Insurers and health insurance funds are authorized to annually adjust the premiums for individual hospitalization insurance, compulsory insurance, and supplementary dental insurance to take account of rising health care costs.
“The evolution of the index for hospitalization in a single room is significantly lower than the evolution of the average reimbursement for this type of room.”
However, if we refer to the medical index published on 1er July, the following maximum price increases are possible:
– Insurance dental care : +8.5%
– Ambulatory care: + 8.04%
– Hospital insurance : +1.17% in a single room, +5% in a double room.
Some insurers charge premiums different depending on age categories. Thus, dental care insurance for young people under 19 could be increased to 6.9% and even 10% for 20-49 year olds. These are the maximum authorized increases. Your insurance premium will therefore not necessarily increase in such proportions since mutual insurance companies and private insurers are free to compete.
Annual due date
Premium adjustment (deductibles and conditions) intervenes at the annual expiry date of the contract. Indexing is then done either based on the consumer price index (which will reach 0.6% for 2020, June figure) or based on the medical index if its evolution of it is higher.
No immediate increase
But when are these price increases likely to occur?
“At this stage, DKV has not yet taken a decision on this subject since the adaptations of the premiums of our individual contracts are only made on 1er January”, specifies Emmanuel de Talhouët, member of the management committee of DKV.
At the house of AG Insurance“for collective insurance taken out by employers (annual contracts), both in hospital and outpatient, we adopt a tailor-made approach. For individual contracts, we apply the medical index with the inflation rate as a minimum. We apply this mechanism by age group”, specifies Benoit Halbert, Director Marketing & Communication Employee Benefits/Health Care
On the side of Free Mutualities, any adjustments to premiums applicable on January 1, 2021 will be decided at the end of October.
“The evolution of the index for hospitalization in a single room is much lower than the evolution of the average reimbursement for this type of room”, observes Sandrine Noel, Director of Operations. “A revision of the method of calculation of the medical index is necessary in order to better correspond to the real evolution. The work initiated by the FPS Economy for this purpose in 2018 has unfortunately been interrupted.”
At the house of Solidarity, the question will be examined at the start of the school year for a decision in September-October. “The choice of the index to use is made in the light of the specific results of our products and to limit the increase in our premiums to the strict minimum necessary.”
Finally, the Christian mutuality recalls that it only adjusts its premiums once a year, in January.