Consultations at €30 and €35 with your GP
“€30, please.” Here is the price that general practitioners will announce to their patients, from this Sunday, December 22, following a routine consultation, compared to €26.50 today. This increase is the result of tough negotiations between Health Insurance and the unions of private doctors which led to an agreement in June. For children under 6 years old, the consultation will always cost a little more: it will increase to €35, compared to €31.50 until now.
Pediatricians, child psychiatrists and psychiatrists, as well as other specialists, will also benefit from upgrades, some being staggered between December 22 and July 1, 2025. According to Health Insurance, they target medical disciplines considered “at the bottom of the remuneration scale” or which respond to “public health issues”.
In return for this billion-euro effort for public finances in 2025, doctors have committed, among other things, to increasing their patient base by 2% per year and to reducing sick leave and sick leave prescriptions. certain medications.
How much reimbursement to expect?
If you visit a GP as part of the “coordinated care pathway” – that is to say if they are your GP or if it is another practitioner in the event of a replacement or replacement emergency -, Social Security will cover 70% of the €30 for the consultation. This percentage will not change this Sunday, December 22.
However, it will be necessary to withdraw the €2 “flat rate contribution”, which the patient must pay out of his own pocket. Its amount was €1 until May 15. It is requested for each consultation or procedure carried out by a general practitioner or specialist, radiological examination or biological analyses.
If the patient has mutual insurance, the remaining €9 will be covered by it. With the old price of the consultation at €26.50, this part paid by complementary health insurance was €7.95. This increase of €1.05, added to many other factors (aging of the population, access to new treatments and medical technologies), led mutual insurance companies to announce an increase in their prices of 6% for 2025.
Will patients have to pay more in 2025 to fill the Social Security gap?
In the midst of political uncertainty, it is difficult to answer. One thing is certain: the new Prime Minister, François Bayrou, wants to make the recovery of public finances and Social Security accounts a priority. It could, in part, be inspired by the line taken by the resigning government, whose Minister of Health, Geneviève Darrieussecq, came from her movement, the MoDem: the initial project of the Barnier team consisted of reducing by 70 % to 60% coverage of medical consultations by Health Insurance. In the end, it was an in-between, at 65%, which was emerging and would have been the subject of a ministerial decree. Payment of the difference should therefore go to complementary health insurance – or to the 2.5 million French people who do not have any. The idea exasperated general practitioner unions like MG France, for whom “transferring a billion euros of public spending to complementary health insurance (should) lead to an increase in their prices”. An increase estimated at around 2% to 3%, by experts in the insurance world.
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