For complementary health, things are starting to take shape. According to The echoes of Tuesday August 4, the government is determined to ask them to pay, at the end of the year, “An exceptional contribution” for the benefit of Social Security. The last arbitrations will be rendered in September.
The government’s finding is as follows: due to the health crisis and confinement, there has been less care outside of Covid, and therefore, mechanically, less reimbursements to be made by mutuals, which cover health expenses outside of Social Security. The latter also took charge of consultations and tests.
In June, the Minister of Health, Olivier Véran, and his counterpart in action and public accounts, Gérald Darmanin – since appointed to the interior -, had written to insurers to confirm a project that was in the air of the time for weeks: yes, it would be necessary that this money involuntarily saved return in the coffers of Social Security, whose accounts should plunge from around thirty billion euros this year. Insurers, in fact, cannot “In no way derive any economic benefit from this crisis”, wrote MM. Véran and Darmanin.
Two questions remain: how and how much? Complementaries argue against the idea of a tax and promote voluntary payment. The health ministry assures us that“This is not a tax, but a recovery of amounts that have not been disbursed”, as one of its spokespersons told Agence France-Presse. Everything will therefore be a matter of close discussions with the insurers. “La Mutualite Française has already indicated to the Ministry of Health that it is not opposed to the principle of a contribution, indicates the federation which brings together 266 mutual health insurance. Indeed, there was never any question of profiting from this crisis. “
The principle is therefore not a problem. However, the amount of the contribution will be more difficult to establish. Bercy estimates that insurers have saved 2.6 billion euros due to the health crisis, without specifying how much it wants to recover. “We have always indicated, we inform the French Mutual, that it was complex to calculate the savings. “ Indeed, deferred care will eventually be carried out. Otherwise, “Business bankruptcy could reduce the amount of contributions collected under collective contracts even though benefits must continue to be provided for a year.”