar Social. Art. 245, Ley 836/80 del C\u00f3digo Sanitario), nos permitimos recordar que, por resoluci\u00f3n SG N\u00b0 656 del 25 de Agosto de 2021 del Ministerio de Salud P\u00fablica y Bienestar Social, los documentos solicitados en el PBC han pasado a ser reemplazados por los emitidos por la Superintendencia de Salud, organismo a cargo, entonces los documentos de registro y habilitaci\u00f3n de la prepaga emitidos por el actual organismo regulador (SUPERINTENDENCIA DE SALUD), favor aclarar si la presentaci\u00f3n del documento emitido por la superintendencia ser\u00e1 v\u00e1lido y suficiente, seg\u00fan lo establece la reglamentaci\u00f3n citada.\n\n", "author": {"name": "DOCTO SRL", "id": "PY-RUC-80033608-9"}, "answer": "Ver Adenda 1", "dateAnswered": "2024-04-01T10:47:25-04:00"}, {"id": "5", "date": "2024-03-26T09:43:38-04:00", "title": "INSTRUCTIVO", "description": "no se visualiza en PBC el instructivo para la cargar solicitamos puedan agregar.", "author": {"name": "PROTECCION MEDICA S.A.", "id": "PY-RUC-80007489-0"}, "answer": "Se aclara que el presente llamado es con la modalidad de contrato abierto por Subasta a la Baja Electr\u00f3nica. La carga de \u00edtems se debe realizar por el precio unitario (costo por cada funcionario).", "dateAnswered": "2024-04-01T11:01:50-04:00"}, {"id": "6", "date": "2024-03-26T10:02:10-04:00", "title": "MESA DE ENTRADA", "description": "1-\n\u00bf Es correcta la interpretaci\u00f3n que se aceptara la mesa de entrada que acredite tramite de renovaci\u00f3n de habilitaci\u00f3n de Centros Asistenciales?\nACLARACION\n", "author": {"name": "PROTECCION MEDICA S.A.", "id": "PY-RUC-80007489-0"}, "answer": "Se requiere que los prestadores ofertados cuenten con la debida habilitaci\u00f3n vigente expedida por el MSP y BS debido a que es una exigencia del C\u00f3digo Sanitario y adem\u00e1s es un requisito para el funcionamiento del establecimiento exigido por la Autoridad Sanitaria. No se aceptar\u00e1 el comprobante de Mesa de Entrada o Constancia de estar en tr\u00e1mite de renovaci\u00f3n de la habilitaci\u00f3n. Favor ajustarse al PBC.", "dateAnswered": "2024-04-01T10:50:10-04:00"}, {"id": "8", "date": "2024-03-26T10:03:35-04:00", "title": "LOCALIDADES", "description": "3- Considerando la proximidad de la localidad de Lambar\u00e9 con Asunci\u00f3n existiendo centros asistenciales ubicados a pocas cuadras con la frontera con dicho Municipio y teniendo en cuenta, tambi\u00e9n, que hay un solo sanatorio en dicha localidad se requiere se deje sin efecto la exigencia de ofrecer un centro asistencial en Lambar\u00e9 ya que en caso de no tener un acuerdo contractual con dicho Sanatorio no seria posible cumplir con la exigencia y eso afectar\u00eda el principio de libre competencia. ", "author": {"name": "PROTECCION MEDICA S.A.", "id": "PY-RUC-80007489-0"}, "answer": "El requerimiento de un centro sanatorial en Lambar\u00e9 obedece a la necesidad institucional de dar respuesta a la demanda de los funcionarios de esta Cartera de Estado y sus respectivos grupos familiares, quienes ser\u00e1n los beneficiarios del seguro m\u00e9dico y odontol\u00f3gico. En ese sentido, la proximidad de una ciudad con otra no es motivo para excluir el requerimiento mencionado, pues prima el inter\u00e9s general sobre el particular, ya que se prioriza la salud de los funcionarios de este Ministerio asegurando y facilitando el acceso a los servicios m\u00e9dicos de manera oportuna y eficaz, en el sentido de que un residente de la ciudad de Lambar\u00e9, o que circunstancialmente se encuentre all\u00ed,  pueda ser atendido en dicha ciudad y evite trasladarse a otra poniendo de esa forma en riesgo su vida y/o integridad f\u00edsica, en especial en casos de urgencia. Es decir, no se puede excluir una condici\u00f3n que busca garantizar el acceso a la salud, con base a una hip\u00f3tesis que maneja el consultante de en caso de no tener un acuerdo comercial. En cuanto al principio de libre competencia que menciona el consultante, el mismo no se ver\u00eda afectado, ya que por experiencia de llamados anteriores, esta Convocante tiene certeza de que varias empresas que se dedican al servicio de seguro m\u00e9dico pre pago, ofrecen centros asistenciales en dicha ciudad. Favor ajustarse al PBC.", "dateAnswered": "2024-04-01T10:52:26-04:00"}, {"id": "10", "date": "2024-03-26T10:05:36-04:00", "title": "PROXIMIDAD ", "description": "5- \u00bfEs correcta la interpretaci\u00f3n que en aquellas localidades donde hay un solo Sanatorio se podr\u00e1 ofrecer un centro asistencial por proximidad?", "author": {"name": "PROTECCION MEDICA S.A.", "id": "PY-RUC-80007489-0"}, "answer": "El PBC establece expresamente las localidades en que el oferente debe contar m\u00ednimamente con centros asistenciales y la cantidad de los mismos, en respuesta a la necesidad institucional de la demanda de los funcionarios y sus grupos familiares beneficiarios del servicio que se licitaci\u00f3n. Favor ajustarse al PBC. ", "dateAnswered": "2024-04-01T10:53:40-04:00"}, {"id": "3", "date": "2024-03-22T14:35:43-04:00", "title": "CONSULTA 3", "description": "PBC P\u00c1GINA 24/74 (Capacidad T\u00e9cnica - Requisitos documentales para evaluar el criterio de capacidad t\u00e9cnica\n\nCitado dice:\n\nb. Detallar en car\u00e1cter de declaraci\u00f3n jurada el listado de Centros Asistenciales, Ambulancias, Medicina por im\u00e1genes, y servicios laboratoriales, conforme a lo solicitado en el presente pliego de bases y condiciones, con sus respectivas direcciones y n\u00fameros de tel\u00e9fono. Los prestadores ofertados deber\u00e1n contar con habilitaci\u00f3n vigente expedida por el MSP y BS.\n\n\n\nModificaci\u00f3n solicitada:\n\nb. Detallar en car\u00e1cter de declaraci\u00f3n jurada el listado de Centros Asistenciales, Ambulancias, Medicina por im\u00e1genes, y servicios laboratoriales, conforme a lo solicitado en el presente pliego de bases y condiciones, con sus respectivas direcciones y n\u00fameros de tel\u00e9fono. Los prestadores ofertados deber\u00e1n contar con habilitaci\u00f3n vigente expedida por el MSP y BS y/o con mesa de entrada de estar en tramite de renovaci\u00f3n.\n\n*Esto debido principalmente a que muchos de los prestadores del interior dependen exclusivamente de la disponibilidad de recursos del MSP y BS para sus renovaciones, que muchas veces se dilatan por la falta de recursos y tiempo del mismo. \n", "author": {"name": "DOCTO SRL", "id": "PY-RUC-80033608-9"}, "answer": "Se requiere que los prestadores ofertados cuenten con la debida habilitaci\u00f3n vigente expedida por el MSP y BS debido a que es una exigencia del C\u00f3digo Sanitario y adem\u00e1s es un requisito para el funcionamiento del establecimiento exigido por la Autoridad Sanitaria. No se aceptar\u00e1 el comprobante de Mesa de Entrada o Constancia de estar en tr\u00e1mite de renovaci\u00f3n de la habilitaci\u00f3n. Favor ajustarse al PBC.", "dateAnswered": "2024-04-01T10:48:13-04:00"}, {"id": "7", "date": "2024-03-26T10:02:55-04:00", "title": "LABORATORIO PEDIATRICA", "description": "2- EL PBC exige que se ofrezca 5 (cinco) laboratorios propios, contratados o que formen parte de centros asistenciales; que deber\u00e1n contar con la habilitaci\u00f3n vigente otorgada por el MSPYBS, y de los cuales al menos 1 (uno) deber\u00e1 corresponder a un laboratorio de especialidad pedi\u00e1trica (ubicado en la ciudad de Asunci\u00f3n).\nSobre el particular cabe precisar que en la ciudad de Asunci\u00f3n existe solamente un laboratorio de especialidades pedi\u00e1tricas lo cual conlleva a que en caso de que no se arribe a un acuerdo comercial con dicho laboratorio se quedar\u00eda fuera de la posibilidad de competir en el presente llamado, en vista que se generar\u00eda un incumplimiento.\nPor consiguiente y en aras de respetar el principio de libre competencia se solicita quede sin efecto la exigencia de ofrecer un laboratorio de especialidades pedi\u00e1tricas.\n", "author": {"name": "PROTECCION MEDICA S.A.", "id": "PY-RUC-80007489-0"}, "answer": "El requerimiento de contar con al menos un laboratorio de especialidades pedi\u00e1tricas obedece a la necesidad de la Convocante de dar respuesta a la demanda de los funcionarios y sus grupos familiares, con el objetivo de brindar una atenci\u00f3n integral y especializada al ni\u00f1o. El interesado en participar cuenta con tiempo para gestionar un acuerdo comercial y dar cumplimiento de esa forma a los requerimientos del PBC. La Convocante, por experiencia de llamados anteriores, tiene certeza de que varias empresas que se dedican al servicio de seguro m\u00e9dico pre pago, ofrecen laboratorios de especialidad pedi\u00e1trica. Adem\u00e1s, en la ciudad de Asunci\u00f3n existe m\u00e1s un laboratorio de especialidades pedi\u00e1tricas. Favor ajustarse al PBC. ", "dateAnswered": "2024-04-01T10:51:49-04:00"}, {"id": "9", "date": "2024-03-26T10:04:38-04:00", "title": "CENTRO PEDIATRICO", "description": "4- El PBC exige ofrecer un centro m\u00e9dico exclusivo pedi\u00e1trico y especializado para ni\u00f1os, para urgencia, consultas e internaciones en la ciudad de Asunci\u00f3n,\nSobre el particular cabe se\u00f1alar que en la Ciudad de Asunci\u00f3n hay un solo Centro m\u00e9dico que sea exclusivo para atenci\u00f3n pedi\u00e1trica y por consiguiente el no tener un acuerdo con dicho Centro M\u00e9dico implicar\u00eda que el oferente incumpla con la exigencia del PBC.\nAsimismo, cabe se\u00f1alar que los centros asistenciales de nivel 3, que exige el PBC se ofrezcan, cuentan con atenci\u00f3n pedi\u00e1trica especializada, servicio de terapia intensiva para ni\u00f1os y en algunos casos, tambi\u00e9n para neonatos.\nPor consiguiente, se solicita quede sin efecto la exigencia de ofrecer un centro m\u00e9dico exclusivo pedi\u00e1trico y especializado para ni\u00f1os para urgencias, consultas e internaciones en Asunci\u00f3n.\n", "author": {"name": "PROTECCION MEDICA S.A.", "id": "PY-RUC-80007489-0"}, "answer": "Si bien los centros asistenciales de nivel 3 cuentan con atenci\u00f3n pedi\u00e1trica especializada, dicha atenci\u00f3n no es exclusiva. Debido a la demanda, esta Cartera de Estado busca dar una respuesta  a la necesidad de brindar una atenci\u00f3n pedi\u00e1trica exclusiva y especializada a los beneficiarios, con al menos un centro especializado dotado de infraestructura y tratamientos especializados que dedican su actividad fundamental a la atenci\u00f3n de pacientes pedi\u00e1tricos. Un centro asistencial exclusivo pedi\u00e1trico y especializado para ni\u00f1os en Asunci\u00f3n es un requerimiento m\u00ednimo a fin de proveer la atenci\u00f3n adecuada a los hijos de los funcionarios y garantizar su derecho a la salud que consagra la Constituci\u00f3n. Igualmente, se debe tener en cuenta que el inter\u00e9s general debe primar sobre el particular, puesto que el derecho a la salud est\u00e1 por encima del inter\u00e9s comercial de un potencial oferente. Cabe recalcar, que por experiencia de llamados anteriores, esta Convocante tiene certeza de que varias empresas que se dedican al servicio de seguro m\u00e9dico pre pago, ofrecen al menos un centro asistencial de atenci\u00f3n pedi\u00e1trica especializada. 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