General practitioner, pediatrician, psychiatrist… What will be the prices for your consultations from December?

The signing of a new agreement, fiercely negotiated between Health Insurance and the unions of private doctors, ratified on Tuesday a new medical agreement for five years. Prices will increase a first time at the end of the year, then a second time in July 2025.

A text born in pain. After several months of tough and laborious negotiations, the new version of the agreement which governs relations between Health Insurance and private doctors was adopted on Tuesday, June 4, after having obtained the consent of the main union organizations of the sector.

This new medical agreement, validated for five years, must come into force gradually from December, according to the adopted text, including price increases for many medical procedures, among general practitioners and specialists. In return, practitioners undertake to reduce their medication prescriptions, particularly antibiotics. The text also calls on professionals to “slow down the evolution of the number of days of work stoppage by 2% per year”, in a context of rapid increase in the number of sick leave and their cost for the health system in recent years. Here are the main changes.

Basic consultation with the general practitioner at 30 euros

This is the change that will undoubtedly concern the most patients: the price of the basic consultation with a general practitioner will increase from 26.50 euros to 30 euros at the end of the year. This is the second price increase in just over a year for this consultation, which had already been increased from 25 euros to 26.50 euros in 2023. But this rate represents “barely catching up with inflation”estimated mid-May on franceinfo Jean-Paul Hamon, general practitioner and honorary president of the Federation of Doctors of France.

The increase will not directly affect patients covered by Health Insurance and who benefit from complementary health insurance. The remainder will still be 2 euros, after having doubled in May.

The increase in the price of consultations with several specialists

The price of a reference consultation with several specialists will also increase from December, before a further increase planned for July 2025. For neurologists and psychiatrists, the price will increase from 51.70 euros according to Health Insurance at 55 then 57 euros. The price for psychiatrists will even reach 75 euros for patients under 25 years old. The price of a reference consultation with a medical gynecologist, currently 31.50 euros, will also increase to reach 37 then 40 euros. With a geriatrician, the price will increase to 32 euros in December, then 42 euros in a little over a year.

As for pediatricians, compulsory consultations will also be more expensive, with a price that depends on the type of examination and the age of the patient. Mandatory examinations which give rise to a medical certificate will be billed at 54 then 60 euros. Same thing for the price of a melanoma screening consultation with a dermatologist, which will be increased to 54 euros at the end of the year, then 60 euros in July 2025.

The creation of a “long consultation” for patients over 80 years old

The new medical convention creates a new type of consultation with the attending physician: the “long consultation”, reserved for patients over 80 years old. “in order to promote [leur] supported”, according to the voted text. It will not be implemented until January 1, 2026.

This long consultation will only be possible once a year and in very specific situations: within 45 days after leaving hospital, for “hyperpolymedicated” patients (who “have at least ten lines of drug treatment”) as part of a deprescription process, or as part of the procedure to obtain the personalized autonomy allowance (APA).

Teleconsultation conditions unchanged, except for psychiatrists

Among general practitioners, teleconsultation will escape the price increase and will remain billed at 25 euros. The remuneration for the act of tele-expertise, carried out by a specialist on the recommendation of the attending physician, will increase to 23 euros on January 1, 2026. The overall volume of activity agreed for teleconsultations does not change either and remains capped at 20%. Except for psychiatrists, who can go up to 40%.