The MUFACE agreement for the next three years is already underway. This Thursday, May 1, the concert for the next three years has entered into force after the ratification of the conditions by Segurcaixa Adeslas y Asisathe winners. Thus give the official departure gun to this new stage after crossing one of the worst crises in their history that has caused the resignation of DKV Seguros to continue providing the service. Now it starts with improved economic conditions with respect to the previous triennium and a rise in 41% rates to be distributed between 2025, 2026 and 2027.
Once the posture differences between the government and insurers for the value of the contractthe focus of attention has been transferred to the negotiations between Adeslas, Asisa and the hospital groups that will provide health coverage. Initially, the former had raised a 3% rate rise to the second, a proposal that caused an increase in tension between both parties, forcing the Companies to show somewhat more flexible and agree on renovations above said threshold. An increase that, however, has partially reached doctors who exercise the profession liberally.
Specifically, As reported from Unipromelwhich represents more than 5,000 liberal professionals, the update of the medical picture does not contemplate a rise in their fees, “Stagnated for years.” Ignacio Guerrero, president of this organization, explains to ‘the economic information’ that Adeslas has sent them a letter in which a 3.5%rise is addressed, But only for customer consultations private, since not addressing the improvement of fees to serve patients under the umbrella. This newspaper has tried to contact Adeslas without success.
Instead Asisa has informed them of an ‘in extremis’ rise of 6.5%, according to the document to which this medium has had access. The accumulated increase in the last three years reaches 17.5%, update that, in any case, calls insufficient, since they have not yet recovered purchasing power since in 2008 they suffered a 10%rate cut. The company belonging to the Lavinia cooperative group has both health professionals in staff, which appear on payroll, and personnel than personnel that work independently and maintain a relationship trade. In these cases, conditions are negotiated individually based on parameters that cover from the type of consultation to the specialty.
In this context, unipromel threatens, even, with standing in case the situation of “Labor Precariousness” that are going through persists. They demand an improvement of up to 150%, claim that they have been claiming from the outbreak of the crisis. The problem lies in the dependence of some private centers of this mutuality, which supposes up to 40% of its annual turnoverbeing the provinces of lower population the most affected in case this scenario occurred. That is because in the regions with less inhabitants the ratio of mutualists on the total number of insured is higher. While the proportion is quite disparate throughout the Spanish territory, areas such as Ávila (28%), Jaén (27%) o Zamora (26%) are more exposed to MUFACE in economic terms.
With the entry into force of the concert after the rubric of insurers, the window for the ordinary company change that will last the entire month, period in which DKV Seguros is obliged To provide assistance, since the forced transfer that each mutualist performs will not be effective until June 1. It is a total of 200,000 mutualists among officials and beneficiaries who must now choose whether they adhere to Adeslas or Asisa or do they go to public health.
Waiting for the transfer, MUFACE will cover the social assistance of 734,000 holders and 280,000 beneficiaries. Of the set of 1.5 million mutualists, around 500,000 are registered in the INSS. After the May campaign, the ordinary period will be opened in the new agreement, so that option will also be available in June. After the May campaign, the planned ordinary period will open In the new agreement, so that option will also be available in June.
After several strips and loosen between government and insurers that have put the survival of the model at risk, the budgeted amount amounts to 4,808 million, figure that must be discounted for the four months of extension of the previous concert. There are 1,276 million with respect to the previous contract and introduces a new premium structure incremental depending on the age stretch, in such a way that the mutuality pays more for the oldest groups and less for the youngest (it does not affect what each official pays in their payroll).
Thus, for children between 0 and 4 years, the premium will be 58 euros, in contrast to those over 74, who will pay 273.97 euros. 5 At 14 years, up to 32.5 euros will be reduced, followed by the group that goes from 15 to 44 years (the most numerous), for which 49.75 euros per month have been stipulated, while from 45 to 54 years it is reduced from 77 to 68.5 euros. People between 55 to 65 complete the list, to Those who are more expensive until 117.09 euros, at the same time that between 65 and 75 years will amount to 103.46 euros per month.
