The emergencies of a hospital.
(Illustration) -
SYSPEO / SIPA
To replace the current "user fee" leaving 20% of the cost of its care to be borne by the patient, emergency visits not requiring hospitalization will be the subject from next year of a "package" of a fixed amount.
This "participation", whose "lump sum" must be "defined by decree", will be "due for each passage to the emergency room as soon as this passage (will not) be followed by hospitalization", explains the draft law. financing of Social Security (PLFSS) for 2021.
Limit the remainder of the charge
According to the government, this “emergency patient package” would be billed “instead of the proportional user fee currently payable”, which “will allow the patient to limit very high out-of-charge situations”.
As a general rule, 80% of hospital costs are covered by health insurance, the balance often being covered by complementary health insurance.
Exceptions are however provided for pregnant women, chronically ill or even invalids, exempted from this "co-payment".
"The health crisis has seriously disrupted the work schedule"
But these exemptions will disappear with the future "emergency patient package", of which these categories of patients "will be applied a reduced amount", indicates the government.
This measure "completes the reform of the financing model of emergency structures" voted last year and supposed to come into force on January 1, 2021.
A deadline maintained, while the PLFSS plans to postpone several other tariff reforms (psychiatry, follow-up and rehabilitation care, local hospitals, etc.) until 2022 because "the health crisis has seriously disrupted the work schedule".
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Health
Hospital
Budget
Social Security
Emergencies