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Prepaid: Fees Could Rise to 8.21% in February After January Increase

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After the already planned hike of 6.9% in January, the new index debuts on February 1st monthly increase in the fee for private medicine. It will be 4.91% or 8.21%according to the owners’ net income.

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For income earners net (out of pocket) less than 6 minimum, vital and movable salaries (SMVM) —today $371,718— the fee 4.91% will be adjusted equal to 90% of the change in formal wages according to the RIPTE (Taxable Retribution of Permanent Workers) of the immediately previous month published (October, which marked 5.45%).

Those who receive more than 6 SMVM, the share value increases by 8.21%according to the change in the Health Cost Index.

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Prepaid members will start to receive notification in the next few days of the increase.

The Healthcare cost index combines the evolution of the costs of medicines (12.2%) according to a list prepared by the Ministry of Health, of medical supplies (17.2%), of salaries being equal (52.4%) and of general expenses (18, 2%), elaborated by the Superintendence of Health Services.

In this way the commissions will not vary equally for all affiliates, but they will have a segmentation.

This dividing line when setting increases – that switch from bimonthly to monthly – quotas were set at the beginning of November with decree 743/2022, after criticism by Cristina Kirchner of the 13.8% increase that emerged from the Cost Index for the month of December.

So on the one hand, that 13.8% is doubled, in 6.9% in December and another 6.9% in January and the new criteria for the increase of quotas have been established “for a period of 18 months”.

For their part, the prepaid medical entities and the obras sociales must increase the values ​​of the medical-welfare services provided to the beneficiaries of the prepaid and obras sociales from clinics, sanatoriums and practitioners in at least 90% of the percentage increase in their income based on the fees received.

Meanwhile, according to INDEC records, due to increased informality and rising costs of health plans the population covered has decreased of social assistance or private medicine.

With this increase, an average family plan for a married couple with 2 minor children could be $70,000 to $90,000 a month. And month to month they will vary differently depending on whether they exceed 6 SMVM or not.

It is estimated that the sector (the sum of prepaid plus Obras Sociales del Personnel Management) has with 6 million beneficiaries (owner and family nucleus) of which 20% are volunteers or “pure direct workers”) and the rest corresponds to workers who make their contributions to a social work which has an agreement with the prepaid.

NEITHER

Source: Clarin

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