A new price list is coming for medicine. The consultation of a general practitioner will increase to 30 euros on December 22, and that of the specialist doctor intervening at the request of a general practitioner to 60 euros, under the agreement signed in June with the doctors' unions, made namely Tuesday Health Insurance.
A conventional agreement was signed in June by Health Insurance, complementary health insurance and five of the six unions representing private doctors, after 18 months of difficult negotiations.
Two euros to be paid by the patient
This text builds “the framework for relations with doctors over 2024-2029”, welcomed Tuesday the director of the National Health Insurance Fund (Cnam) Thomas Fatôme. It constitutes “a balance” between “significant increases” for practitioners, “necessary” in view of inflation; and “opposite” actions to “transform the health system”, in particular collective commitments on access to care and the “relevance and quality” of care, he underlined.
From December 22, the consultation of general practitioners will therefore increase from 26.50 euros to 30 euros (+ 13.2%) and the “one-off consultant opinion” of the specialist from 56.50 to 60 euros (+ 6.19% ). These prices are, however, reimbursed by Health Insurance and supplementary insurance, except for a “flat rate contribution” of two euros due by the patient.
Other increases on July 1
Other upgrades will also be “targeted” towards certain specialties “at the bottom of the remuneration scale” and “based on public health issues”, with an emphasis on “mental health and pediatrics”, a specified the Cnam. These increases will occur in two stages, partially on December 22, then on July 1, 2025.
The child psychiatry consultation will, for example, increase by 20 euros, reaching 75 euros in the long term. The child's compulsory consultations – carried out by a pediatrician or a general practitioner – will also be “significantly increased”, increasing for example, for those which require a report in the health record, from 47.50 to 60 euros in the long term. Other increases are planned for medical gynecologists, endocrinologists or geriatricians, and certain “technical acts” of specialists.
Doctors’ commitments
The agreement represents 950 million euros in additional spending in 2025 for Health Insurance (excluding new measures taken by the executive) and 1.6 billion over time.
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The doctors collectively commit to “ten quantified objectives” (reducing the rate of patients with long-term illnesses without a treating doctor to 2%, increasing their patient base by 2% per year, etc.), and 15 action programs for “the relevance” of care (reduction in prescriptions for sick leave, certain medications, medical transport, etc.). The results will be monitored by an observatory installed on December 12, and published online each quarter, part of which from the end of the first quarter of 2025.
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