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Friday, December 02, 2022

Prepaid: Decree was published with new quota adjustment formula and will increase in February

Prepaid: Decree was published with new quota adjustment formula and will increase in February

A specific regulation was established with a maximum escalation limit for 18 months, starting from 1 October 2023.

The government published a decree this Thursday that formalizes the new formula for updating the prepaid installment adjustment system. The new regulation will be valid for 18 months and will be effective from February 1, 2023.

As specified in Decree 743/2022, published in the latest edition of official bulletin with the signature of Alberto Fernandez and his entire cabinet of ministers, the measure is “based on the premise that it is the state’s obligation to implement it”. Policies That Discourage Inflation Inertia which affects the normal development of the activities of companies and citizens”, in particular “the areas of work and production that are trying to be protected”.

,It is essential that specific rules be established for areas that require greater protection which encourages a ceiling to differentiate contracts from normal price increases”, the document highlighted.

In this sense, it is established in Article 1 that, up to February 1, 2023 and for a period of 18 months, “the increase in the value of installments of individual voluntary adhesion contracts” shall be as Maximum Limit “90% of Average Taxable Remuneration Index of Fixed Workers” of the month immediately preceding that published”.

The Increase In Prepaid Was Criticized By Christina Kirchner And Sergio Massa.


The increase in prepaid was criticized by Christina Kirchner and Sergio Massa.

Meanwhile, it is clear that “this measure shall be applied in relation to those contract owners who have Net income of less than six, Vital and Mobile Salary (SMVM),

In case of getting more than 6 SMVMs, the value of quota will be adjusted by the current health cost index, which began last August. This index combines the growth of the cost of medicines (12.2%) according to a list prepared by the Ministry of Health, Medical Supplies (17.2%), wages set by Samata (52.4%)) and general expenditure (18.2%). , prepared by the Superintendent of Health Services. And it is applied every two months.

As established in Article 2, prepaid medicine companies must “provide by January 1, 2023, the same coverage plans to users as they currently have, without copays, with the inclusion of copays” Level 1 (ambulatory) and Level 2 (low-complexity outpatient and inpatient) services, “at least 25% less cost than the plan without copays”.

According to INDEC records, the population covering social work or private therapy has decreased due to greater informality and increased costs of health plans.

Prepaid: Monthly increment from 1st February

In the same edition of the Official Gazette, the Ministry of Health published Resolution 2577/2022, which authorizes, until February 1, 2023, “the monthly increase in the value of fees of prepaid medical entities registered in the National Registry of Prepaid Health Costs Index last published.” According to Variation Medicine Entities (RNEMP).

“In the case of workers in a dependency relationship, the extent of escalation provided for in paragraph 1 of Decree No. 743/22 shall apply to the fee that they actually pay for the better plan that they have contracted”, clarifies paragraph 3.

Finally, prepaid medicine units and health insurance agents are obliged to “increase the remunerative values ​​of medical-assistance benefits provided to their beneficiaries and users.” at least 90% “Percentage increase in their income through prepaid medical charges or joint negotiation”.

In late October, Christina Kirchner overtook the government to authorize a new increase in prepaid, bringing the annual increase to 114 percent.

“The new growth is clearly unacceptable, this time in double digits (13.8%), which Government authorized prepaid pharmaceutical companies, and thus increased to 114% Annual increment provided. In other words, over 20% on annual inflation,” he said.

This message was published on social networks by the vice president, hours after it became known that the superintendent of health services, which relies on the Ministry of Health, led by Carla Vizotti, has authorized the ninth increase so far this year for prepaid has done.

After criticism from Vice President Christina Kirchner and then Economy Minister Sergio Massa, the private health sector agreed with the government to double the growth to 13.8%.

Then, the increase will be 6.9% in December and 6.9% in January, and with this split, the increase in installments, December 2021/December 2022, will be 100.9%, instead of 113.8% in 2022.

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