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The reform of free medical assistance in the Southern Province will be implemented as normal this Thursday, August 1. But be careful, the changes decided will only take effect after the AMG resumes. Currently, the activity is suspended and the resumption date has not yet been announced. We explain in detail what has changed and what has not changed.
Faced with a drop in revenue caused by the riots, the community decided on July 15 to change the conditions of care for the poorest patients. The main changes are Some patients will pay more.
But not immediately, because currently free medical assistance (AMG) Still Paused Lack of cash flow. The South Province is waiting for the government and Kafat to repay debts of about 9 billion francs so that it will have enough funds to cover its expenses.
No information on a resumption date at this stage. So this temporary pause may last for a while, leaving patients and professionals in the dark. So what has changed? Who can have their fees waived? NC First Takes Stock.
From 1 August 2024
Co-payments for most AMG beneficiaries increased from 10% to 20%. But as Medicaid is currently suspended, if you visit a doctor from Thursday 1 August you will be required to pay the full cost and will only be reimbursed once Medicaid is operational again. The same is true for medical professionals (excluding pharmacies) who decide not to charge patients, and the province will only pay them once payments are resumed.
There are no changes for people with disabilities, health care facilities, people on social assistance and veterans: they remain exempt from fees.
- Resuming medication
There is good news: the Southern Province said it would resume paying for medicines for all free medical assistance beneficiaries from August 1. As a result, they will have to pay part of the treatment costs depending on their level of care.
When will medical assistance be restored?
- People who previously paid 10% will now pay 20%
- Chronically ill patients will only have to pay 10% for consultation fees, home visit fees, and medical transportation costs. All other expenses, such as dialysis, pharmacy or cancer treatment, will continue to be covered at 100%.
- Pregnant women now have to pay 10%
- Children under three years old also need to pay 10%
Pregnant women and children under three are now required to pay a 10% out-of-pocket cost of all medical procedures. According to the Union of Liberal Health Professionals, which contacted the High Commissioner, this situation violates the principle of equality before the law enshrined in the Constitution.
“If a pregnant woman receives medical assistance, she must pay 10% of the costs, which are borne by the maternity ward, while those who will receive medical assistance in the RUAMM pay 100% of the costs. For us, our approach is equal. We are the guarantors of these constitutional rights. Patrice Gauthier, President of FPLS, explains.
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