Based on this measure announced by the Government, members will be able to request that their contributions go directly to their prepaid medicine company, without necessarily going through social services.
Starting this Monday, the new registry of health agentswhich implies that any member may request that their contributions go directly to the private medicine company, without intermediation. With this measure, the Government seeks to put an end to the contracts of Triangulation between prepaid and social works.
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From this measure, a total of 4,300,000 people, workers in a dependency relationship, will be able to request direct your contributions directly to your private medicine companythrough a site that will be enabled by the Ministry of Health. Prepaid companies have the obligation to be registered in this system to offer their clients the possibility of continue deriving their funds from social works or interrupt triangulation.
The decision went down badly among the unions, and could increase the tension between the Government and the CGT.
Until now, prepaid medicine companies, such as Swiss Medical, Galen or OSDE, among others, they could not directly receive contributions from registered workers. The system was designed in such a way that the funds had to first go through a social workwho acted as an intermediary and He kept a part of the money.
The Government’s objective is to end this triangulation system to lower costs so that users can receive lower fees or less abrupt increases. In any case, this decision remains in the hands of the prepaid companies.
The Minister of Health considered that the measure is a step “towards transparency”
After announcing the measure, Mario Lugones, Minister of Health, celebrated its implementation after meetings with the main actors in the sector. “It is an important step towards transparency and the order in a system that for decades was controlled by ‘black boxes‘” he expressed.
The official explained that these intermediaries often functioned as façade to obtain state subsidieslike those coming from Solidarity Redistribution Fund (FSR)without the funds being clearly allocated to cover the costs of treatments or health plans.
With the publication of Resolution 3284/2024, all prepaid medicine companies must register in the RNAS to continue offering health plans financed with social security contributions. Those who don’t They will not be able to market their plans and will face sanctions provided for in Law No. 26,682.
Source: Ambito