Log in along with your Medical News Immediately account to create or edit your customized homepage, catch-up on your opinions notifications and set your e-newsletter preferences. This new system avoids the two pitfalls of antagonistic selection and moral hazard related to traditional types of well being insurance through the use of a mixture of regulation and an insurance coverage equalization pool Moral hazard is avoided by mandating that insurance coverage firms present not less than one coverage which meets a authorities set minimum commonplace level of protection, and all grownup residents are obliged by legislation to purchase this coverage from an insurance coverage firm of their alternative.
Insurance premiums range from insurance company to firm, the excess degree individually chosen (franchise), the place of residence of the insured person and the degree of supplementary benefit coverage chosen (complementary medication, routine dental care, semi-personal or private ward hospitalisation, and so on.).
It may take a number of doctor’s visits or prescription refills earlier than the insured person reaches the deductible and the insurance firm starts to pay for care. If insured people sustain their premium patients, however seek medical help less, health insurance coverage companies make more money as a result of they spend less. All working French citizens need to contribute from a portion of their salaries to a not-for-revenue health insurance fund, which mutualizes the illness danger, and reimburses patients at different rates.
The insured individual has full freedom of selection among the many roughly 60 recognised healthcare providers competent to deal with their condition (in his region) on the understanding that the costs are covered by the insurance coverage as much as the extent of the official tariff.