Fonasa surgical benefits in Chile

In Chile, Fonasa provides specific medical benefits through the Bono PAD (Pago Asociado a Diagnóstico) for certain surgical procedures.

For abdominoplasty (abdominoplasty for flaccid abdomen), eligible users in Fonasa tiers B, C, or D can access a reduced copayment. While the total cost of the surgery is approximately $3,583,580, the benefit reduces the copayment to $1,791,790. Fonasa also offers a loan covering 85% of this copayment, which can be repaid through salary deductions, potentially leaving the patient with an upfront cost of approximately $268,770. Eligibility for this procedure requires specific Body Mass Index (BMI) thresholds and physical criteria, such as an abdominal fold hanging 5 cm below the inguinal fold.

Additionally, bariatric surgery options, including gastric sleeve and gastric bypass, are available through Fonasa's Bono PAD at contracted providers. These procedures are intended to treat obesity and associated conditions like type 2 diabetes and hypertension. Access to these surgeries depends on clinical evaluation, including BMI and medical history, and requires long-term nutritional and medical follow-up.