In the Argentine business environment, staying informed about updates that impact the Medical Benefit is crucial, especially for finance and human resources professionals. Today we’ll look at how the latest regulatory changes can impact your business and how staying up to date can translate into significant savings.
Control of Eligibility of people covered by medical plans financed by companies: Key to Efficiency
In times of inflation and cost controls, reviewing employee eligibility for health plans is essential. Ensuring that only eligible individuals are covered not only ensures adequate access to coverage, but can also result in significant savings for the company. It is estimated that these savings can reach up to Arg$1 million annually for each inconsistency detected, which underlines the importance of this process.
New Obligations for Prepaid
Before the end of this month, prepaid medicine companies must sign up to receive Social Security contributions directly in order to provide superior medical plans. This is especially relevant for many companies, since, in more than half of the cases, the medical plans offered are covered on a shared basis between Obras Sociales and Prepagas. This regulatory change will require special attention from the finance and human resources departments, considering that those who have highly complex coverage received the benefit from the Social Work and the cost of said practices are usually not borne by the prepaid ones.
The situation of monotributist spouses
Another aspect to consider is the possible registration of prepaid companies to receive contributions from monotributist spouses. This is intertwined with the review of eligibility, since a person cannot have duplication of medical coverage and monotributistas are eligible for the Argentine health system. If companies wanted to maintain the benefit for said monotributist spouses, they must evaluate how to manage these contributions to guarantee that they are correctly covered, otherwise they should cancel in the context that it is a highly valued benefit among family members.
In summary, given the magnitude of these changes and the regulations of the regulations, it is essential that companies in Argentina, especially the finance and human resources departments, anticipate and analyze how these developments impact their corporate medical benefit. Implementing rigorous eligibility monitoring and understanding the new obligations and opportunities around contributions and contributions are critical steps to ensure a smooth transition. Being informed and prepared will not only ensure the well-being of employees, but will also contribute to the financial sustainability of organizations.
To conclude, I would like to highlight that, within the medical benefit of the companies’ Wellbeing strategy, it continues to be a value on which they continue to want to focus, despite the inflationary context. In fact, in our surveys, 81% of companies say they do not want to make any changes. significant in its design and the trend of increasing medical inflation next year is around 75%.
Stella Maris Sanyan, is an actuary and health consultant at WTW, with more than 30 years of experience collaborating with companies to optimize the Corporate Medical Benefit
Source: Ambito
