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What to do in the event of an accident

Protocol for claiming school insurance benefits

1.School accident

School accidents include all physical injuries suffered by the insured due to activities that are directly or indirectly related with being a student, including sports, assemblies, study/internship/end-of-degree trips or similar, so long as they were organised or authorised by the academic authorities of the teaching institutions.

In relation to sports activities, school accidents include injuries suffering due to participation in student championships, internal leagues, along with their respective training sessions, so long as the student forms part of one of the university’s sports teams.

Student internships at companies or institutions other than the University of Girona, as well as academic excursions outside the university, are covered by school insurance, so long as they have been authorised by a teaching institution.

Students over the age of 28 are not covered by school insurance and must be enrolled in another public or private insurance scheme.

2.Transfer to the healthcare centre

In the event that urgent medical assistance is required due to a school-related accident, transport may be provided by either ambulance or taxi, subject to the following conditions:

  1. The student must have school insurance only.If, at the time of the accident, the student is registered under a different Social Security scheme (even for part-time employment), medical and pharmaceutical care must be obtained through Social Security.
  2. Only the cost of transport from the university campus to the medical facility is reimbursed.No return journey is provided.
  3. The student must pay the ambulance or taxi bill and subsequently submit it to the INSS, along with the claim application and the rest of the required documentation.

3.Public or private healthcare

So long as students have school insurance or are covered by their parents’ or their own health insurance, in the event of an accident they can be attended at any public centre (outpatient client/hospital) or opt for a private centre of their choice.In the case of the second option (private centre), the school insurance will cover the cost according to its own fee breakdown. The student must pay any possible differences. However, in the case of duly justified urgent assistance in which the student has opted for a private centre, he or she will be reimbursed for the entire cost of the first visit. The school insurance will cover the cost of the following visits according to its own fee breakdown.

The students and educational institution must manage the applications for social security benefits regarding the assistance received at private centres and submit them at the INSS Assistance and Information Office.

4.Application for social security benefits 

Applications must be submitted at any of the agencies or Social Security Assistance and Information Centres (CAISS) of the Provincial Department of the National Institute of Social Security (INSS). The CAISS in Girona is located at c/ Santa Eugènia, 40 baixos, tel. 872 08 25 10.

Documents required to apply for social security benefits:

  • School insurance application form, filled out and signed.The student can also request this form at the academic secretary’s office of the teaching institution or INSS.
  • DNI or family record book.
  • NIE (foreign EU students) or non-EU student card (non-EU foreign students).
  • Enrolment receipt (including the academic year, the subjects in which the student is enrolled and the payment of the school insurance fee)
  • Other specific documents (medical reports, etc.)

For more information, go to the INSS website (School Insurance Benefits ), call the free-phone number +34 901 16 65 65 or visit your nearest CAISS.

 

Public healthcare centres

Hospital Josep Trueta. Emergency Services
Carretera de França, s/n
17007 Girona
Tel. 972 94 02 80 / 972 94 02 81

Ambulances

Tel. Medical Emergencies: 061
Tel: Local Police: 092
Tel. Red Cross: 972 22 22 22/972 22 25 15
Tel.: 972 41 00 10

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