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Advi\u00e9rtase en primer t\u00e9rmino que al referir \u201cexclusivamente\u201d esta posici\u00f3n contradice los t\u00e9rminos de la primera consulta arriba formulada, cuando que anteriormente se hablaba tambi\u00e9n de coberturas impl\u00edcitas; y por otro lado al hablar de \u201csin excepci\u00f3n\u201d querr\u00edamos saber acerca de las limitaciones propias de este tipo de contratos; a saber; enfermedades cr\u00f3nicas, patol\u00f3gicas; preexistentes, auto lesiones; alcoholismos, entre otros mencionados en el primer punto, etc.", "answer": "Los t\u00e9rminos \"exclusivamente y sin excepci\u00f3n\" se refieren espec\u00edficamente a los beneficios de cobertura del contrato para los asegurados ACTIVOS en el plan, quienes tendr\u00e1n el derecho a utilizar los servicios adjudicados en los centros habilitados por la CONTRATADA, siempre que sean los servicios establecidos en las especificaciones t\u00e9cnicas del PBC.", "dateAnswered": "2024-03-05T13:47:21-04:00"}, {"id": "1c109d42ec9dbd7bb32ef6a1256fe6a2", "date": "2024-02-19T07:57:40-04:00", "title": "Ejemplo", "description": "Con el objetivo de evitar ambig\u00fcedades respecto al punto mencionado anteriormente, requerimos ejemplos claros sobre c\u00f3mo formular una oferta de precio conforme al plazo y montos establecidos. En particular, solicitamos un ejemplo de c\u00e1lculo de precio que incluya la determinaci\u00f3n precisa del n\u00famero de colaboradores que se tendr\u00eda en cuenta para la presentaci\u00f3n de la oferta. Considerando factores como el monto y cantidad m\u00ednimos y m\u00e1ximos.", "answer": "La presente convocatoria se realiza en la Modalidad de \"CONTRATO ABIERTO\"  por \"MONTO  M\u00cdNIMO\"  y  \"MONTO MAXIMO, conforme se indica el SICP.-   \nEn consecuencia, no aplica la cantidad m\u00ednima y cantidad m\u00e1xima.-\nEl interesado deber\u00e1 descargar la planilla de precios del SICP y luego completar las celdas vac\u00edas de la referida planilla.-\n", "dateAnswered": "2024-03-05T13:48:12-04:00"}, {"id": "06faaf6d17201ff0cb836881fa876472", "date": "2024-02-27T17:20:33-04:00", "title": "Capacidad T\u00e9cnnica", "description": "a. Capacidad de cobertura:\n- Declaraci\u00f3n Jurada de contar con un m\u00ednimo de 5 laboratorios y 5 centros de diagn\u00f3sticos (los mismos deber\u00e1n tener una antig\u00fcedad m\u00ednima de 5 (cinco) a\u00f1os de existencia, a partir de la fecha de Certificado de Registro \u00danico y autorizaci\u00f3n del Ministerio de Salud P\u00fablica y Bienestar Social), y en todo momento debe mantener vigente el Certificado de Registro \u00danico y autorizaci\u00f3n del Ministerio de Salud P\u00fablica y Bienestar Social\n\nConsulta;\nSe considera v\u00e1lido la presentaci\u00f3n de los laboratorios y centros de diagn\u00f3sticos que se encuentran dentro de los Sanatorio, a fin de cumplir con la cantidad requerida, 5 (cinco).\nEn el Departamento de Alto Paran\u00e1, existe un monopolio de empresas de seguro m\u00e9dico, que de mantenerse el criterio solicitado en le PBC, estar\u00eda restringiendo la participaci\u00f3n de m\u00e1s empresas de seguro m\u00e9dico, con lo que se estar\u00eda violando la Ley de Contrataciones P\u00fablicas, Art\u00edculo 4.- Principios Generales \u2013 b) igualdad y Libre Competencia.", "answer": "Conforme a la consulta efectuada, se considera v\u00e1lido, siempre que cumpla con lo requerido en el PBC.", "dateAnswered": "2024-03-05T13:48:24-04:00"}, {"id": "b6aec7b56708446f92a68184a99336a4", "date": "2024-02-19T07:56:24-04:00", "title": "Condiciones generales de prestaci\u00f3n", "description": "2.\tBajo el t\u00edtulo \u201cCondiciones generales de prestaci\u00f3n\u201d (p\u00e1g. 25) el PBC refiere: \u201cLos precios de los medicamentos y materiales descartables cubiertos y/o facturados, no podr\u00e1n ser superiores que, en las farmacias de plaza o comercio del ramo, seg\u00fan precio de venta al p\u00fablico fiado por el Ministerio de Salud P\u00fablica y Bienestar Social.\u201d Consulta: En este caso, el precio de los materiales descartables no son fijados por el Ministerio de Salud P\u00fablica y Bienestar Social, por cuanto consultamos cu\u00e1l ser\u00e1 la instituci\u00f3n que normalizar\u00e1 el precio base de estos, o, cu\u00e1l ser\u00e1 el par\u00e1metro para establecerlos.", "answer": "Los precios de los medicamentos y materiales descartables cubiertos y/o facturados, no podr\u00e1n ser superiores que  en las farmacias de plaza o comercio del ramo, seg\u00fan precio de venta al p\u00fablico.- ", "dateAnswered": "2024-03-05T13:47:13-04:00"}, {"id": "e307bb52cfa90092094df9f6ab8a9bd4", "date": "2024-02-19T07:57:24-04:00", "title": "Montos \u201cPLANIFICACI\u00d3N\u201d y \u201cCONVOCATORIA\u201d", "description": "Por otro lado, a fin de evitar equ\u00edvocos, con relaci\u00f3n a los montos observados en las secciones de \u201cPLANIFICACI\u00d3N\u201d y \u201cCONVOCATORIA\u201d del Portal de la DNCP, respecto al monto total a considerar para la convocatoria a licitaci\u00f3n, se requiere una aclaraci\u00f3n precisa. Seg\u00fan la secci\u00f3n de \u201cPLANIFICACI\u00d3N\u201d, el monto global estimado se establece en G. 1.636.374.000, mientras que en la secci\u00f3n de \u201cCONVOCATORIA\u201d, el monto estimado se cifra en G. 1.440.660.000.", "answer": "En la convocatoria del presente proceso se ha establecido el monto m\u00e1ximo de Gs. 1.440.660.000, cual es la que debe considerar el potencial oferente.-", "dateAnswered": "2024-03-05T13:48:00-04:00"}, {"id": "c49bbb23c161d38041d25e242abcd76d", "date": "2024-02-19T07:53:30-04:00", "title": "Suministro y especificaciones t\u00e9cnicas", "description": "1.\tBajo el t\u00edtulo \u201csuministro y especificaciones t\u00e9cnicas\u201d (p\u00e1g. 24) el PBC refiere: \u201cEl Suministro deber\u00e1 incluir todos aquellos \u00edtems que no hubiesen sido expresamente indicados en la presente secci\u00f3n, pero que pueda inferirse razonablemente que son necesarios para satisfacer el requisito de suministro indicado, por lo tanto, dichos bienes y servicios ser\u00e1n suministrados por el Proveedor como si hubiesen sido expresamente mencionados, salvo disposici\u00f3n contraria en el Contrato\u201d Consulta: Debido a que los servicios se constituyen el objeto de esta licitaci\u00f3n requieren de una ponderaci\u00f3n de riesgos a los efectos de su justipreciaci\u00f3n, tales servicios no pueden sino ser expresos y taxativos; por lo tanto rogamos una aclaraci\u00f3n acerca de lo que se entiende como \u201crazonablemente que son necesarios para satisfacer el requisito de suministro\u201d. Respecto al mismo punto, m\u00e1s all\u00e1 del \u201cformulismo est\u00e1ndar\u201d consideramos necesario establecer l\u00edmites a las coberturas, aunque fuere establecer causas expresas de exclusi\u00f3n de las prestaciones, como ser: El tratamiento cl\u00ednico y quir\u00fargico de patolog\u00edas cong\u00e9nitas, cr\u00f3nicas  y preexistentes;   Estudios y Tratamiento de Trastornos de Salud Mental: Seg\u00fan lo establecido en la Clasificaci\u00f3n Internacional del DSM-5 (y sus actualizaciones); Enfermedades Neurol\u00f3gicas; Malformaciones Cong\u00e9nitas, deformidades y anomal\u00edas cromos\u00f3micas CIE/10 (y sus actualizaciones); Enfermedades Cr\u00f3nicas y/o Preexistentes; Insuficiencia Renal; Pr\u00e1cticas ilegales como aborto provocado y sus complicaciones, eutanasia, otras; Anteojos, cristales, lentes de contacto, Lentes Intraoculares; Material de osteos\u00edntesis; Procedimientos con Laser; Marcapasos, V\u00e1lvula Cardiaca y  V\u00e1lvula de derivaci\u00f3n Ventr\u00edculo peritoneal y otras; Cirug\u00edas cardiovasculares, vasculares perif\u00e9ricas, neurol\u00f3gicas y oftalmol\u00f3gicas (a excepci\u00f3n de los procedimientos derivados por accidentes de tr\u00e1nsito y/o aquellas que se encuentren expresamente identificadas en su cobertura);Hemodinamia y Angioplastia  (con excepci\u00f3n de aquellos que se encuentren expresamente identificados en su cobertura); Vacunas, medicamentos prescrito por el m\u00e9dico, en tratamiento ambulatorio; Plasma sangu\u00edneo, Sangre total Honorarios profesionales del  Transfusionista (con excepci\u00f3n de   aquellos que se encuentren expresamente identificados en su cobertura); Contraste para uso en procedimientos de im\u00e1genes (con excepci\u00f3n de aquellos que se encuentren expresamente identificados en su cobertura);  Procedimientos de Quimioterapia, Radioterapia,   Cobaltoterapia y otras terapias no quir\u00fargicas; Enfermedades infecto- contagiosas y epid\u00e9micas de Notificaci\u00f3n Compulsoria a las autoridades Sanitarias del pa\u00eds;  Afecciones derivadas de fen\u00f3menos naturales de car\u00e1cter catastr\u00f3fico;  Hostilidad general de guerra, rebeli\u00f3n, insurrecci\u00f3n, motines, ri\u00f1a, etc.; Cirug\u00edas no \u00e9ticas o procedimientos relacionados con m\u00e9todos de anticoncepci\u00f3n; Consultas a domicilio; Estudios y Tratamiento de Cosmiatr\u00eda; Estudios y tratamiento de obesidad: Cirug\u00eda Bari\u00e1trica y pl\u00e1stica posterior; Gastos de acompa\u00f1antes: cama para acompa\u00f1ante, alimentaci\u00f3n, insumos de higiene,  y otros extras en el \u00e1mbito de las internaciones; Tratamiento prenatal, Legrado, Internaciones cl\u00ednicas por problemas de  gravidez, parto normal y ces\u00e1rea para usuarias dependientes (hija) y adherente (madre, suegra, sobrina, nieta u otra bajo custodia, guarda o tutela, documentada judicialmente;  Estudio y Tratamiento de Varices con aplicaciones y/o uso de t\u00e9cnicas que no poseen cobertura en el presente contrato;  Estudios y Tratamiento de grandes quemados;  Quemaduras provocadas por ingesta de productos Alcalinos o \u00c1cidos (Ej. Soda c\u00e1ustica, otros) y aquellas provocadas por descarga el\u00e9ctrica;  Cuna t\u00e9rmica, colchones de aire y agua.; Maduraci\u00f3n pulmonar.;  Nutrici\u00f3n parenteral y enteral; Estudios y Tratamiento de enfermedades oncol\u00f3gicas, excepto aquellas cirug\u00edas que puedan realizarse en el Departamento del Alto Paran\u00e1,  Atenci\u00f3n del usuario accidentado en competencias deportivas que implique riesgos. Ej.: paracaidismo, boxeo, automovilismo, motociclismo, rugby, aeromodelismo, artes marciales; Estudios y Tratamiento de esterilidad y/o fertilidad.; Trasplante, implante, injerto, plastias y pr\u00f3tesis; Alergias; Lesiones en accidentes de tr\u00e1nsito en trasgresi\u00f3n de las leyes vigentes provocadas por culpa o dolo del usuario; Examen Admisional, Dimisional, Chequeo Preventivo, M\u00e9dico Escolar, otros; Internaciones, procedimientos, cirug\u00edas,  estudios y otras prestaciones que no est\u00e9n expresamente establecidas en el Contrato; Prestaciones en internaciones de: Kinesioterapia,  Fisioterapia, odontolog\u00eda y nutrici\u00f3n; Hidroterapia; Aplicaci\u00f3n de medicamentos a usuarios ambulatorios; Ox\u00edgeno y otros gases.", "answer": "Respecto a su consulta; primeramente cabe destacar que el texto que expone: \"El  Suministro deber\u00e1 incluir todos aquellos \u00edtems que no hubiesen sido expresamente indicados en la presente secci\u00f3n, pero que pueda inferirse \"razonablemente\" que son necesarios para satisfacer el requisito de suministro indicado, por lo tanto, dichos bienes y servicios ser\u00e1n suministrados por el Proveedor como si hubiesen sido expresamente mencionados, salvo disposici\u00f3n contraria en el Contrato\", responde a lo establecido por la DNCP y no por la convocante, es decir, responde a una descripci\u00f3n est\u00e1ndar del PBC.-\n\nEn lo que respecta  establecer l\u00edmites de las coberturas,  las mismas se encuentran \u00edntegramente  detalladas en las especificaciones t\u00e9cnicas para la asistencia m\u00e9dica sanatorial,  donde se  cita  claramente en cuales Especialidades se podr\u00e1n realizar las Consultas M\u00e9dicas, as\u00ed como  los An\u00e1lisis Cl\u00ednico- Laboratoriales, Radiol\u00f3gicos,  los diferentes estudios para diagn\u00f3sticos, ecogr\u00e1ficos, sean ellos simples y/o especializados, as\u00ed como  otros servicios (punto 7) y estudios (punto 10), Internaciones Sanatoriales, las coberturas en concepto de medicamentos y productos descartables, servicios de ambulancia,  los Accidentes de Tr\u00e1nsitos, Servicios ambulatorios, Unidad de Terapia Intensiva (UTI)  y Servicios Odontol\u00f3gicos, donde en cada punto se ha indicado cuales responden a coberturas sin l\u00edmites, as\u00ed como las que cuentan con cantidades m\u00e1ximas de coberturas para cada beneficiado, estos sean estudios, an\u00e1lisis, o  montos a ser cubiertos en concepto de materiales/ desechechables. Es decir, todos servicios a ser cubiertos por el oferente adjudicado se limitan meramente en lo indicado en las especificaciones  t\u00e9cnicas del presente proceso de contrataci\u00f3n, los dem\u00e1s servicios que no se encuentren contemplados  no hacen parte de los beneficios licitados.-\n\n", "dateAnswered": "2024-03-05T13:47:03-04:00"}, {"id": "0c38be4191d61913de4d1b0297b5ab81", "date": "2024-02-27T17:20:11-04:00", "title": "Capacidad T\u00e9cnnica", "description": "b. Capacidad del personal M\u00e9dico:\n-Capacidad que la prestadora tenga contratos vigentes con los m\u00e9dicos en sus diversas especialidades. La prestadora tenga contratos vigentes con los m\u00e9dicos en sus diversas especialidades.\n\nConsulta;\nSe considera v\u00e1lido la presentaci\u00f3n de contratos vigentes con los centros asistenciales, con la n\u00f3mina o staff de m\u00e9dicos, atendiendo a que los propios m\u00e9dicos firman convenios con los centros para las atenciones.\nAtendiendo el mismo criterio de la consulta anterior, en el Departamento de Alto Paran\u00e1, existe un monopolio de empresas de seguro m\u00e9dico, que de mantenerse el criterio solicitado en le PBC, estar\u00eda restringiendo la participaci\u00f3n de m\u00e1s empresas de seguro m\u00e9dico, con lo que se estar\u00eda violando la Ley de Contrataciones P\u00fablicas, Art\u00edculo 4.- Principios Generales \u2013 b) igualdad y Libre Competencia.", "answer": "     \n   Favor remitir a lo solicitado en el PBC.\n    CAPACIDAD T\u00c9CNICA :\n    Requisito documental para evaluar la Capacidad T\u00e9cnica - Punto N\u00ba 3", "dateAnswered": "2024-03-05T13:48:18-04:00"}, {"id": "340e58829a18cd877f38c01d7b0eb02a", "date": "2024-02-19T07:57:15-04:00", "title": "Condiciones generales de prestaci\u00f3n", "description": "4.\tBajo el t\u00edtulo \u201cCondiciones generales de prestaci\u00f3n\u201d (p\u00e1g. 25) el PBC refiere: \u201cLas utilizaciones de los equipos empleados en las especialidades m\u00e9dicas del presente contrato tendr\u00e1n cobertura total por lo que no se podr\u00e1 requerir ning\u00fan cobro en concepto de derechos y aranceles\u201d Consulta: \u00bfQu\u00e9 se entiende por \u201ccobertura total\u201d en relaci\u00f3n con las utilizaciones de los equipos m\u00e9dicos mencionados? \u00bfExisten restricciones o limitaciones espec\u00edficas en cuanto a los servicios o procedimientos cubiertos bajo la cobertura contractual? Favor explicar en detalle la cl\u00e1usula en cuesti\u00f3n.", "answer": "Se refiere a que no se podr\u00e1 cobrar ning\u00fan costo adicional en concepto de la utilizaci\u00f3n de equipos que contempla cobertura contratada. 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