Page 94 - KDK

THE OMBUDSMAN INSTITUTION OF THE REPUBLIC OF TÜRKİYE

board reports for disability/ objections to medical board reports for Turkish Armed
Forces (TAF), claims of unfair revocation of drug licences by the Turkish Medicines and
Medical Devices Agency, applications claiming that private and foundation hospitals
charge emergency patients fees, unfair charge of fees for the healthcare services that
must be provided under social security coverage and problems encountered during
access to medicines procured from abroad, problems of citizens in healthcare services
due to the COVID-19 pandemic.
Case Summary

About the Request for Refund of the Medical Treatment Fee Paid to the Private
Hospital by the Social Security Institution

The applicant stated that he or she had to undergo urgent hernia surgery in April 2020
due to his or her illness, and as she learned by consulting three different doctors, there
was a possibility of getting paralyzed unless she underwent the surgery, that when he or
she went to the state hospital, he or she was told by the doctors that they were unable
to perform surgery due to COVID-19, but if he or she found a place where the surgery
could be performed, he or she had to be operated immediately, that thereupon, he or
she had an operation in the private ... hospital and eliminated the risk of paralysis, and
that when he or she investigated whether the expenses he made could be paid by the
Social Security Institution, he or she saw that the surgery he or she had undergone was
on the payment list of the Social Security Institution, but he or she also learned that the
Social Security Institution did not pay the money for the surgery he had undergone; for
this reason, in his or her petition dated 11/06/2020, he or she asked the Social Security
Institution to refund only the treatment fee of 1,400.00 TL which he or she paid to
the ... hospital (not the other expenses). He or she stated that his or her request was
not accepted in the response letter of Social Security Institution dated 23/06/2020 and
requested that the 1,400.00 TL which he or she paid to the hospital be refunded by the
Social Security Institution.

As a result of the evaluation made by our Institution, it was evaluated that there was no
violation of the law in the determination of the administration and it was concluded
that there was no contradiction to the law and equity in the administration’s action
regarding the refusal of the request by the applicant to be refunded the fee of 1,400.00
TL which he or she paid to the private hospital by Social Security Institution; for this
reason, Decision of Refusal was issued.
TRANSPORTATION, PRESS AND COMMUNICATION

The applications lodged to our Institution in the field of transportation, press and
communication mainly comprise the issues regarding maritime trade, shipyards and
coastal structures, telecommunication facilities, transport of dangerous goods and

2020 ANNUAL REPORT 93