The General and Supervisory Board (CGS) of ADSE was divided in the vote on the opinion on the revision of the price list of the agreed regime, which provides for an increase in the amount that beneficiaries will have to pay in specialty consultations, general practice, pediatrics and cardiology.
As advanced this Tuesday the Public, representatives of the Common Front and the Union of Technical Staff of the State (STE) criticize the increase in co-payments, voting against the opinion, approved with the favorable vote of the remaining nine councilors.
In the new tables, beneficiaries pay € 3.99 for specialty consultations, general and family medicine and pediatrics. The co-payment will be five euros in the first two and seven euros in the third. THE cardiology goes from nine to 11.5 euros.
Fátima Amaral, representative of the Common Front, told the Public that the new table has positive aspects and brings “considerable gains”, but the union does not agree with the increase in the amount paid by the beneficiaries.
“The reason for this increase in co-payments was not explained in all this process and we believe that ADSE could accommodate this difference without increasing direct charges to beneficiaries,” he said. “ADSE does not live, nor is it close to, a situation of economic unsustainability, presenting even successive positive balances”, he added.
Fátima Amaral also pointed out the limit on the number of consultations per year. In the case of general and family medicine and general practice, the limit is 24 consultations per year and teleconsultations are limited to one per month.
Helena Rodrigues, president of STE, also voted against. “We understand that ADSE has a sustainable financial situation and it will become even more sustainable with the entry of workers with an individual contract, ”he said, lamenting the reduction in ADSE charges and the increase in costs paid by beneficiaries.
The two entities argued that ADSE discounts (3.5% on wages or pensions) should apply to 12, not 14 months.
In an opinion released last week, the CGS acknowledged that consultations “are a very sensitive area, as they are widely used by beneficiaries” and that the review allows beneficiaries to have “a direct increase in costs, especially in consultations and dentistry. , resulting from the significant increase in the proposed prices, despite the fact that the board mentions that there are no percentage increases in the co-payment of the beneficiaries in any area of this proposed scale ”.
Prices paid to the health care provider increase by an average of 35%, supporting beneficiaries with an average increase of 25%.
“This review will only achieve its objectives if it is accompanied by an extension of existing conventions and a significant increase in the number of conventions, with special attention to conventions and regions where there are no contracted providers”, the document reads.
The review also proposes the establishment of maximum prices in the area of oncological drugs and intraoperative prostheses, the introduction of closed prices in more than 300 surgeries based on the averages and medians of the prices billed between 2017 and 2019 and psychology consultations clinic in the agreed regime.
Taísa Pagno //