The government has made the decision that from now on, selected Social Security agencies will be responsible for providing health services. According to the government, this historic decision aims to make the healthcare system more transparent, allowing each beneficiary to clearly know the destination of their contributions and to avoid funding million-dollar boxes that do not add value, benefiting a few.
For those who pay the difference between their contribution and the cost of the plan, it is expected that this will translate into a reduction in the monthly cost. The same applies to self-employed individuals, who will now be able to choose directly with which prepaid healthcare provider they want to be treated, paying the difference if necessary, without having to select a social work first.
The current resolution complements a system that had already been implemented last year, ensuring that the contributions of workers to the healthcare system go directly to the selected private institution without the need for intermediaries through social works. This measure prevents employees from being unaware of how their medical care was financed, and thus not completing the corresponding procedures.
For those workers whose health benefits are covered by their employers, this measure does not represent any changes. The ANSES page can be consulted for the list of prepaid healthcare providers that accept self-employed individuals. The new regulation aims to include all workers in the system, as voluntary changes have already been allowed since December 2024.
The resolution published in the Official Bulletin establishes that more than 1,300,000 beneficiaries will now send their contributions directly to their Health Insurance Agent starting January 31. This aims to eliminate unnecessary intermediaries and put an end to a monthly business of over $30 billion pesos, as mentioned in an official statement.
Furthermore, it is clarified that beneficiaries who choose to remain with their current social work will have 60 days to complete the corresponding procedure on the website of the Superintendency of Health Services.
