Prepaid: the increase in March rises to 7.66%

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After affiliates reported a 4.91% or 8.21% increase in February, On March 1, the monthly rate of increase in private medicine fees increased by 5.04% or 7.66%according to the net income of prepaid drug company owners.

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For those receiving January net (out-of-pocket) income of less than 6 minimum, living and movable wages (SMVM) —$392,562— the compensation will be adjusted by 5.04%, equal to 90% of the change in formal salary according to the November RIPTE (Taxable Remuneration of Stable Workers), which scores 5.6%.

Those receiving more than 6 minimum wages (SMVM), share value increases by 7.66%according to the change in the Health Cost Index.

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Prepaid members will start to receive communication of the increase from today.

As happened with the previous increase, between 1 and 20 February Holders of prepaid cards must enter the Superintendence of Health page and declare if they have a net income lower or higher than 6 SMVM.

Between 1 and 20 January, this procedure was performed by approximately 350,000 private practitioners.

The Health Cost Index combines the evolution of the costs of medicines (12.2%) according to a list drawn up by the Ministry of Health, of medical supplies (17.2%), of salaries being equal (52.4%) and of general expenses (18.2%), prepared by the Superintendence of Health Services.

By this way, the odds don’t vary equally for everyone affiliates but segmentation is applied.

Between January and March, those who received fewer than 6 SMVMs accumulated an increase of 17.8%. And those with the highest income of 24.5%.

This line of demarcation in setting the increases – which go from bimonthly to monthly – of the quotas was established at the beginning of November with Decree 743/2022, after criticism by Cristina Kirchner of the 13.8% increase resulting from the Cost Index for the month of December.

So, on the one hand,This 13.8% was split into 6.9% in December and another 6.9% in January, and the new criterion was established increase in quotas “over a period of 18 months”.

Healthcare institutions and prepaid social works, for their part, must increase the values ​​of the medical assistance services provided to the beneficiaries of prepaid and social works by clinics, sanatoriums and professionals by at least 90% of the percentage increase in their income according to the fees received.

Meanwhile, according to INDEC records, due to increased informality and increase health plan costs the population covered by social assistance has decreased or private medicine.

With this increase, an average family plan for a married couple with 2 minor children could be between $80,000 and $100,000 per 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 workers plus Obras Sociales del Personnel Management) has 6 million beneficiaries (owner and family group) of which 20% are volunteers or “pure direct”) and the rest correspond to workers who draw their contributions to a social work which has an agreement with the prepaid card.


Source: Clarin

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