Artikel 10

1. The benefit shall include at least:
(a) in the case of a morbid condition: (i) care by general practitioners, including domiciliary visiting, and care by specialists in accordance with prescribed conditions;
(ii) hospital care including maintenance, care by general practitioners or specialists as required, nursing and all auxiliary services required;
(iii) all necessary non-proprietary pharmaceutical supplies and proprietary preparations regarded as essential; and
(iv) conservative dental care for the children protected; and
(i) care by general practitioners, including domiciliary visiting, and care by specialists in accordance with prescribed conditions;
(ii) hospital care including maintenance, care by general practitioners or specialists as required, nursing and all auxiliary services required;
(iii) all necessary non-proprietary pharmaceutical supplies and proprietary preparations regarded as essential; and
(iv) conservative dental care for the children protected; and
(b) in the case of pregnancy, confinement and their consequences: (i) pre-natal, confinement and post-natal care either by medical practitioners or by qualified midwives;
(ii) hospitalisation where necessary; and
(iii) pharmaceutical supplies.
(i) pre-natal, confinement and post-natal care either by medical practitioners or by qualified midwives;
(ii) hospitalisation where necessary; and
(iii) pharmaceutical supplies.
2. The beneficiary or his breadwinner may be required to share in the costs of the medical care which the beneficiary receives:
(a) In case of morbid condition, provided that the rules concerning such cost-sharing shall be so designed as to avoid hardship, and that the part of the cost paid by the beneficiary or breadwinner shall not exceed: (i) for care by general practitioners and specialists outside hospital wards: 25 per cent;
(ii) for hospital care: 25 per cent;
(iii) for pharmaceutical supplies: 25 per cent on the average;
(iv) for conservative dental care: 33 1/3 per cent;
(i) for care by general practitioners and specialists outside hospital wards: 25 per cent;
(ii) for hospital care: 25 per cent;
(iii) for pharmaceutical supplies: 25 per cent on the average;
(iv) for conservative dental care: 33 1/3 per cent;
(b) in case of pregnancy, confinement and their consequences, in respect of pharmaceutical supplies only for which the part of the cost paid by the patient or breadwinner shall not exceed 25 per cent on the average; the rules concerning such cost-sharing shall be so designed as to avoid hardship;
(c) where cost-sharing takes the form of a fixed sum in respect of each case or course of treatment or each prescription of pharmaceutical supplies, the total of such payments made by all persons protected in respect of any one of the types of care referred to in sub-paragraphs (a ) or (b ) shall not exceed the specified percentage of the total cost of that type of care within a given period.
3. The benefit provided in accordance with this Article shall be afforded with a view to maintaining, restoring or improving the health of the person protected and his ability to work and to attend to his personal needs.
4. The institutions or Government departments administering the benefit shall, by such means as may be deemed appropriate, encourage the persons protected to avail themselves of the general health services placed at their disposal by the public authorities or by other bodies recognised by the public authorities.