start applying Isapres Short Law

This Sunday, September 1, the Isapres Short Law will officially come into force. an initiative sent by Congress to enforce the Supreme Court ruling that ordered companies to apply the Single Factor Table (TUF) to their partners and return excess payments to them.

Like this, from this Sunday The Isapres will adjust all their health plans that have a value lower than the legal contribution of 7% of their users’ payment.

Modify plans It will not mean that clients who had accumulated surpluses will lose them, but in fact, they will be able to continue to use them, while those whose plan is adjusted upwards will see a series of benefits to compensate for the absence of these new surpluses. Among these improvements are increased coverage for care, preventive benefits and medications, for example.

Isapre must explain to all users the change to the Single Table of Factors, the amount charged starting in September 2024, together with a Single Notification Form (FUN) Type 3 “Special circumstances” and Type 8 “Modification of the agreed contribution”, depending on each case.

If the person does not see a modification in his plan with the entry into force of the TUF, he will receive FUN Type 3 “Special Situations”, detailing the Health Inspectorate.

Isapres Short Law

Isapres Short Law: what will it be like to return excess payments?

The Supreme Court ruling to apply the TUF meant that The industry must return USD 1,255 million to its 678,256 consumerswho are the ones who will see a reduction in the value of their plans with the new short law.

The form of the return has not yet been established, since then Each Isapre must submit its payment plan to the Health Supervision, which will be reviewed by the Advisory Councilan organization created for this purpose and chaired by Paula Benavides.

Consalud Isapres, Cruz Blanca, Banmédica, Vida Tres and Nueva Masvida are the first five organizations whose proposals were analyzed. After its review, the Council forwards its recommendations to the Superintendent, who has 10 days to rule on them, approving or directing the changes needed to be approved.

If the Health Supervision approves the Isapre payment plan, it will be ready to be implemented and implemented. If, on the contrary, “the corresponding Isapre will have a period of 30 days to present a new plan with the corresponding modifications.”