In a retreat in relation to the freedom of prices and the elimination of the obligation to inform the Superintendency of Health Services about the plans and values of the quotas that the Government resolved in January,
the SSSalud notified the Prepaid Medicine Companies
to
present the coverage plans offered
to their beneficiaries and the updated quota values to the organization. And "having met the 48-hour period granted, it is reported that the prepaid companies provided, as required by the Superintendency, the requested information," the agency reported.
The information requested by the SSSalud “responds to the main function that this organization has, which is to supervise
Social Works and Prepaid Medicine Companies and guarantee that there is competition between the different players in the market,” says the official information.
It is assumed that this information would serve as a basis
for the decisions that the Government could adopt in the face of the skyrocketing contributions of members of the different prepaid companies of more than 150%,
more than 200% and more than 300%,
according to the different entities and plans since the Government granted freedom of prices. And
also in response to the request for a meeting with the Ministry of Economy that several Chambers of the Sector requested.
However, in January, through Resolution 51/2024, the Ministry of Commerce, repealed Resolution 54/2000 by which prepaid medicine providers had to periodically report the total value of the monthly fee they receive for the provision of the service.
Resolution 54/2000 – repealed in January – specified that
“in all cases, information must be presented
regarding direct associates (who do not derive contributions through agreements with union social works). The value of the first contract installment will be reported, that is, for associates without seniority. The value of the fee must include the entire amount paid by the consumer, including the Value Added Tax and any other amount whose payment is mandatory for the normal and regular use of the service. Likewise, for plans with copayments, only the corresponding amounts for medical consultations carried out in the office must be reported. And to notify the value of the fee for 'members of up to 30 years of individual plans' in the column for 'women', the total amount of the fee must be indicated, including the additional amount corresponding to the provision of services for use of the right of maternity".
News in development
S.N.