Crisis of mutual societies: Sanitas decides that it’s going to not present providers to judges and prosecutors | Economy | EUROtoday

Three days after the Muface competitors was void – leaving the concerted well being care of 1.5 million civil servants and relations within the air -, two different public worker mutual societies ended on Friday the deadline to obtain proposals from insurers who needed to present this service. In the case of Mujegu, which serves judges, prosecutors and the remainder of the Justice Administration personnel, one of many corporations that had been offering this consideration, Sanitas, has determined to not apply for the brand new settlement (2024-2025), earlier than the insufficiency of the financial enchancment proposed by the Government. Sanitas was additionally in Muface and determined to go away.

According to sources within the insurance coverage sector, Sanitas has chosen to not attend the brand new settlement of the General Mutuality of Justice (Mugeju) contemplating that the proposal to enhance the fee of premiums, which was included within the specs, of 11 .73%, was not sufficient for the availability of this service to be worthwhile.

The three largest mutual societies for civil servants (Muface, which covers 1.49 million lecturers, cops, tax and labor inspectors…; Isfas, which serves 595,000 troopers and civil guards; and the aforementioned Mugeju, which offers protection to 91,000 folks) have been working for half a century. Normally each two years, a brand new live performance is held to see which insurers wish to attend every of those live shows. Public workers can select whether or not they need their mutual insurance coverage firm to supply them public well being care or well being care by way of a concerted insurer. The State pays a premium for every coated official. It had by no means occurred that the Muface contest, the biggest, was abandoned.

The consideration to judges, prosecutors or attorneys of the Administration of Justice is assured by way of concerted insurers, since Adeslas and Asisa have chosen to take part on this contest. All the Mugeju mutualists who now went to obtain medical providers on the La Zarzuela Hospital, the La Moraleja Hospital (within the Sanchinarro neighborhood), the Virgen del Mar Hospital (in Chamartín) or the Cima Hospital in Barcelona will now not have the ability to go . Sanitas is owned by the British cooperative Bupa.

In the present Mugeju live performance, legitimate between 2021 and 2024, along with Sanitas, Asisa and Adeslas had been additionally current, who already introduced final Tuesday that they’d apply for the brand new settlement. Instead, DKV determined, like Sanitas, to go away Mujegu. Meanwhile, Mapfre and Nueva Mutua Sanitaria haven’t but clarified whether or not they have offered themselves or not.

Sanitas explains that after learning intimately the situations of this new doc, “the company considers that these do not guarantee the provision of the service under the quality conditions that Sanitas considers necessary.”

The fundamental drawback each in Muface and in different civil servants’ mutual societies is the sharp rise in costs that has occurred in recent times and the rise in medical consultations and coverings. This has meant that the financing of the mannequin has been inadequate. The three that participated in Muface and have determined to not seem on this event, declare to have recorded losses of 600 million euros, in mixture, within the final three years.

The Ministry of Public Service, to attempt to persuade insurance coverage corporations to remain, improved monetary compensation by 17%, however that improve has not been sufficient. The corporations say that with lower than 40% they’d nonetheless lose cash. In truth, DKV has calculated that with this 17% proposal they’d lose 77 million euros in two years, which might additionally need to be recorded within the 2024 accounts, because of present insurance coverage accounting rules. Asisa has even instructed that, if it comes beneath the proposed situations, it may go bankrupt.

To attempt to save the fragile scenario of Muface, the Executive is getting ready an categorical tender that might elevate the fee to insurers as much as 24%, though it stays to be seen if this improve can be sufficient. In addition, it’s contemplating making use of a pressured extension of the service, within the occasion that there is no such thing as a settlement.

Civil servants’ unions, akin to CSIF, have known as rallies for Monday (in entrance of the Ministry of Finance in Madrid and in the remainder of Spain earlier than the provincial authorities subdelegations) to demand that the present Muface live performance be safeguarded. They even threaten to go on strike. The concern amongst public workers is most, since many have been receiving well being care in the identical hospitals for many years, to which they now have no idea if they may have the ability to go. The Ministry of Public Administration has tried to calm issues down and is satisfied {that a} answer shall be discovered.