The latest assault on Argentines' health, err, I mean "the caste" is brought to us by Javier Milei and Gabriel Oriolo, the former OSDE executive and millionaire that now runs the Superintendency of Health Services:
According to Resolution 3934/24 in the Boletin Oficial, members of pre-paid health insurance plans will now be required to obtain prescriptions/treatment/consults/etc. solely from doctors in their cartilla medica in order to receive a discount/full coverage on prescribed medications or reimbursement for treatment/consults/medical studies unless the affiliate opts for the most expensive "open" prepaga plan.
What does this look like in practice? Let's say you can't get a turno with a cardiologist for 3 months because there are none available in your cartilla because OSDE pays them shit, so you paid out of pocket for a private turno. According to the article, it seems that not only will you not be able to get a portion of said turno reimbursed, now you won't even get the 40% medication reimbursement for your nitrates the doctor prescribed you because they aren't in your cartilla.
www.lanacion.com.ar
As for Monotributistas, well, now not only are you still required to have a prepaga/obra social, but you no longer have the right to join any one of your choosing as the government is making an opt-in for prepagas/obra sociales that are explicitly willing to take Monotributistas (hint, the most expensive ones). Previously you could denounce a prepaga/obra social to the Superintendency for refusing to allow you to join, but going forward, there will be a registry of them willing to take on new members. This may sound great, no more need to denounce the companies legally, but it's always been prepagas like OSDE which charge upwards for $400K/month for a single member that have been willing to take on Monotributistas who don't have 50%+ of their monthly income to spend on said plans.
What do I see in the future? The courts across the country being slammed with Amparo cases because these changes will violate numerous statues all in the name of lining the companies that consistency raise their monthly rates 100% above inflation, while providing less to their members.
Oh, and don't count on the public system, because it's crumbling across the country as people can no longer afford their private health insurance or lose their jobs.
https://www.laarena.com.ar/la-pampa...tes-en-salud-publica-es-enorme--2024102616520
VLLC!
According to Resolution 3934/24 in the Boletin Oficial, members of pre-paid health insurance plans will now be required to obtain prescriptions/treatment/consults/etc. solely from doctors in their cartilla medica in order to receive a discount/full coverage on prescribed medications or reimbursement for treatment/consults/medical studies unless the affiliate opts for the most expensive "open" prepaga plan.
What does this look like in practice? Let's say you can't get a turno with a cardiologist for 3 months because there are none available in your cartilla because OSDE pays them shit, so you paid out of pocket for a private turno. According to the article, it seems that not only will you not be able to get a portion of said turno reimbursed, now you won't even get the 40% medication reimbursement for your nitrates the doctor prescribed you because they aren't in your cartilla.
Las prepagas podrán rechazar a los monotributistas y pequeños contribuyentes como afiliados
La medida fue oficializada este lunes a través del Decreto 955/24, publicado en el Boletín Oficial; se busca promover un “acceso eficiente y equitativo al sistema de cobertura de salud” y aseguran que “no afecta ni altera los derechos y obligaciones ya consolidados con anterioridad”
www.lanacion.com.ar
As for Monotributistas, well, now not only are you still required to have a prepaga/obra social, but you no longer have the right to join any one of your choosing as the government is making an opt-in for prepagas/obra sociales that are explicitly willing to take Monotributistas (hint, the most expensive ones). Previously you could denounce a prepaga/obra social to the Superintendency for refusing to allow you to join, but going forward, there will be a registry of them willing to take on new members. This may sound great, no more need to denounce the companies legally, but it's always been prepagas like OSDE which charge upwards for $400K/month for a single member that have been willing to take on Monotributistas who don't have 50%+ of their monthly income to spend on said plans.
What do I see in the future? The courts across the country being slammed with Amparo cases because these changes will violate numerous statues all in the name of lining the companies that consistency raise their monthly rates 100% above inflation, while providing less to their members.
Oh, and don't count on the public system, because it's crumbling across the country as people can no longer afford their private health insurance or lose their jobs.
https://www.laarena.com.ar/la-pampa...tes-en-salud-publica-es-enorme--2024102616520
VLLC!
now I need to do some deep reading.
