Since the Government granted the prepaid the freedom to set their own prices, private medicine companies announce all prices months increases above inflation. In the last few hours, they announced to each of their clients that in November they will pay between 3.9% and 6.9% more.
This number varies depending on the company, plan and coverage that is available, among other factors established by the company.
Since July, where private medicine companies can freely define the increases in their fees, there have already been five increases in prepaid fees.
The increases are as follows:
- Galen: 6.9%
- Italian Hospital: 5.22%
- Swiss Medical: 3.90%
- Accord Health: 6.9%
From Galen They explained the increase by stating that “the Health sector continues to go through a very complex context, with delays in the price of its fees and the consequent mismatch in the adjustment of the values that are allocated to the network of medical providers and institutions.”
Given what was described, they indicated that an adjustment of 6.9% will be applied to their fees “with the firm commitment to sustain medical quality and services, as well as to continue with the improvement in benefit values for both medical professionals and institutions.” “.
On the side of Accord Health, jThey justified the increase by indicating that “this modification is necessary to be able to face the costs of health infrastructure that have been seriously affected by increases in the prices of medicines, supplies and medical services of our network of institutional providers”, assured that ” “Our permanent commitment is to continue offering medical coverage of the highest quality.”
In the case of Swiss Medical They contributed that “it is important to mention that the increases made only partially reflect the real increases verified in our cost structure.”
While Italian Hospital reported that “this new adjustment is motivated by the increase in health care costs that has been occurring in recent months,” so they considered that “in this scenario, periodic increases are required to generate an economic-financial balance that allows us to continue providing service with the same quality as always”.
Prepaid: what is included in the fee value
After the Superintendence of Health Services announce that the deadline is postponed until December 1st so that the prepaid apply the increases and inform all those involved, that is, clients and the Government, the adjustments in the value of the plans within the five days later to the publication of inflation data of the INDECconfirmed that the private medicine companies they must communicate what is included in the tariffs:
- He base cost of the contracted plan
- The additional costs for specific coverage
- Those age adjustments either risk factors
- The contributionscontributions and/or capitation received
- Taxes and/or fees applied
The Government extended the deadline for prepaid companies to apply increases according to the plan and the region
The Superintendence of Health Services (SSS) It also extended the deadline for prepaid medicine companies to implement increases in fees and notify both the Government and clients about adjustments in plan prices within five days following the publication of the INDEC inflation index.
The entry into force of Resolution 2155, published at the beginning of September, was postponed until December 1, following the request of several entities that need time to adapt your billing systems and meet new requirements.
In this way, private medicine companies must provide their members with a detailed breakdown of the concepts included in the fees they bill each month.
Source: Ambito
