increasing mutual insurance contributions is “a lever” to compensate for the planned reduction in the cost of consultations according to the National Federation of Mutual Insurance

Presented Thursday to the Council of Ministers, the Social Security financing bill (PLFSS) intends to reduce the deficit concerned to 16 billion euros in 2025.

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Paul Christophe, Solidarities of Autonomy and Equality between Women and Men, Genevieve Darrieussecq, Minister of Health and Access to Care of France, Laurent Saint-Martin, Minister of the Budget and Astrid Panosyan- Bouvet, Minister of Labor and Employment during the presentation of the Social Security financing bill, October 10, 2024, in Paris. (ALAIN JOCARD / AFP)

Will mutual health insurance companies increase contributions, after the announcement of a possible reduction in reimbursement for consultations by health insurance in 2025? “It’s a lever”responds on franceinfo Friday October 11 Eric Chenut, president of the National Federation of French Mutuality. By covering 40% of the doctor’s consultation, instead of 30% currently as planned by the government, mutual health insurance companies will have to “find ways to balance additional expenses”he announces. “We have an obligation to be in balance at the end of the year”explains Eric Chenut.

Among the avenues envisaged to rectify the social security accounts is the reimbursement of 60% of the doctor’s consultation, instead of 70%. The increase for mutuals “is more than significant”warns Eric Chenut. On a consultation soon at 30 euros (from December 22), mutual insurance companies will have to cover “12 euros” he calculates. “We will see if, within the framework of the parliamentary discussion, there are other measures which result in savings”says Eric Chenut. “At the moment we have no information on this.”

The president of the National Federation of French Mutuality “regrets the lack of consultation” on this subject and said to have been “taken by surprise”. It was only last week that the mutuals became aware of the measure of “transfer of a billion euros to the responsibility of complementary companies”after a meeting with the ministry.

“We think in the short term”deplores Eric Chenut. According to him, “15 to 20 billion euros in savings” are possible every year, if the government tackled the“health system efficiency” And “the relevance of the prescriptions”.


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