SIS transfers 2.8 million to the Air Force for insured patient transfers

The Comprehensive Health Insurance (SIS) approved a financial transfer of up to S/ 2,832,566 (two million eight hundred thirty-two thousand five hundred sixty-six and 00/100 soles) in favor of the Ministry of Defense, destined for the Peruvian Air Force, to finance the administrative services provided to its insured members, namely, emergency air transfers. The decision is contained in Chief Resolution No. 000174-2026-SIS/J, signed on November 8, 2026, in La Victoria and published in the official newspaper El Peruano on Monday, November 9, 2026, in the Legal Norms section.

The resolution is based on literal l) of numeral 13.1 of article 13 of Law No. 32513, Public Sector Budget Law for Fiscal Year 2026, which exceptionally authorizes, during the current exercise, financial transfers from the SIS in favor of the Ministry of Defense for the financing of the cost of health services for its insured members. Numerals 13.2 and 13.3 of the same norm provide that these transfers are carried out via resolution of the head of the budget entity, following a favorable report from the budget office, and that the transferring entity is responsible for monitoring and ensuring compliance with the purposes for which the resources are delivered.

The operational framework is Agreement No. 087-2024/MINSA-SIS-FAP, “Specific inter-institutional cooperation agreement between the Ministry of Health, the Comprehensive Health Insurance, and the Peruvian Air Force,” signed on November 20, 2024. Its objective is to implement joint actions for the air transport of SIS insured members in Priority I emergency condition.

What the air transfer covers

The agreement details the administrative services assumed by the SIS and which are now paid with this transfer:

• Air transport of SIS insured members in Priority I emergency condition.
• Transfer of donated organs and/or tissues, or of the donor, in accordance with the corresponding technical health standard.
• Transfer of health personnel for sanitary interventions.
• Transfer of medical devices, pharmaceutical products, and/or sanitary products required by the insured members.

The sixth clause of the agreement establishes the payment mechanism in a prospective modality, calculated based on the validated production of the last six months, applying the cost structure per hour of the aircraft, according to annexes A and B of the agreement itself. The Business and Financing Management determines the financial balance of the settlements based on the services previously validated and reported by the Insured Management.

Settlement of the 2025 balance and flights until August

The approved amount corresponds to the financial settlement of Report No. 000016-2026-SIS/GNF-MRP, which comprises the pending balance from the 2025 fiscal year and the valued production of flights validated up to August 2026, according to the current rates of Agreement No. 087-2024/MINSA-SIS-FAP. Informative Note No. 000076-2026-SIS/GNF-MRP clarified rounding differences and ratified a balance of S/ 1,776,318.21, in addition to specifying the flight correlatives.

The Insured Management verified the flights reported by the Peruvian Air Force between January 1 and August 31, 2026, and concluded that they correspond to flights managed and authorized by the SIS through the agreement, in line with Administrative Directive No. 009-2022-SIS/GA V.01, which regulates the procedure for air transfers of insured persons in emergencies. The supporting documentation is completed with reports No. 000012, 018, 024, 028, 030, and 034-2026-SIS/GA-UAA-DNPH.

Controls on the use of resources

• The transfer is executed charged to Financing Source 00: Ordinary Resources, from Executing Unit 001-1091 Comprehensive Health Insurance to Budgetary Entity 026 Ministry of Defense, Executing Unit 472 Peruvian Air Force.
• The General Office of Planning, Budget, and Organizational Development issued a prior favorable opinion on budget availability through Report No. 000064-2026-SIS/OGPPDO-DDZ, dated November 4, 2026, linked to Budgetary Credit Certificate No. 2638.
• The General Office of Legal Counsel considered the operation legally viable in Legal Report No. 000493-2026-SIS/OGAJ, of the same date.
• Article 2 prohibits allocating resources to purposes other than those authorized, under responsibility, and subjects them to monitoring, supervision, and financial settlement.

The resolution bears the signature of Zulma Anaya Chacón, Head of the Comprehensive Health Insurance and head of the budgetary entity, and orders its publication in El Peruano and on the institutional portal (www.gob.pe/sis) on the same day.

The expenditure is important for SIS patients who depend on urgent air transfer—the only means to access specialized care from areas without timely land connection—and for the treasury, as the operation is covered by Ordinary Resources. It also records that part of the amount corresponds to a debt carried over from the 2025 fiscal year, evidencing the lag between the actual provision of the service and its payment.

Source: El Peruano, Year XLIII, No. 19626, Monday, November 9, 2026, Legal Norms section (Executive Branch), p. 12 (official reference: R.J. No. 000174-2026-SIS/J, code 2572857-1).