2023-04-28 14:35:50
In the first half of the year, the rise in private medicine companies for the highest income sector will be 40.9%.
While the bills arrive with the May increase in private medicine fees of between 3.43% or 4.76%, depending on the net income of the owners and co-owners of the prepaid medicine companies, this Friday the affiliates will receive other notification: the increase in June will be 5.49% for all equally.
This will be so because the Health Cost Index is lower than the variation in formal wages (RIPTE), which is the indicator used to set the increase in the quota for those who earn less, according to the Superintendency of Health Services. .
Decree 743/2022 that set the differentiated increases (which debuted in February) establishes that 90% of the RIPTE acts as a stop for those who receive less than 6 Minimum Vital and Mobile Wages (SMVM) in relation to the Health Cost Index. The same increase in the Cost Index is applied to those who earn more than 6 SMVMs.
Thus, this cap was applied in February, in March and now in May, because the Health Cost Index was 8,21%, 7,66% y 4,76% respectively, and those who earn less were applied 4.91%, 5.04% and 3.43%.
As in April, in June this cap does not apply because the Health Cost Index is 5.49% and 90% of the RIPTE is 7.58%.
To perform these calculations for the June increase the RIPTE for February is taken, which was 8.42%.
With the increase of 6.9% in January and the 5 increases with the new criteria, the cumulative rise in the first six months of the year will reach 40.9%, for whom the health cost index is applied. For those who receive less than 6 SMVM, the semi-annual rise will be 31.5%.
The affiliates to the prepaid will begin to receive from this Friday the notification of the increase because they must do it 30 days in advance.
Although the 5.49% increase applies to all affiliates equally, the holders of the prepaid They must also enter the page of the Superintendence of Health to declare if they have net income less than or greater than 6 SMVM. ($$482,052).
The Health Cost Index combines the evolution of the costs of medicines (12.2%) according to a list prepared by the Ministry of Health, medical supplies (17.2%), salaries set by the parities ( 52.4%) and general expenses (18.2%), which are prepared by the SSSalud.
For their part, prepaid medical entities and obras sociales should increase the values of benefits medical-assistance provided to the beneficiaries of the prepaid and social works by the clinics, sanatoriums and professionals in at least 90% of the percentage increase in their income according to the fees received.
Meanwhile, according to INDEC records, due to the greater informality and increased costs of health plans The population that has the coverage of a social work or private medicine decreased.
An average family plan for a married couple with 2 minor children can be between $100,000 and $140,000 per month.
It is estimated that the sector (the sum of prepaid 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 corresponds to workers who derive their contributions to a social work that has an agreement with the prepaid
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