By
Maxime T’sjoen
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More expensive consultations, 30 euros from December 2024 and less compensation? This is what the Social Security Funding Proposal (PLFSS) for 2025, presented on Thursday, October 10, 2024, proposes.
The share of health insurance in consultations with doctors and midwives may fall from 2025.
Guest on RTL on Friday, however, Budget Minister Laurent Saint-Martin reminded that it was a “possibility” (which he himself is in favor of), but that this eventuality must go through the ‘mill of the assembly’.
What is the co-payment?
The co-payment is the remaining amount that the patient must pay when the health insurance has repaid its share. If the additional often takes care of the rest, there may also be a balance to be paid.
What is the government proposing?
PLFSS specifically provides for “moderation of expenses”, while 16 billion euros in savings from Social Security alone are requested. Among these measures is the increase in user fees for doctors and midwives. A measure that was supposed to bring 1.1 billion euros.
According to Minister Laurent Saint-Martin, this may involve a reduction from 70% to 60% of the user fee. The Bercy tenant considers this measure “necessary”. However, the rules can be changed during debates in the Folketing.
Debates starting on 21 October. If this measure is ratified in the vote, it will mean that it is the supplementary health insurance that covers 40% instead of the current 30.
The Minister of Health, Geneviève Darrieussecq, clarified that the measure will not concern “people with long-term illnesses”, or the most vulnerable, protected by “complementary solidarity health” (C2S).
Increase in prices of complementary products?
With the planned increase in the consultations in December (from 25 to 30 euros), the planned increase in the user fee, it is the mutual insurance companies that have to pay more.
But this transfer of fees of more than a billion euros risks ultimately increasing the prices of mutual insurers. Discussions will take place “with additional insurance companies so that this is done as minimally as possible,” promised Geneviève Darrieussecq.
According to the Institute for Research and Documentation in Health Economics (Irdes), 4% of the population (2.5 million people) do not have supplementary health insurance. They want a balance to pay.
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