Health insurance will soon reduce the reimbursement of ambulances

2023-05-22 12:00:00

Coverage of non-emergency medical transport will decrease, despite the opposition of complementary health insurance which will have to compensate.

By MR with AFP

This increase should be painless for most policyholders, the vast majority of whom are covered by mutual insurance companies and provident institutions.
© LOIC VENANCE / AFP

Published on 05/22/2023 at 2:00 p.m.

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Un decree published on Saturday in the Official Journal plans to reduce the cost of non-emergency medical transport, thus dropping from 65% currently to around 50%. A measure denounced by complementary health insurance, which will be responsible for compensating for this reimbursement of health insurance.

The text provides that “the participation of the insured in the costs relating to medical transport”, currently included in a range of “30 to 40%”, will soon increase to a rate of “45 to 55%” which will be set by the ‘Health Insurance. This decision will apply to so-called scheduled transport, for patients who do not already benefit from an exemption (chronically ill, pregnant women, invalids, etc.).

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Complementary health insurance opposes it

The measure aims to “neutralize” free “urgent medical transport”: private ambulances sent at the request of the Samu have in fact been covered at 100% since 1^is January, at a cost estimated at 70 million euros per year, according to the impact study of the 2023 Social Security budget. This sum will therefore be passed on to some 12 million scheduled trips, the rest of which at average expense will increase from 20 to 25 euros, according to government calculations.

An increase that will be painless for most policyholders, the vast majority of whom are covered by mutual insurance companies and provident institutions. Organizations supposed to also find their account there, since they previously paid for part of the urgent transport.

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But the National Union of Complementary Health (Unocam) opposed it in March, giving an “unfavorable opinion” because of “doubts regarding the financial neutrality of the operation”. Partly founded fear, because in the meantime the Health Insurance and the ambulance unions concluded an agreement in April, with an envelope of 340 million euros by 2025 including in particular price increases.

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