The Primary Health Insurance Fund finds itself facing a significant problem in two departments, Vendée and Loire-Atlantique. Indeed, a software change, clearly not up to par, has blocked the payments of certain policyholders who are currently on sick leave.
For several weeks, Health Insurance has been facing an unprecedented crisis due to the implementation of new management software, as revealed BFM Business. If this type of decision is supposed to modernize and simplify administrative procedures, this is not at all what happened for these thousands of policyholders, mainly workers on sick leave or women on maternity leave. The implementation of this new software which obviously does not work has deprived these policyholders of their monthly payments necessary to survive.
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Information highlighted through numerous testimonies collected on social networks, particularly Facebook: “SOS, this has to stop!” For more than a month, more than 5,000 people have no longer received compensation, it is a total scandal and an insecurity of the weakest” alarms an Internet user named Marie-Claire. Indeed, these significant payment delays plunge many policyholders into a precarious financial situation while some users even denounce delays of several weeks, or even months, without a clear response from the organizations concerned.
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Policyholders left behind
“Since the end of September, I have not received any of my daily allowances, my landlord is threatening to open bailiff proceedings if I do not pay my rent. The CPAM is letting us die”denounces one of them on social networks while another is at the end of his rope: “Depression is fast approaching because of the CPAM, I can’t take it anymore” he writes. Testimonies that can be found in abundance, particularly from groups dedicated to this purpose in two departments mainly, Vendée and Loire-Atlantique. In the second department alone, no less than 5,000 policyholders are on sick leave and have not received any daily compensation.
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BFM Business revealed that this problem had been going on since October while these two primary health insurance funds had since then been testing new management software called Arpège. A spokesperson for the CPAM spoke on this subject to BFM Business: “When switching between the two software programs, data for several thousand files (i.e. less than 0.3%) were incorrectly included (the complexity of the daily allowance rules in fact led to errors in the application) which led to blockages of daily allowance files which are being resolved or resolved” he tries to explain. If it also indicates that the teams are doing their best to regularize the situation, Free Midday added that more than 120 additional agents were mobilized to make this happen until mid-December.
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Significant human impacts
If for the moment it has been confirmed that 27,500 deposits had been paid and that 5,000 files have been settled, these amounts remain insufficient, the first victims of this crisis are the most precarious policyholders, for whom the daily allowances represent often the only source of income in the event of work stoppage. An insured person says: “I received a deposit of 600 euros in October and another of 500 euros in November. My worst anxiety, no longer knowing how to get by in order to live” while another deplores the situation as the end of year holidays arrive: “Due to my persistence, I call the CPAM every day, they released me a deposit of 800 euros which did not compensate for my overdraft, my bank card is blocked”he explains, quite annoyed: “I don’t want a deposit, I want what I’m owed.” »
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Health Insurance, although aware of the difficulties, was slow to react and payments are struggling to come. Most of these policyholders are forced to dip into their savings or ask relatives for help in order to survive, an unacceptable situation. The CGT and CFDT unions have launched mobilizations to support policyholders and resolve the situation.
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