While the bills arrive with the 5.49% increase in private medicine fees in Junethis wednesday affiliates will receive another notification: the increase in July will be 8.49% for everyone.
This will be so because the Health Cost Index is less than 90% of the change in formal wages (RIPTE), which is the indicator used to fix the increase in the quota for those who earn less, according to the Superintendence of Health Services.
Decree 743/2022 which fixed the differentiated increases (which debuted in February) establishes that 90% of the RIPTE serves as a ceiling for those earning less than 6 viable and mobile minimums (SMVM) in relation to the Health Cost Index. Who earns more than 6 SMVM is applied the increase of the Cost Index.
Therefore, this limit was applied in February, March and May, because the healthcare cost index was 8.21%, 7.66% and 4.76% respectively and those who earn less were applied the 4.91%, 5.04% and 3.43%.
In April and June this cap was not applied because the Health Cost Index was 5.49% and the 90% RIPTE was 7.58%. And in July it won’t be enforced either because the Health Cost Index is 8.49% and the 90% RIPTE was 8.78%.
To make these calculations for the June increase we take the March RIPTE which was 9.76%.
With the 6.9% increase in January and the 6 increases with the new criteria, the cumulative growth in the first 7 months of the year will reach 52.8%, for which the health expenditure index is applied. For those receiving less than 6 SMVMs, the January-July increase will be 42.7%.
Prepaid subscribers will start receiving notification of the increase from this Wednesday because they have to do it 30 days in advance.
income statement
Although the 8.49% increase applies equally to all affiliates, holders of the prepaid card must also enter the Superintendence of Health page to declare if they have a net income lower or higher than 6 SMVM. ($$507,072).
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, medical supplies (17.2%), salaries fixed by parities (52.4%) and general expenses (18.2%) , which are prepared by SSSalud.
For his part, Prepaid medical entities and obras sociales must increase benefit values medical-health assistance provided to beneficiaries of prepaid and social services by clinics, sanatoriums and professionals in at least 90% of the percentage of 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 that has the coverage of social assistance or private medicine is decreasing.
With the increases in June (5.49%) and July (8.49%), an average family plan for a married couple with 2 minor children can be around between $110,000 and $150,000 a month.
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.
NS
Source: Clarin
